Abstract
It is a common symptom in at least one-third of the patients over the age of 65 years. Benign positional vertigo, vestibular neuronitis and Meniere’s diseases are the commonest causes of vertigo. Other causes include vertebrobasilar insufficiency, migraine, multiple sclerosis and cerebellar neoplasms.
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References
Samy HM. Dizziness vertigo and imbalance. http://e.medicine.medscope.com/article/2149881-overview. Retrieved on 23 October 2013.
Ojala M, Palo J. The aetiology of dizziness and how to examine the dizzy patient. Ann Med. 1991;23(3):225–30.
Bisdorff A, Bosser G, Guegen R, Perrin P. The epidemiology of vertigo, dizziness and unsteadiness and its links to co-morbidities. Front Neurol. 2013;4:29. https://doi.org/10.3389//fneur.2013.00029 9.
Hanley K, Dowd T, Crosindine N. A systematic review of vertigo in primary care. Brit J Clin Pract. 2001;51: 666–71.
Colledge NR, Barr-Hamilton M, Lewis ST, Sellar RJ, Wilson JA. Evaluation of investigation to diagnosis of the cause of dizziness in elderly people in community and controlled study. Br Med J. 1996;313:788–92.
Bird JC, Beynon GJ, Prevost AT, Baguley DM. Analysis of referral patterns for dizziness in the primary care setting. Br J Gen Pract. 1998;48:1828–1832.
Abrol R, Nehru VI, Venkataramana Y. Prevalence and etiology of vertigo in adult rural population. Ind J Otolaryngol Head Neck Surg. 2001;53(1):32–36.
Zhang Y, Chin X, Wang X, Cao L, Dong Z, Zhen J, et al. A clinical epidemiological study of 187 patients with vertigo. Cell Biochem Biophys 2001;59(2):109–12.
Karatas M, Central vertigo and dizziness, epidemiology differential diagnosis and common causes Neurologist 2008;14(6):355–64.
Labuguen RH. Initial evaluation of vertigo. Am Fam Physician. 2006;73(2):244–50.
Froehling DA, Silverstein MD, Mohr DN, Beatty CW, Offord KP, Ballard DJ. Benign positional vertigo: incidence and prognosis in a population-based study in Olmsted County Minnesota. Mayo Clin Proc. 1991; 66:596–601.
Koelliker P, Summers RL, Hawkins B. Benign Positional Paroxysmal vertigo: Diagnosis and treatment in the emergency department-a review of the literature and discussion of carolith repository maneuvers. Ann Emerg Med. 2001;37(4):392–8.
Somefun OA, Giwa OS, Bamgboyi BA, Oke-Igbokwe II, Azeez AA. Vestibular disturbances among adults in a tertiary hospital in Lagos Nigeria. Eur Arch Otorhinolaryngol. 2010;2(10):1515–21.
Oghalai JS, Manolidis S, Barth JL, Stewart MG, Jenkins HA. Unrecognised benign paroxysmal positional vertigo in elderly patients. Otolaryngol Head Neck Surg. 2000;122:630–4.
Baloh RW. Differentiating between peripheral and central causes of vertigo. Otolaryngol Head Neck Surg. 1998;119(1):55–9.
Chan Y. Differential diagnosis of dizziness. Curr Opinion in Otolaryngol Head Neck Surg. 2009;17:200–203.
Neatherlin JS, Egan J. Benign Positional paroxysmal vertigo. J Neurosci Nurs. 1994;26(6):330–5.
Black FO, Pesznecker SC, Homer L, Stallings V. Benign paroxysmal positional nystagmus in hospitalized subjects receiving ototoxic medications. Otol Neurotol. 2004:25(3);353–8
Herdman SJ. Treatment of benign paroxysmal vertigo. Phys Ther. 1990;70:381–388.
Fyrampas G, Rachovitsas D, Haidich AB, Constantinidis J, Triaridis S, Vital V, et al. Are positional restriction after an Epley maneuver unnecessary? First results of a controlled study and review of literature. Auris Nesus Laryn 2009;36(6):637–43.
Baloh RW. Clinical practice. Vestibular neuritis. NEJM. 2003;348:1027–32.
Swartz R, Longwell P. treatment of vertigo. Am Fam Physician. 2005;71(6):115–22.
Wladislavosky-Waserman P, Facer GW, Mokri B, Kurland LT. Meniere’s disease: a 30 year epidemiologic and clinical study in Rochester, MN 1951–1980. Larynsoscope. 1984; 94:1098.–11-2.
Thirlwall AS, Kundu S. Diuretics for Meniere’s disease. Cochrane Database Syst Rev. 2006;3:CD003599.
James AL, Burton MJ. Betahistine for Meniere’s syndrome. Cochrane Database Syst. Rev. 2001;1: CD001873.
Halmagyi GM. Diagnosis and management of vertigo. Clin Med. 2005;5(2):159–65.
Moffat DA, Bagnley DM, Blumenthal H, Irving RM, Hardy DG. Sudden deafness in vestibular schwannoma. J Laryngol. Otol. 1994;108:116–9.
Eggenberger E, Lovell K. Vertigo and dizziness; Vestibular system disorders-Summary. http://learn.chm.msu.edu/Neuro Ed/neurobiology_disease/content/other sources/vestibular disorders.pdf. retrieved 12 January 2015.
Huang MH, Huang CC, Ryu SJ, Chu N-S. Sudden bilateral hearing impairment in vertebrobasilar occlusive disease. Stroke. 1993;24:132–137.
Maurer J. The role of brain stem evoked potentials in acoustic neuroma screening and diagnosis. Laryngorhinootologie. 2008;87(8):585–96.
Zealley IA, Cooper RC, Clifford KM, Campbell RS, Potterton AJ, Zammit-Maempel I, et al. MRI screening for acoustic neuroma: a comparison of fast spin echo and contrast enhanced imaging in 1233 patients. Br J Radiol. 2000;73(867):242–7.
Soulie D, Cordoliani YS, Vignaud J, Cosnard G. MR imaging of acoustic neuroma with high resolution fast spin echo T2-weighted sequence. Eur J Radiol. 1997; 24(1):61–5.
Oh JH, Chung JH, Min HJ, Cho SH, Park CW, Lee SH. Clinical application of 3D-FIESTA Image in patients with unilateral inner ear symptom. Korean J Audiol. 2013;17(3):111–117.
Weidt S, Bruehl AB, Straumann D, Hegemann SC, Krautstrunk G, Rufer M. Health-related quality of life and emotional distress in patients with dizziness: a cross-sectional approach to disentangle their relationship. BMC Health Serv Res.2014;14:317. https://doi.org/10.1186/1472-6963-14-317.
Hsu LC, Hu HH, Wong WJ, Wang SJ, Luk YO, Chern CM. Quality of life in elderly patients with dizziness: analysis of the Short Form Health Survey in 197 patients. Acta Otolaryngol. 2005;125(1):55–9.
Ten Voorde M, van der Zaag-Loonen HJ, van Leeuwen RB. Dizziness impairs health-related quality of life. Qual LifeRes 2012;21(6):961–6.
Tinettti ME, Williams CS, Gill TM. Dizziness among older adults. A geriatric syndrome. Ann Int Med 2000;132:337–344.
Yardley L, Owen N, Nazareth I, Luxon L. Prevalence and presentation of dizziness in general practice community sample of working age people. Br J gen Pract. 1998;48:1131–1135.
Lin HW, Bhattacharyya N. Balance disorders in the elderly: Epidemiology and functional impact. The Laryngoscope 2012;122(8):1858–61.
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Nagaratnam, N., Nagaratnam, K., Cheuk, G. (2018). Vertigo/Dizziness in the Elderly. In: Geriatric Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-33434-9_82
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DOI: https://doi.org/10.1007/978-3-319-33434-9_82
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