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Dizziness and Disequilibrium 

Dizziness and Disequilibrium
Dizziness and Disequilibrium
Introduction to Clinical Neurology (5 ed.)

Douglas J. Gelb


Patients use the word “dizzy” in many different ways. It can refer to light- headedness, a sense of spinning or other movement, balance difficulty, clumsiness, confusion, or a vague sense of fogginess or malaise. The processes that affect the peripheral vestibular system are distinct from those that affect it centrally. Several features help to distinguish central from peripheral lesions. Patients with disequilibrium because of an inadequate motor response usually have difficulty maintaining their balance even with their eyes open.

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