Chronic subjective dizziness

Details

Serval ID
serval:BIB_4341489DC2E8
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Chronic subjective dizziness
Journal
Acta Oto-laryngologica
Author(s)
Odman M., Maire R.
ISSN
1651-2251
Publication state
Published
Issued date
2008
Peer-reviewed
Oui
Volume
128
Number
10
Pages
1085-1088
Language
english
Abstract
CONCLUSION: Chronic subjective dizziness (CSD) is frequent and affects twice as many women as men. Anxiety is a strong predisposing factor. The pathophysiologic concept of this disorder assumes that balance function and emotion share common neurologic pathways, which might explain that the balance disorder can provoke fear and vice versa, giving rise to a problem in perception of space and motion. In anxious patients this can turn into a space and motion phobia, with avoidance behaviour. OBJECTIVE: CSD is a diagnosis based on the hypothesis of an interaction between the vestibular system and the psychiatric sphere. Patients complain of chronic imbalance, worsened by visual motion stimulation, and frequently suffer from anxiety. Vestibular examination reveals no anomalies. We evaluated the incidence and characteristics of CSD in patients referred to our neuro-otology centre (tertiary hospital outpatient clinic). SUBJECTS AND METHODS: This was a retrospective study of 1552 consecutive patients presenting with vertigo. CSD was diagnosed in 164 patients (female:male=111:53). RESULTS: CSD represents 10.6% of the dizzy patients in our clinic. Psychiatric disorder, mainly anxiety, was found in 79.3% of the cases. Other frequently associated factors were fear of heights and former vestibular lesion (healed). In all, 79.0% of the patients with CSD had poor balance performance on dynamic posturography testing.
Keywords
Adolescent, Adult, Aged, Aged, 80 and over, Anxiety Disorders, Chronic Disease, Depression, Dizziness, Fear, Female, Humans, Male, Middle Aged, Motion Sickness, Postural Balance, Retrospective Studies, Vestibular Diseases, Vestibular Function Tests, Young Adult
Pubmed
Web of science
Create date
22/01/2009 11:12
Last modification date
20/08/2019 13:47
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