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Chronic Dizziness.

Yoon-Hee Cha

    Continuum (Minneapolis, Minn.)
    |August 5, 2021
    PubMed
    Summary
    This summary is machine-generated.

    Diagnosing chronic dizziness involves identifying triggers and symptoms. Management focuses on lifestyle, vestibular rehabilitation, and therapy, though complete cures are not yet available.

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    Area of Science:

    • Neurology
    • Otolaryngology
    • Vestibular Science

    Background:

    • Chronic dizziness presents a diagnostic challenge.
    • Key historical elements aid in differential diagnosis.
    • Understanding triggers, timing, and exacerbating factors is crucial.

    Purpose of the Study:

    • To review distinct causes of chronic dizziness.
    • To highlight diagnostic approaches for conditions like persistent postural perceptual dizziness, mal de débarquement syndrome, motion sickness, bilateral vestibulopathy, and post-concussion dizziness.

    Main Methods:

    • Review of distinct causes of chronic dizziness.
    • Analysis of patient history elements (triggers, timing, associated features, exacerbating factors).

    Main Results:

    • Chronic dizziness syndromes often lack a cure but are manageable.
    • Therapies include managing exacerbating factors, vestibular rehabilitation, and cognitive-behavioral therapy.
    • Serotonergic antidepressants can supplement treatment by modulating sensory gating and reducing anxiety.

    Conclusions:

    • Syndromes of chronic dizziness are often diagnosed by recognizing key features, despite symptom overlap.
    • Management focuses on addressing exacerbating factors and utilizing therapies like vestibular rehabilitation and CBT.
    • While symptoms may improve, complete relief is often incomplete.