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Chronic dizziness: a practical approach
  1. A M Bronstein1,
  2. T Lempert2,
  3. B M Seemungal1
  1. 1Neuro-otology Unit, Centre for Neuroscience and Mental Health, Imperial College London, Charing Cross Hospital, London, UK
  2. 2Neurology Department, Schlosspark Klinik, Berlin, Germany
  1. Correspondence to Professor A M Bronstein, Neuro-otology Unit, Centre for Neuroscience and Mental Health, Imperial College London, Charing Cross Hospital, London W6 8RF, UK; a.bronstein{at}imperial.ac.uk

Abstract

Patients with chronic dizziness pose a particular challenge to the clinician, partly because their symptoms correlate poorly with standard vestibular tests; so a ‘test and think later’ approach is likely to lead to diagnostic confusion rather than clarity. Rather, a meticulous clinical assessment is required. Here our approach to the chronic dizzy patient is described with an emphasis on treating the patient's symptoms.

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Footnotes

  • Funding AMB is supported by a research grant from the Medical Research Council of the UK. BMS is an Academy of Medical Sciences and the Health Foundation Clinician Scientist.

  • Provenance and peer review Commissioned; externally peer reviewed

  • Competing interests None.

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