Dizziness in older adults

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• 作者：Rebecca Lee ; Andrew Elder
• 关键词：Benign positional paroxysmal vertigo ; dizziness ; elderly ; Hallpike test ; Mé ; niè ; re's disease ; migrainous vertigo ; neurology ; nystagmus ; postural hypotension ; vertigo ; vestibular neuronitis
• 刊名：Medicine
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：45
• 期：1
• 页码：19-22
• 全文大小：270 K
• 卷排序：45

文摘

Dizziness is a very common symptom in older adults. Its prevalence increases with age, with approximately one-third of elderly people experiencing it. It can be caused by true vertigo, of peripheral or central cause, presyncope, disequilibrium or a combination of these. A detailed history and examination are essential in distinguishing common causes. Providing there is no evidence of central vertigo or a cardiac cause, further investigation is rarely helpful in diagnosis or management. Management of the patient with dizziness should be holistic; it should not only focus on treating the underlying cause, but also include other elements such as medication and functional review, and the input of allied health professionals as appropriate.