Journal of Regional Section of Serbian Medical Association in Zajecar

Year 2009     Vol 34     No 2
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      UDK 616.28-008.5-07/-08

ISSN 0350-2899, 34(2009) br 2 p.112-125


Diagnosis and treatment of dizziness in general practice
Dragan D. Đorđević
Zdravstveni centar Zaječar, Neurološka služba


Dizziness is common presenting complaint in general practice. Dizzy patients present to many different specialists, but most commonly to the neurology or otorhinolaryngology departments. Dizziness can be categorized into: pre-syncope, disequilibrium, light-headedness or vertigo. Pre-syncope is the sensation of impending loss of consciousness. Disequilibrium or postural unsteadiness is a sense of imbalance. Light-headedness has no clear definition. Vertigo is defined as a hallucination of motion, usually rotational motion, either of oneself or the environment. Benign paroxysmal positional vertigo, acute vestibular neuronitis or labyrinthitis, Ménière's disease, migraine, and psychological disease cause most cases of vertigo. General practitioners must also consider other, less common causes including cerebrovascular disease and intracranial neoplasms. The distinction between the peripheral and central vertigo usually can be made clinically. A careful history and detailed physical examination are necessary for making this distinction. Most patients with vertigo do not require extensive diagnostic testing. The treatment for vertigo is still mainly symptomatic. Antiemetic and vestibular sedatives help relieve an acute vertigo attack; however the prolonged use of such medications is not recommended because they delay vestibular compensation. Specific treatments for various conditions causing vertigo are available with a growing use of vestibular rehabilitation exercises.
Key words: Dizziness, vertigo, diagnosis, treatment

Napomena: kompletan tekst rada na srpskom jeziku
Note: full text in Serbian

      Corresponding Address:
Dragan D. Đorđević
Izvorski put 31, 19000 Zaječar
Tel. 019/411-413, 064/639 20 77
e- mail adresa:
Paper received: 08.04.2009.
Paper accepted: 04.05.2009.
Published online: 06.08.2009.
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Timočki medicinski glasnik, Zdravstveni centar Zaječar
Journal of Regional section of Serbian medical association in Zajecar
Rasadnička bb, 19000 Zaječar, Srbija

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