Show Summary Details
Page of

The History of the Dizzy Patient 

The History of the Dizzy Patient
The History of the Dizzy Patient

Robert W. Baloh

, Vicente Honrubia

, and Kevin A. Kerber

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2021. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 24 June 2021

Vertigo is an episodic phenomenon, whereas nonvestibular dizziness is often continuous. An exception would be presyncopal light-headedness caused by postural hypotension or cardiac arrhythmia. Patients with psychophysiologic dizziness often report being dizzy from morning to night without changes for months to years at a time. Vertigo is typically aggravated by head movements, whereas nonvestibular dizziness is often aggravated by movement of visual targets. Episodes of dizziness induced by position change suggest a vestibular lesion if postural hypotension has been ruled out. Although stress can aggravate both vestibular and nonvestibular dizziness, dizziness that is reliably precipitated by stress suggests a nonvestibular cause. Finally, episodes of dizziness occurring only in specific situations (e.g., driving on the freeway, entering a crowded room, or shopping in a busy supermarket) suggest a nonvestibular cause.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.