- Preface
- List of Contributors
- List of Abbreviations
- Chapter 1 Biophysics of the Vestibular System
- Chapter 2 Vestibular Physiology: How to be a Clinician and Yet Think Physiologically
- Chapter 3 Eye Movements, Vision, and the Vestibulo-Ocular Reflexes
- Chapter 4 Postural Control and the Vestibulospinal System
- Chapter 5 The Vestibulo-Autonomic System
- Chapter 6 Multisensory Interaction and Vestibular Compensation
- Chapter 7 Functional Imaging of the Vestibular System
- Chapter 8 Clinical Anatomy and Physiology of the Vestibular System
- Chapter 9 I am an Otologist, What Neurology do I Need to Know?
- Chapter 10 I am a Neurologist, What Otology do I Need to Know?
- Chapter 11 Symptoms and Syndromes in the Patient with Dizziness or Unsteadiness
- Chapter 12 Clinical Bedside Examination
- Chapter 13 Oscillopsia and Visuo-Vestibular Symptoms<sup>1</sup>
- Chapter 14 The Role of Vestibular Laboratory Testing
- Chapter 15 Imaging of Vertigo and Labyrinthine Disorders
- Chapter 16 Vestibular Symptoms, Balance, and Their Disorders: How Will We Classify Them?
- Chapter 17 The Principles of Balance Treatment and Rehabilitation
- Chapter 18 The Epidemiology of Vertigo and Imbalance
- Chapter 19 Vestibular Neuritis
- Chapter 20 Positional Vertigo and Benign Paroxysmal Positional Vertigo
- Chapter 21 Migraine and Other Episodic Vestibular Disorders
- Chapter 22 Ménière’s Disease and Other Causes of Episodic Vertigo
- Chapter 23 Posterior Circulation Stroke and Vestibular Syndromes
- Chapter 24 Gait and Disequilibrium
- Chapter 25 Progressive Vestibulocerebellar Syndromes
- Chapter 26 Bilateral Vestibular Failure: Causes and Courses
- Chapter 27 Vertigo and Dizziness in General Medicine
- Chapter 28 Motion Sickness and Disorientation in Vehicles
- Chapter 29 Fits, Faints, Funny Turns, and Falls in the Differential Diagnosis of the Dizzy Patient
- Chapter 30 Behavioural Neuro-Otology
- Index
(p. 197) The Epidemiology of Vertigo and Imbalance
- Chapter:
- (p. 197) The Epidemiology of Vertigo and Imbalance
- Author(s):
Hannelore K. Neuhauser
- DOI:
- 10.1093/med/9780199608997.003.0018
The epidemiology of vertigo and imbalance is still an emerging field despite its usefulness for clinical decision making and patient care. In the last decade, population-based epidemiological studies have complemented previous publications from specialised settings and have provided evidence for the high burden of vertigo in the community. Dizziness (including vertigo) affects about one in three women and one in three men every year. Vestibular vertigo accounts for about a quarter of dizziness complaints and has a 12-month prevalence of 5% and an incidence of 1.4%. Its prevalence rises with age and is about two to three times higher in women than in men. Studies on imbalance, on the other hand, are scarce. Recent studies have underscored the high prevalence of benign paroxysmal positional vertigo (BPPV) and vestibular migraine (VM), as well as of comorbid anxiety at the population level. BPPV and VM are largely underdiagnosed while Menière’s disease (MD), which is about ten times less frequent than BPPV, appears to be overdiagnosed. Risk factor research is only at its beginning, but has provided some interesting observations such as the consistent association of vertigo and migraine, which has greatly contributed to the recognition of VM as a distinct vestibular syndrome. For a qualitative leap, epidemiologic research on vertigo and imbalance must focus on avoidance of selection bias and misclassification. This chapter gives an overview on the epidemiology of dizziness, vertigo and imbalance as symptoms and of specific vestibular disorders: BPPV, VM, MD and vestibular neuritis.
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- Preface
- List of Contributors
- List of Abbreviations
- Chapter 1 Biophysics of the Vestibular System
- Chapter 2 Vestibular Physiology: How to be a Clinician and Yet Think Physiologically
- Chapter 3 Eye Movements, Vision, and the Vestibulo-Ocular Reflexes
- Chapter 4 Postural Control and the Vestibulospinal System
- Chapter 5 The Vestibulo-Autonomic System
- Chapter 6 Multisensory Interaction and Vestibular Compensation
- Chapter 7 Functional Imaging of the Vestibular System
- Chapter 8 Clinical Anatomy and Physiology of the Vestibular System
- Chapter 9 I am an Otologist, What Neurology do I Need to Know?
- Chapter 10 I am a Neurologist, What Otology do I Need to Know?
- Chapter 11 Symptoms and Syndromes in the Patient with Dizziness or Unsteadiness
- Chapter 12 Clinical Bedside Examination
- Chapter 13 Oscillopsia and Visuo-Vestibular Symptoms<sup>1</sup>
- Chapter 14 The Role of Vestibular Laboratory Testing
- Chapter 15 Imaging of Vertigo and Labyrinthine Disorders
- Chapter 16 Vestibular Symptoms, Balance, and Their Disorders: How Will We Classify Them?
- Chapter 17 The Principles of Balance Treatment and Rehabilitation
- Chapter 18 The Epidemiology of Vertigo and Imbalance
- Chapter 19 Vestibular Neuritis
- Chapter 20 Positional Vertigo and Benign Paroxysmal Positional Vertigo
- Chapter 21 Migraine and Other Episodic Vestibular Disorders
- Chapter 22 Ménière’s Disease and Other Causes of Episodic Vertigo
- Chapter 23 Posterior Circulation Stroke and Vestibular Syndromes
- Chapter 24 Gait and Disequilibrium
- Chapter 25 Progressive Vestibulocerebellar Syndromes
- Chapter 26 Bilateral Vestibular Failure: Causes and Courses
- Chapter 27 Vertigo and Dizziness in General Medicine
- Chapter 28 Motion Sickness and Disorientation in Vehicles
- Chapter 29 Fits, Faints, Funny Turns, and Falls in the Differential Diagnosis of the Dizzy Patient
- Chapter 30 Behavioural Neuro-Otology
- Index