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Related Experiment Video

Updated: May 22, 2026

Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance
14:09

Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance

Published on: March 21, 2013

Unexplained dizziness does not resolve in time.

Roeland B van Leeuwen1, Hester J van der Zaag-Loonen

  • 1Department of Neurology, Gelre Hospital, Postbox 9014, 7300 DS Apeldoorn, The Netherlands. r.b.van.Leeuwen@gelre.nl

Acta Neurologica Belgica
|May 12, 2012
PubMed
Summary
This summary is machine-generated.

Patients with unexplained dizziness often experience persistent symptoms and impairments, even after specialist assessment. Further investigation is needed to understand long-term outcomes for dizziness patients.

Related Experiment Videos

Last Updated: May 22, 2026

Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance
14:09

Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance

Published on: March 21, 2013

Area of Science:

  • Neurology
  • Otolaryngology
  • General Medicine

Background:

  • Few patients with dizziness receive specialist referrals.
  • Diagnosing the cause of dizziness can be challenging for medical specialists.
  • Limited data exists on the long-term course of unexplained dizziness.

Purpose of the Study:

  • To assess the long-term outcome of patients with unexplained dizziness.
  • To evaluate persistent symptoms and impairments in patients after multidisciplinary dizziness clinic assessment.

Main Methods:

  • Follow-up study of 292 patients with unexplained dizziness.
  • Utilized the Dizziness Handicap Inventory (DHI) for symptom assessment.
  • Median follow-up duration of 62 months.

Main Results:

  • 60% of responders (113/189) still experienced dizziness after a median of 62 months.
  • The Dizziness Handicap Inventory (DHI) score showed only a slight decrease from 30 to 26.
  • Only 1% of cases had an organic cause identified during follow-up.

Conclusions:

  • Patients assessed in multidisciplinary dizziness clinics without a diagnosis face a high risk of persistent dizziness and impairments.
  • Unexplained dizziness often leads to chronic issues, impacting quality of life.
  • Further research is warranted to improve diagnostic and management strategies for unexplained dizziness.