Treatment of dizziness: an interdisciplinary update
Autor: | Roland Bingisser, Rainer Spiegel, Raoul Sutter, Roger Kalla, René M. Müri, Thomas Baumann, Hergen Friedrich, Martina Göldlin, Heiko Rust, Georgios Mantokoudis, Michael Strupp, Christiane Rosin |
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Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
Benign paroxysmal positional vertigo 610 Medicine & health Interdisciplinary Studies Transient ischaemic attacks Chest pain Dizziness Patient Positioning 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Vertigo medicine Humans 030212 general & internal medicine Endolymphatic hydrops Physical Therapy Modalities Vestibular system biology business.industry General Medicine medicine.disease biology.organism_classification Bilateral vestibulopathy Stroke Vestibular Diseases Ischemic Attack Transient Number needed to treat medicine.symptom business 030217 neurology & neurosurgery |
Zdroj: | Spiegel, Rainer; Rust, Heiko; Baumann, Thomas; Friedrich, Hergen; Sutter, Raoul; Göldlin, Martina; Rosin, Christiane; Müri, René Martin; Mantokoudis, Georgios; Bingisser, Roland; Strupp, Michael; Kalla, Roger (2017). Treatment of dizziness: An interdisciplinary update. Swiss medical weekly, 147(5152), w14566. EMH Schweizerischer Ärzteverlag 10.4414/smw.2017.14566 |
ISSN: | 1424-3997 1424-7860 |
Popis: | This review provides an update on interdisciplinary treatment for dizziness. Dizziness can have various causes and the treatment offered should depend on the cause. After reading this article, the clinician will have an overview of current treatment recommendations. Recommendations are made for the most prevalent causes of dizziness including acute and chronic vestibular syndromes, vestibular neuritis, benign paroxysmal positional vertigo, endolymphatic hydrops and Menière’s disease, vestibular paroxysmia and vestibular migraine, cardiac causes, transient ischaemic attacks and strokes, episodic ataxia type 2, persistent postural-perceptual dizziness, bilateral vestibulopathy, degenerative, autoimmune and neoplastic diseases, upbeat- and downbeat nystagmus. Recommendations include clinical approaches (repositioning manoeuvres), medication (adding, removing or changing current medication depending on aetiology), vestibular physiotherapy, ergotherapy and rehabilitation, treatment of chest pain or stroke units and surgical interventions. If symptoms are acute and severe, medication with antivertigo agents is recommended as a first step, for a maximum period of 3 days. Following initial symptom control, treatment is tailored depending on aetiology. To assist the clinician in obtaining a useful overview, the level of evidence and number needed to treat are reported whenever possible based on study characteristics. In addition, warnings about possible arrhythmias due to medication are issued, and precautions to enable these to be avoided are discussed. |
Databáze: | OpenAIRE |
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