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[Chronic dizziness in older people: apply a multifactorial approach]
Hanneke Stam1, Henriëtte E van der Horst, Martin Smalbrugge
1VU medisch centrum, afd. Huisartsgeneeskunde en Ouderengeneeskunde en EMGO+ instituut, Amsterdam.
Chronic dizziness in older adults may be a geriatric syndrome with multiple causes. Treating these underlying factors can reduce dizziness frequency and impairment.
Area of Science:
- Geriatrics
- Neurology
Background:
- Chronic dizziness is common in older adults.
- It may represent a complex geriatric syndrome with various contributing factors.
- A multifactorial approach to diagnosis and treatment is proposed.
Observation:
- Two case studies of older patients with chronic dizziness are presented.
- A structured history, physical examination, and targeted tests were used.
- The general practitioner identified multiple treatable factors in each case.
Findings:
- Treatment of identified contributory factors led to reduced dizziness.
- One patient experienced temporary improvement.
- The other patient achieved permanent resolution of dizziness and related impairment.
Implications:
- Viewing chronic dizziness as a multifactorial geriatric syndrome offers new treatment avenues.
- This approach can improve patient outcomes and quality of life.
- Highlights the importance of comprehensive assessment in managing geriatric dizziness.
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