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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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.