Dizziness: Difference between revisions
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==[[Dizziness causes|Causes]]== | ==[[Dizziness causes|Causes]]== | ||
Common causes of dizziness may include<ref name="pmid21570240">{{cite journal| author=Kim AS, Sidney S, Klingman JG, Johnston SC| title=Practice variation in neuroimaging to evaluate dizziness in the ED. | journal=Am J Emerg Med | year= 2012 | volume= 30 | issue= 5 | pages= 665-72 | pmid=21570240 | doi=10.1016/j.ajem.2011.02.038 | pmc=4560264 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21570240 }} </ref><ref name="pmid18460956">{{cite journal| author=Keleş A, Demircan A, Kurtoğlu G| title=Carbon monoxide poisoning: how many patients do we miss? | journal=Eur J Emerg Med | year= 2008 | volume= 15 | issue= 3 | pages= 154-7 | pmid=18460956 | doi=10.1097/MEJ.0b013e3282efd519 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18460956 }} </ref><ref name="pmid23142830">{{cite journal| author=Lempert T, Olesen J, Furman J, Waterston J, Seemungal B, Carey J | display-authors=etal| title=Vestibular migraine: diagnostic criteria. | journal=J Vestib Res | year= 2012 | volume= 22 | issue= 4 | pages= 167-72 | pmid=23142830 | doi=10.3233/VES-2012-0453 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23142830 }} </ref><ref name="pmid8367748">{{cite journal| author=Gilbert VE| title=Immediate orthostatic hypotension: diagnostic value in acutely ill patients. | journal=South Med J | year= 1993 | volume= 86 | issue= 9 | pages= 1028-32 | pmid=8367748 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8367748 }} </ref><ref name="pmid15820968">{{cite journal| author=Lawson J, Johnson I, Bamiou DE, Newton JL| title=Benign paroxysmal positional vertigo: clinical characteristics of dizzy patients referred to a Falls and Syncope Unit. | journal=QJM | year= 2005 | volume= 98 | issue= 5 | pages= 357-64 | pmid=15820968 | doi=10.1093/qjmed/hci057 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15820968 }} </ref><ref name="pmid12369019">{{cite journal| author=Sarasin FP, Louis-Simonet M, Carballo D, Slama S, Junod AF, Unger PF| title=Prevalence of orthostatic hypotension among patients presenting with syncope in the ED. | journal=Am J Emerg Med | year= 2002 | volume= 20 | issue= 6 | pages= 497-501 | pmid=12369019 | doi=10.1053/ajem.2002.34964 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12369019 }} </ref><ref name="pmid26231273">{{cite journal| author=Newman-Toker DE, Edlow JA| title=TiTrATE: A Novel, Evidence-Based Approach to Diagnosing Acute Dizziness and Vertigo. | journal=Neurol Clin | year= 2015 | volume= 33 | issue= 3 | pages= 577-99, viii | pmid=26231273 | doi=10.1016/j.ncl.2015.04.011 | pmc=4522574 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26231273 }} </ref>: | |||
*[[Hypotension]] | |||
*[[Dehydration]] | |||
*[[Hypoglycemia]] | |||
*[[Arrhythmias]] | |||
*[[Stroke]] | |||
*[[Labyrinthitis]] | |||
*[[Meniere's disease]] | |||
===Medications=== | ===Medications=== | ||
* [[Atropine]] | * [[Atropine]] | ||
Revision as of 19:36, 29 August 2020
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Dizziness On the Web |
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American Roentgen Ray Society Images of Dizziness |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M.Umer Tariq [2]; Vendhan Ramanujam M.B.B.S; Norina Usman, M.B.B.S[3]
Synonyms and keywords: Disequilibrium; Vertigo; Unsteadiness; Lightheadedness; Disorientation in space; dizzy; floating; giddiness; giddy; reeling; spaced out; swimmy; weak at the knees; wobbliness; wooziness
Overview
Definition
Causes
Common causes of dizziness may include[1][2][3][4][5][6][7]:
Medications
Differentiating Dizziness from other Diseases
Vertigo | Presyncope | Disequilibrium | Psychogenic dizziness
Risk Factors
Common risk factors in the development of dizziness include[8][9][10]:
- Family history of thromboembolic factors (diabetes, hypertension, high cholesterol, and rheumatic disease)
- Cardiac arrhythmias
- Stroke
- Medication side effect (diuretics, antiepileptic drugs, opioid-based analgesics, antipsychotic drugs, antidepressants, antihypertensive, antifungal, lithium, benzodiazepines, antiarrhythmic, antimalarial and anti-HIV-drugs.
- Multiple sclerosis
- Seizures
- Brain tumors
- Benign positional vertigo
- Labyrinthitis
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms | Physical Examination | Laboratory Findings | Electrocardiogram | CT | MRI | Echocardiography | Other Imaging Findings | Other Diagnostic Studies
Treatment
Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies Template:WH Template:WS
- ↑ Kim AS, Sidney S, Klingman JG, Johnston SC (2012). "Practice variation in neuroimaging to evaluate dizziness in the ED". Am J Emerg Med. 30 (5): 665–72. doi:10.1016/j.ajem.2011.02.038. PMC 4560264. PMID 21570240.
- ↑ Keleş A, Demircan A, Kurtoğlu G (2008). "Carbon monoxide poisoning: how many patients do we miss?". Eur J Emerg Med. 15 (3): 154–7. doi:10.1097/MEJ.0b013e3282efd519. PMID 18460956.
- ↑ Lempert T, Olesen J, Furman J, Waterston J, Seemungal B, Carey J; et al. (2012). "Vestibular migraine: diagnostic criteria". J Vestib Res. 22 (4): 167–72. doi:10.3233/VES-2012-0453. PMID 23142830.
- ↑ Gilbert VE (1993). "Immediate orthostatic hypotension: diagnostic value in acutely ill patients". South Med J. 86 (9): 1028–32. PMID 8367748.
- ↑ Lawson J, Johnson I, Bamiou DE, Newton JL (2005). "Benign paroxysmal positional vertigo: clinical characteristics of dizzy patients referred to a Falls and Syncope Unit". QJM. 98 (5): 357–64. doi:10.1093/qjmed/hci057. PMID 15820968.
- ↑ Sarasin FP, Louis-Simonet M, Carballo D, Slama S, Junod AF, Unger PF (2002). "Prevalence of orthostatic hypotension among patients presenting with syncope in the ED". Am J Emerg Med. 20 (6): 497–501. doi:10.1053/ajem.2002.34964. PMID 12369019.
- ↑ Newman-Toker DE, Edlow JA (2015). "TiTrATE: A Novel, Evidence-Based Approach to Diagnosing Acute Dizziness and Vertigo". Neurol Clin. 33 (3): 577–99, viii. doi:10.1016/j.ncl.2015.04.011. PMC 4522574. PMID 26231273.
- ↑ Rosin C, Bingisser R (2013). "[Not Available]". Ther Umsch. 70 (1): 27–9. doi:10.1024/0040-5930/a000359. PMID 23385126.
- ↑ Chimirri S, Aiello R, Mazzitello C, Mumoli L, Palleria C, Altomonte M; et al. (2013). "Vertigo/dizziness as a Drugs' adverse reaction". J Pharmacol Pharmacother. 4 (Suppl 1): S104–9. doi:10.4103/0976-500X.120969. PMC 3853661. PMID 24347974.
- ↑ Shill HA, Fife TD (2013). "Causes of imbalance and abnormal gait that may be misdiagnosed". Semin Neurol. 33 (3): 270–5. doi:10.1055/s-0033-1354601. PMID 24057830.