Dizziness differential diagnosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Dizziness is a common but vague symptom. A wide variety of symptoms are often referred to as dizziness, these symptoms include vertigo, presyncope and disequilibrium. Dizziness should also be differentiated from psychogenic dizziness.
Differentiating Dizziness From Other Symptoms
| Symptom | Definition | Synonyms and Key Words | Coexistent Symptoms |
| Vertigo | Vertigo is a transient and episodic perception of false sensation of motion characterized by a spinning sensation of either the surrounding environment or a self motion. | Disorientation Moving Spinning Swaying Tilting Vague dizziness Whirling |
Diaphoresis Imbalance Nausea Pallor Tachycardia Vomiting |
| Presyncope | Presyncope is a state of lightheadedness,[1] muscular weakness, and feeling faint. | Faintness Generalized weakness Lightheadedness Near blackout Near fainting Near syncope |
Blurring of vision Diaphoresis Feeling of warmth Nausea Pallor Palpitations Paresthesia |
| Disequilibrium | Disequilibrium is a continuous rather than an episodic symptom characterized by an impaired sense or absence of balance that primarily occurs during standing or walking. | Bad balance Chronic dizziness Imbalance Instability Loss of balance Off balance Unsteadiness |
Gait abnormality Muscle weakness Numbness Movement incoordination Nystagmus Visual impairment |
Differentiating Dizziness From Psychogenic Dizziness
- Psychogenic dizziness is not a true dizziness. It is associated with psychiatric symptoms that precede its onset. It occurs in anxious or phobic individuals and do not include any specific symptoms and it can be replicated by hyperventilation.
- Synonyms used to describe psychogenic dizziness include:
References
- ↑ Reeves, Alexander G. "Chapter 14: Evaluation of the Dizzy Patient". Disorders of the nervous system: a primer. Dartmouth Medical School. Retrieved 2012-01-06. Unknown parameter
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