What is included in the evaluation of dizziness, vertigo, and imbalance?

Updated: Mar 13, 2017
  • Author: Hesham M Samy, MD, PhD; Chief Editor: Robert A Egan, MD  more...
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Answer

Evaluation of the patient with dizziness begins with careful history taking and a complete neuro-otologic physical examination, including vestibular examination. The history is critical and should focus on the nature of the symptoms, the duration, and triggering or alleviating factors. Ask patients to describe their symptoms by using words other than “dizzy.” The rationale for using other words is that patients may use dizzy nonspecifically to describe vertigo, unsteadiness, generalized weakness, syncope, presyncope, or falling.


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