Ann Clin Neurophysiol.  2020 Oct;22(2):75-81. 10.14253/acn.2020.22.2.75.

Diagnostic approach of orthostatic dizziness/vertigo

• Lee H
• Kim HA

• KMID: 2511082
• DOI: http://doi.org/10.14253/acn.2020.22.2.75

Abstract

This paper introduces new diagnostic criteria and differential diagnosis of orthostatic dizziness to help clinicians to diagnose hemodynamic orthostatic dizziness. Clinicians need to be able to discriminate hemodynamic orthostatic dizziness from other types of dizziness that are induced or aggravated when standing or walking. Measurements of the orthostatic blood pressure and heart rate are important when screening hemodynamic orthostatic dizziness. Detailed history-taking, a physical examination, and laboratory tests are essential for finding the cause of hemodynamic orthostatic dizziness. The differential diagnosis of hemodynamic orthostatic dizziness is crucial because it can be caused by various autonomic neuropathies.

Keyword

Orthostatic intolerance, Dizziness; Hemodynamic; Diagnosis; Orthostatic hypotension; Postural orthostatic tachycardia syndrome