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DIFFERENTIAL DIAGNOSIS OF DIZZINESS

DIFFERENTIAL DIAGNOSIS OF DIZZINESS Abstract Dizziness, a feeling of motion that persists when the patient and his surroundings are really stationary, can be caused by disorders of the proprioceptive system, the eye, or the ear. When the ear is involved, the etiology is either central or peripheral. A complete examination of the eighth nerve is mandatory. The examination of the cochlear division should include audiometry. Examination of the vestibular division should include the various tests that elicit nystagmus. The causes of the dizziness may prove to be neoplastic, traumatic, vascular, toxic, allergic, metabolic, or functional. If the cause cannot be identified and removed, relief is sometimes obtained by administering sedatives, vasodilators, or antinauseants or by combating edema with salt-free diets. If severe hydrops of the labyrinth has destroyed hearing in one ear and left a residue of dizziness and distorted hearing, remarkable relief may be afforded by surgical destruction of the affected ear. The plight of the patient with severe dizziness is such as to deserve the best attention of the physician. References 1. Day, K.: Personal communication to the author. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

DIFFERENTIAL DIAGNOSIS OF DIZZINESS

JAMA , Volume 165 (15) – Dec 14, 1957

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References (1)

Publisher
American Medical Association
Copyright
Copyright © 1957 American Medical Association. All Rights Reserved.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1957.02980330045011
Publisher site
See Article on Publisher Site

Abstract

Abstract Dizziness, a feeling of motion that persists when the patient and his surroundings are really stationary, can be caused by disorders of the proprioceptive system, the eye, or the ear. When the ear is involved, the etiology is either central or peripheral. A complete examination of the eighth nerve is mandatory. The examination of the cochlear division should include audiometry. Examination of the vestibular division should include the various tests that elicit nystagmus. The causes of the dizziness may prove to be neoplastic, traumatic, vascular, toxic, allergic, metabolic, or functional. If the cause cannot be identified and removed, relief is sometimes obtained by administering sedatives, vasodilators, or antinauseants or by combating edema with salt-free diets. If severe hydrops of the labyrinth has destroyed hearing in one ear and left a residue of dizziness and distorted hearing, remarkable relief may be afforded by surgical destruction of the affected ear. The plight of the patient with severe dizziness is such as to deserve the best attention of the physician. References 1. Day, K.: Personal communication to the author.

Journal

JAMAAmerican Medical Association

Published: Dec 14, 1957

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