Dizziness
Causes Of Dizziness, Evaluation, TreatmentConclusion
Dizziness is a common medical problem. Thirty percent of people over age sixty-five complain of dizziness and 20 percent of all older persons experience dizziness severe enough to seek medical advice.
The syndrome of dizziness is varied and encompasses a wide range of symptoms. Getting a precise and accurate description of the individual's symptoms is therefore essential for making an accurate diagnosis and helps to differentiate between the four medical subtypes traditionally considered to be the most common causes of dizziness: vertigo, presyncope, dysequilibrium, and light-headedness.
Dizziness is a common and challenging problem for an elderly person, which requires a systematic and detailed approach. Once medical problems are identified, treatment requires careful management of each difficulty identified, with fastidious follow-up to determine whether treatment is effective or producing side effects. In some circumstances, dizziness will not respond to treatment, in which case supportive therapy will be necessary.
LAURIE HERZIG MALLERY
See also BALANCE AND MOBILITY; FAINTING; HEARING.
BIBLIOGRAPHY
COLLEDGE, N. R.; WILSON, J. A.; MACINTYRE, C. C. A.; and MACLENNAN, W. J. "The Prevalence and Characteristics of Dizziness in an Elderly Community." Age and Ageing 23 (1994): 117–120.
FURMAN, J. M., and CASS, S. P. "Benign Paroxysmal Positional Vertigo." The New England Journal of Medicine 341, no. 21 (1999): 1590–1596.
SLOANE, PHILIP; BLAZER, DAN; and GEORGE, LINDAK. "Dizziness in a Community Elderly Population." Journal of the American Geriatric Society 37 (1989): 101–108.
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