The Diagnosis of Dizziness, Vertigo, Ataxia and Psychogenic Unsteadiness and Treatmenty by a Neurologist

Abstract

"Dizziness" includes dizziness, vertigo, ataxia and psychogenic unsteadiness and is the second most common symptom next to pain. The diagnosis and treatment of dizziness is discussed, together with a discussion to differentiate life-threatening dizziness from non-life-threatening dizziness. A complaint of dizziness may be more serious than a complaint of vertigo, and danger signs include markedly dilated pupils. Dizziness with abnormal vital signs and with neurological and/or neuro-ophthalmological symptoms may indicate that the patient is in a very serious condition. Neurological therapy for dizziness includes tPA, Heparin, anticoagulants for CVA related dizziness, anti-Parkinsonism therapy for Parkinsonism related dizziness. In this report therapy for migraine without Ergotamine alkaloid for dizziness of brainstem migraine is discussed, together with therapy for cervical dizziness.