Dizziness
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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
I about 25% of patients over age 50 who have dizziness, a specific cause cannot be found[1].
Medications
Differentiating Dizziness from other Diseases
Vertigo | Presyncope | Disequilibrium | Psychogenic dizziness
Risk Factors
Common risk factors in the development of dizziness include[2][3][4]:
- 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
- ↑ Menant JC, Migliaccio AA, Sturnieks DL, Hicks C, Lo J, Ratanapongleka M, Turner J, Delbaere K, Titov N, Meinrath D, McVeigh C, Close JCT, Lord SR. Reducing the burden of dizziness in middle-aged and older people: A multifactorial, tailored, single-blind randomized controlled trial. PLoS Med. 2018 Jul 24;15(7):e1002620. doi: 10.1371/journal.pmed.1002620. eCollection 2018 Jul. PMID: [4]
- ↑ 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.