Dizziness is a term used to describe a range of sensations, such as feeling faint, woozy, weak or wobbly.
Dizziness can be classified into four main types: vertigo, disequilibrium, presyncope, or lightheadedness. Although appropriate history and physical examination usually leads to a diagnosis, the final cause of dizziness is not identified in up to one in five patients
Category | Description | % Of patients with dizziness |
---|---|---|
Vertigo | False sense of motion, possibly spinning sensation | 45-54% |
Disequilibrium | Off-balance or wobbly | >16% |
Presyncope | Feeling of losing consciousness or blacking out | >14% |
Lightheadedness | Vague symptoms, possibly feeling disconnected with the environment | around 10% |
Spinning
- Fast or Slow rotation
- Fast-usually labyrinthian or vestibular
- Slower-may be central
- Positional
Lightheaded or fainting
- Orthostatic?
- Hyperventilation?
- Hypotension?