Nonvestibular Dizziness

Nicole T Jiam; Olwen C Murphy; Daniel R Gold; Erin Isanhart; Dong-In Sinn; Kristen K Steenerson; Jeffrey D Sharon

doi:10.1016/j.otc.2021.05.017

Nonvestibular Dizziness

Otolaryngol Clin North Am. 2021 Oct;54(5):999-1013. doi: 10.1016/j.otc.2021.05.017.

Authors

Nicole T Jiam¹, Olwen C Murphy², Daniel R Gold², Erin Isanhart³, Dong-In Sinn⁴, Kristen K Steenerson⁵, Jeffrey D Sharon⁶

Affiliations

¹ Department of Otolaryngology-Head & Neck Surgery, University of California San Francisco School of Medicine, 2233 Post Street, UCSF Box 3213, San Francisco, CA 94115, USA.
² Department of Neurology, Johns Hopkins University School of Medicine, 600 N Wolfe Street, Pathology 2-210, Baltimore, MD 21287, USA.
³ Angular Momentum Physical Therapy, 4459 Scottsfield Drive, San Jose, CA 95136-1630, USA.
⁴ Department of Neurology & Neurological Sciences, Stanford University School of Medicine, Palo Alto, CA 94304, USA.
⁵ Department of Neurology & Neurological Sciences, Stanford University School of Medicine, Palo Alto, CA 94304, USA; Department of Otolaryngology-Head & Neck Surgery, Stanford University School of Medicine, Palo Alto, CA 94303, USA.
⁶ Department of Otolaryngology-Head & Neck Surgery, University of California San Francisco School of Medicine, 2233 Post Street, Room 315, San Francisco, CA 94115, USA. Electronic address: jeffrey.sharon@ucsf.edu.

PMID: 34538360
DOI: 10.1016/j.otc.2021.05.017

Abstract

Dizziness is a common chief complaint with an extensive differential diagnosis that ranges from peripheral, central, to nonvestibular conditions. An understanding of nonvestibular conditions will aid accurate diagnosis and initiation of appropriate management. Thus, the objective of this article is to present an overview of nonvestibular etiologies that may plague a dizzy patient and the recommended treatment options.

Keywords: Autonomic disorders; Cervicogenic disorders; Medications; Non-vestibular dizziness; Vertigo; Visual disturbances.

Publication types

Review

MeSH terms

Diagnosis, Differential
Dizziness* / diagnosis
Dizziness* / etiology
Humans
Vertigo* / diagnosis
Vertigo* / etiology
Vertigo* / therapy