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Vertigo and Dizziness: A Brief Review

Members of the College of Family Physicians of Canada may claim one non-certified credit per hour for this non-certified educational program.

www.cfpc.ca/mainpro-manual

Curtis M. Marcoux, Memorial University of Newfoundland, St. John's, Newfoundland and Labrador, Canada.
Dr. Pradeep Shenoy, MD, DLO, FRCS, FACS,
is the ENT service chief, Campbellton Regional Hospital, Campbellton, New Brunswick, Canada.

Abstract
Dizziness is the third most common symptom seen in patients of all age groups who present to emergency departments, outpatient clinics and physicians offices. Assessing dizziness requires a differentiation of potential causes through a comprehensive medical history and thorough physical exam. The most common causes of dizziness are peripheral vestibular disorders, however disorders of the central nervous system must be ruled out. Understanding how to distinguish between various underlying causes of vertigo is essential for the timely diagnosis and effective management of patients with this symptom. In this review, an overview of the epidemiology, etiology, presentation, diagnosis and treatment of the most common causes of vertigo will be presented, touching on some of the more rare determinants.
Key Words: Vertigo, dizziness, BPPV, vestibular neuronitis, Meniere's disease, vestibular migraine, vertebrobasilar insufficiency.

Comments

useful article. good discussion on vertigo vs dizziness.

I found this article very succint and helpful, I will use it for patient education. Most of my patients are dizzy or have poor balance, but most are in the 80 - 90 year age category. The younger group of patients who are frequently dizzy with negative CT scans of the brain and/or spinal cord and no medical condition that could cause dizziness or vertigo might be related to anxiety. Dr. Etela Neumann, FRCPC (Neuropathology) and a part time GP

Excellent, clear, practical article.

excellent article.

At last a comprehensive, clear, concise easy to apply description

Excelent article, v. clear approach to a difficult subject.