Assessment, diagnosis and management of the dizzy patient

Br J Hosp Med (Lond). 2020 Dec 2;81(12):1-7. doi: 10.12968/hmed.2020.0469. Epub 2020 Dec 30.

Abstract

Dizziness and balance disorders are very common problems. Having a structured approach, including adequate history taking and clinical examination, in a multidisciplinary environment allows for effective management of patients with these complex symptoms. Hearing assessment is an integral part of the assessment of patients with dizziness, along with the occasional need for further testing. Identifying red flags, along with the ability to involve different medical specialties, are prerequisites for safe management and a successful outcome. While surgical intervention has a small role in the management of balance disorders, vestibular rehabilitation remains the cornerstone of treatment, along with different supportive measures. This article outlines the approach used in the authors' centre to manage patients with dizziness and balance disorders.

Keywords: Balance; Dizziness; Dizzy; Vertigo; Vestibular rehabilitation.

MeSH terms

  • Dizziness* / diagnosis
  • Dizziness* / etiology
  • Dizziness* / therapy
  • Humans
  • Physical Examination
  • Vertigo / diagnosis
  • Vertigo / therapy
  • Vestibular Diseases* / diagnosis
  • Vestibular Diseases* / therapy