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The Dizzy Patient: Consider a Second Diagnosis.

Roeland B van Leeuwen¹, Carla Colijn, Erik van Wensen

¹Apeldoorn Dizziness Centre, Gelre Hospital Apeldoorn, Apeldoorn, The Netherlands.

The Neurologist

|May 5, 2017

Summary

This summary is machine-generated.

Many dizziness patients have multiple diagnoses, with over 30% presenting with more than one condition. Anxiety disorders are the most frequent coexisting diagnosis in these individuals.

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Area of Science:

Neurology
Psychiatry

Background:

Dizziness is a common complaint with patients often reporting multiple types.
This suggests the possibility of coexisting, multiple underlying diagnoses.

Purpose of the Study:

To quantify the frequency of multiple diagnoses in dizziness patients.
To identify common combinations of diagnoses for dizziness.

Main Methods:

Prospective, observational study conducted at a tertiary care center.
Inclusion of a consecutive cohort of 621 patients presenting with dizziness.

Main Results:

A second diagnosis was identified in 30.1% of patients.
A third diagnosis was present in 5.6% of patients.
Anxiety disorder was the most common secondary diagnosis, found in 50.1% of patients with multiple diagnoses.

Conclusions:

A significant proportion of dizziness patients (30%) present with multiple, distinct diagnoses.
Anxiety disorders frequently co-occur with other causes of dizziness.
Recognizing multiple diagnoses is crucial for effective dizziness management.