Central causes of dizziness.
نویسندگان
چکیده
V estibular physical therapy has become a mainstay in the management of patients with balance disorders manifesting as dizziness and disequilibrium. Numerous concept papers,1–20 case studies,21–29 case series with no controls,30–44 and controlled studies45–49 support the use of rehabilitation techniques for patients with peripheral vestibular disorders. There is less evidence supporting the use of rehabilitation techniques for patients with central vestibular disorders. Several concept papers,6,9,17,50–54 case studies,4,23,55–59 and case series with no controls17,23,30,31,33,36,38–40 have been published regarding central vestibular disorders. In addition, 2 textbooks on the subject of vestibular rehabilitation60,61 provide ample evidence that this treatment for patients with balance disorders appears to be very promising (Tab. 1). Only a few controlled studies,45–49 however, have addressed the efficacy of physical therapy for patients with peripheral vestibular disorders, and none of these controlled studies have addressed patients with central vestibular pathology. Articles that specifically addressed benign paroxysmal positional vertigo62–65 are not included in Table 1. Most of the studies cited in the case series group in Table 1 had few patients with central dysfunction, and rarely were these patients differentiated from the patients with peripheral vestibular disorders, making it difficult to reach any definitive conclusions.
منابع مشابه
Dizziness in a community hospital: central neurological causes, clinical predictors, and diagnostic yield and cost of neuroimaging studies
Objectives: Neuroimaging is contributing to the rising costs of dizziness evaluation. This study examined the rate of central neurological causes of dizziness, relevant clinical predictors, and the costs and diagnostic yields of neuroimaging in dizziness assessment. Methods: We retrospectively reviewed the records of 521 adult patients who visited the hospital during a 12-month period with dizz...
متن کاملDizziness, a review of walk-in patients at a specialised neurotology clinic.
A retrospective review of 100 walk-in patients at a specialized neurotology clinic in dizziness at a tertiary referral centre is presented. The most common cause of dizziness was BPPV, forming 31% of the cases. Other causes in order of frequency include recurrent vestibulopathy, idiopathic causes, Meniere's disease and central causes.
متن کاملDizziness in the Outpatient Care Setting.
PURPOSE OF REVIEW This article summarizes an approach to evaluating dizziness for the general neurologist and reviews common and important causes of dizziness and vertigo. RECENT FINDINGS Improved methods of diagnosing patients with vertigo and dizziness have been evolving, including additional diagnostic criteria and characterization of some common conditions that cause dizziness (eg, vestib...
متن کاملVestibular impairment in older people frequently contributes to dizziness as part of a geriatric syndrome.
Research to identify whether dizziness is a geriatric syndrome has largely overlooked often treatable vestibular causes. To ascertain the degree to which vestibular and other causes of dizziness interact in older people, an eight-month retrospective case-note review was undertaken in patients aged ≥: 65 years referred with dizziness or imbalance to an audiovestibular medicine clinic. Of 41 pati...
متن کاملAging with Cerebral Small Vessel Disease and Dizziness: The Importance of Undiagnosed Peripheral Vestibular Disorders
Recent studies showed a link between cerebral small vessel white matter disease (SVD) and dizziness: patients whose dizziness cannot be explained by vestibular disease show severe SVD and gait abnormalities; however, little is still known about how SVD can cause this symptom. The primary aim of this study is to examine the possible underlying causes of dizziness in neurovascular patients; this ...
متن کاملThe diagnostic challenge of dizziness: computed tomography and magnetic resonance imaging findings
Dizziness is a prevalent symptom in the general population, accounting for a considerable share of physician office visits, and most causes are clinically treatable. It is also a common indication for neuroimaging studies, in order to identify a specific etiology and exclude surgical causes. Here, we illustrate the main peripheral and central causes of dizziness, discussing their possible diffe...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Physical therapy
دوره 80 2 شماره
صفحات -
تاریخ انتشار 2000