![]() At the 6-months follow-up, 55% of patients improved, 34% were unchanged, 4% worsened, and 7% were lost to follow-up.Ĭontrary to reports in the literature, dizziness in the elderly is more persistent, has more causes, is less often due to a psychophysiologic cause, and seems to be more incapacitating than dizziness in younger patients. ![]() A psychophysiologic diagnosis was made in 6% but was the major diagnosis in only 3%. The most common disorders that result in vertigo are benign paroxysmal positional vertigo (BPPV), Mnires disease, and labyrinthitis. Lightheadedness is the most common type of. Low magnesium levels and thyroid dysfunction (both overactive and underactive thyroid) are also common causes of dizziness in seniors. Structural lesions of the brainstem or cerebellum or metabolic disorders that affected normal brainstem function were identified in 59% and were the major diagnoses in 22%. Dizziness is also a common symptom of metabolic disorders, including hypoxia (low oxygen in the blood), hypoglycemia (low blood sugar), diabetes, and even dehydration. Diagnoses involving the proprioceptive system were present in 17% and were the principal cause in 7%. ![]() Disorders of the visual system were found in 26% but were the major cause in only 1%. Benign positional vertigo was present in 34%. There are certain vestibular disorders or conditions that are more likely to develop as we age, among other causes of vertigo in elderly: Aging addressed above BPPV calcium deposits in the inner ear are more likely to develop as we age. Dysfunctions of the peripheral vestibular system were found in 71% and were the principal causes in 56%. Forty-nine percent of patients had more than one diagnosis that contributed to their dizziness. The median duration of dizziness at first office visit was 45 weeks. One hundred seventeen consecutive men more than 50 years of age attending a general neurology clinic with the chief complaint of dizziness. To evaluate the causes of dizziness in elderly men.Ī descriptive study involving the clinical and laboratory features of elderly men with dizziness.Ī university-affiliated Veterans Affairs medical center.
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