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

CategoryDescription% Of patients with dizziness
VertigoFalse sense of motion, possibly spinning sensation45-54%
DisequilibriumOff-balance or wobbly>16%
PresyncopeFeeling of losing consciousness or blacking out>14%
LightheadednessVague symptoms, possibly feeling disconnected with the environmentaround 10%

Spinning

  • Fast or Slow rotation
  • Fast-usually labyrinthian or vestibular
  • Slower-may be central
  • Positional

Lightheaded or fainting

  • Orthostatic?
  • Hyperventilation?
  • Hypotension?

“Are you dizzy in your head or in your feet?”