Treatment of dizziness: an interdisciplinary update

Area of Science:

• Neurology
• Otolaryngology
• Internal Medicine

Background:

• Dizziness presents diverse etiologies, necessitating individualized treatment strategies.
• Effective management requires an interdisciplinary approach integrating various medical specialties.

Purpose of the Study:

• To provide an updated overview of interdisciplinary treatment recommendations for dizziness.
• To guide clinicians in selecting appropriate therapies based on specific dizziness causes.

Main Methods:

• Comprehensive literature review of current treatment guidelines for prevalent dizziness conditions.
• Analysis of clinical approaches, pharmacological interventions, physiotherapy, and surgical options.
• Inclusion of evidence levels and number needed to treat where available.

Main Results:

• Recommendations cover acute/chronic vestibular syndromes, Meniere's disease, vestibular migraine, cardiac causes, stroke, and more.
• Treatment modalities include repositioning maneuvers, medication adjustment, vestibular rehabilitation, and surgical interventions.
• Initial management for acute, severe symptoms involves short-term antivertigo medication.

Conclusions:

• Tailored, cause-specific treatment is crucial for effective dizziness management.
• Interdisciplinary collaboration ensures comprehensive care for complex dizziness presentations.
• The review offers evidence-based guidance for optimizing patient outcomes in dizziness treatment.