From: Newly diagnosed incident dizziness of older patients: a follow-up study in primary care
Provisional diagnosis by GP | No. of patients (%) | |||||
---|---|---|---|---|---|---|
Patients referred* | ||||||
Did not visit specialist | Confirmation of GPs' diagnoses | No attributable causes found | GPs' diagnoses if different from specialists' diagnoses | |||
multicausal† | 20 (29.0) | 10 | 0 | 1 BPPV 1 central | 5 | 1 BPPV 1 orthostatic dysregulation 1 exclusion of presumed peripheral vestibular vertigo |
cardiogenic | 9 (13.0) | 2 | 0 | 0 | 1 | 1 cervicogenic |
cervicogenic | 9 (13.0) | 4 | 1 | 3 | 0 | 0 |
symptomatic‡ | 4 (5.8) | 2 | 1 | 0 | 0 | 1 peripheral vestibular |
peripheral vestibular | 6 (8.7) | 4 | 0 | 3 | 1 | (in two cases specialists mentioned a central cause as additional differential diagnosis) |
BPPV | 6 (8.7) | 2 | 2 | 0 | 0 | 0 |
vestibular neuritis | 4 (5.8) | 3 | 0 | 0 | 2 | 1 BPPV |
psychogenic | 2 (2.9) | 0 | - | - | - | - |
Ménière's disease | 1 (1.4) | 1 | 0 | 1 | 0 | 0 |
central | 1 (1.4) | 1 | 0 | 0 | 1 | 0 |
none | 7 (10.1) | 4 | 3 | 0 | 1 | 0 |
Total n (%) | 69 (100.0) | 33/69 (47.8) | 7/33 (21.2) | 9/33 (27.3) | 11/33 (33.3) | 6/33 (18.2) |