Dizziness natural history, complications and prognosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: M.Umer Tariq [2] Norina Usman, M.B.B.S [3]

Overview

If left untreated, patients may experience spontaneous recovery. Common complications of dizziness include nausea, vomiting, fainting, fall, imbalance and hearing loss and neurological complications following Dix Hallpike or Epley maneuvers. Prognosis is generally good, and the 10-year mortality rate of patients with dizziness is low approximately (hazard ratio [HR] = 0.62; 95% CI, 0.40-0.96)^[1].

Natural history

The symptoms of dizziness typically develop gradually over years and may have a history of cardiovascular disease (for e.g; arrhythmia, myocardial infarction, ischemic heart disease, and neurological disorders such as Parkinson's disease, migraine, stroke, and epilepsy^[2].

Complication

Common complications of dizziness include:

[Fall]
[Imbalance]
[Hearing loss]

Prognosis

Depending on the extent of the disease progression at the time of diagnosis, the prognosis may vary. However, the prognosis is generally regarded as good.

References

↑ van Vugt VA, Bas G, van der Wouden JC, Dros J, van Weert HCPM, Yardley L; et al. (2020). "Prognosis and Survival of Older Patients With Dizziness in Primary Care: A 10-Year Prospective Cohort Study". Ann Fam Med. 18 (2): 100–109. doi:10.1370/afm.2478. PMC 7062481 Check |pmc= value (help). PMID 32152013 Check |pmid= value (help).
↑ Spitzer RL, Kroenke K, Williams JB (1999). "Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire". JAMA. 282 (18): 1737–44. doi:10.1001/jama.282.18.1737. PMID 10568646.

Template:WikiDoc Sources

[pmid32152013-1] van Vugt VA, Bas G, van der Wouden JC, Dros J, van Weert HCPM, Yardley L; et al. (2020). "Prognosis and Survival of Older Patients With Dizziness in Primary Care: A 10-Year Prospective Cohort Study". Ann Fam Med. 18 (2): 100–109. doi:10.1370/afm.2478. PMC 7062481 Check |pmc= value (help). PMID 32152013 Check |pmid= value (help).

[pmid10568646-2] Spitzer RL, Kroenke K, Williams JB (1999). "Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire". JAMA. 282 (18): 1737–44. doi:10.1001/jama.282.18.1737. PMID 10568646.

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