0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Investigating Selected Symptoms |

Dizziness: State of the Science

Philip D. Sloane, MD, MPH; Remy R. Coeytaux, MD; Rainer S. Beck, MD; and John Dallara, MD
[+] Article and Author Information

From University of North Carolina at Chapel Hill, Chapel Hill, and Duke University, Durham, North Carolina. Note: This article is one of a series of articles comprising an Annals of Internal Medicine supplement entitled “ Investigating Symptoms: Frontiers in Primary Care Research—Perspectives from The Seventh Regenstrief Conference ” To see a complete list of the articles included in this supplement, please view its Table of Contents.


Copyright ©2004 by the American College of Physicians

Grant Support: Dr. Sloane is the recipient of National Institute on Aging Academic Award K08-AG00341.

Requests for Single Reprints: Philip D. Sloane, MD, MPH, Department of Family Medicine, C.B. 7595, University of North Carolina, Chapel Hill, NC 27599; e-mail, psloane@med.unc.edu.

Current Author Addresses: Dr. Sloane: Department of Family Medicine, C.B. 7595, University of North Carolina, Chapel Hill, NC 27599.

Dr. Coeytaux: Robert Wood Johnson Clinical Scholars Program, University of North Carolina, Chapel Hill, NC 27599-7105.

Dr. Beck: AHCPR/NRSA Post-Doctoral Fellowship, Cecil G. Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC 27599-7590.

Dr. Dallara: Department of Emergency Medicine, Box 3096, Duke University Medical Center, Durham, NC 27710.


Ann Intern Med. 2001;134(9_Part_2):823-832. doi:10.7326/0003-4819-134-9_Part_2-200105011-00005
Text Size: A A A

Dizziness is prevalent in all adult populations, causing considerable morbidity and utilization of health services. In the community, the prevalence of dizziness ranges from 1.8% in young adults to more than 30% in the elderly. In the primary care setting, dizziness increases in frequency as a presenting complaint; as many as 7% of elderly patients present with this symptom. Classification of dizziness by subtype (vertigo, presyncope, disequilibrium, and other) assists in the differential diagnosis.

Various disease entities may cause dizziness, and the reported frequency of specific diagnoses varies widely, depending on setting, patient age, and investigator bias. Life-threatening illnesses are rare in patients with dizziness, but many have serious functional impairment. Dizziness can be difficult to diagnose, particularly in elderly persons, in whom it often represents dysfunction in more than one body system.

Given the relatively underdeveloped state of the empirical literature on dizziness, investigators would benefit from use of consistent criteria to describe dizziness symptoms and establish diagnoses. Investigation of the effects of testing and treatment should focus on diagnoses that are life threatening or lead to significant morbidity. In the elderly, a function-oriented approach should be studied and compared with current diagnosis-focused strategies. Alternative therapies for chronic and recurrent dizziness also merit investigation.

Topics

dizziness

Figures

Grahic Jump Location
Figure 1.
Steps in the development of a scientific database for medical management of a symptom.
Grahic Jump Location

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)