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Hemodynamic orthostatic dizziness/vertigo: diagnostic criteria

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Title: Hemodynamic orthostatic dizziness/vertigo: diagnostic criteria
Authors: Kim, HA
Bisdorff, A
Bronstein, AM
Lempert, T
Rossi-Izquierdo, M
Staab, JP
Strupp, M
Kim, J-S
Item Type: Journal Article
Abstract: This paper presents the diagnostic criteria for hemodynamic orthostatic dizziness/vertigo to be included in the International Classification of Vestibular Disorders (ICVD). The aim of defining diagnostic criteria of hemodynamic orthostatic dizziness/vertigo is to help the clinicians to understand the terminology related to orthostatic dizziness/vertigo and to distinguish orthostatic dizziness/vertigo due to global brain hypoperfusion from that caused by other etiologies. Diagnosis of hemodynamic orthostatic dizziness/vertigo requires: A) one or more episodes of dizziness/vertigo or unsteadiness triggered by arising or present during upright position, which subsides by sitting or lying down; B) orthostatic hypotension, postural tachycardia syndrome or syncope documented on standing or during head-up tilt test; and C) not better accounted for by another disease or disorder. Probable hemodynamic orthostatic dizziness/vertigo is defined as follows: A) at least 5 episodes of dizziness/vertigo or unsteadiness triggered by arising or present during upright position, which subsides by sitting or lying down; B) at least one of the following accompanying symptoms: generalized weakness/tiredness, difficulty of thinking/concentration, blurred vision, and tachycardia/palpitations; and C) not better accounted for by another disease or disorder. These diagnostic criteria have been derived by expert consensus from an extensive review of 90 years of research on hemodynamic orthostatic dizziness/vertigo, postural hypotension or tachycardia, and autonomic dizziness. Measurements of orthostatic blood pressure and heart rate are important for the screening and documentation of orthostatic hypotension or postural tachycardia syndrome to establish the diagnosis of hemodynamic orthostatic dizziness/vertigo.
Issue Date: 25-Jul-2019
Date of Acceptance: 25-Feb-2019
URI: http://hdl.handle.net/10044/1/71100
DOI: 10.3233/VES-190655
ISSN: 0957-4271
Publisher: IOS Press
Start Page: 45
End Page: 56
Journal / Book Title: Journal of Vestibular Research
Volume: 29
Issue: 2-3
Copyright Statement: © 2019 – IOS Press and the authors. All rights reservedThis article is published online with Open Access and distributed under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC 4.0).
Keywords: Science & Technology
Life Sciences & Biomedicine
Neurosciences
Otorhinolaryngology
Neurosciences & Neurology
Orthostatic vertigo
classification
orthostatic dizziness
hemodynamic
autonomic dysfunction
orthostatic hypotension
postural tachycardia syndrome
Barany Society
PAROXYSMAL POSITIONAL VERTIGO
POSTURAL TACHYCARDIA SYNDROME
VERTEBRAL ARTERY SYNDROME
AUTONOMIC DYSFUNCTION
CARDIOVASCULAR REGULATION
VESTIBULAR STIMULATION
CONSENSUS DOCUMENT
RESIDUAL DIZZINESS
HYPOTENSION
MECHANISMS
Bárány Society
Orthostatic vertigo
autonomic dysfunction
classification
hemodynamic
orthostatic dizziness
orthostatic hypotension
postural tachycardia syndrome
Bàràny Society
Orthostatic vertigo
autonomic dysfunction
classification
hemodynamic
orthostatic dizziness
orthostatic hypotension
postural tachycardia syndrome
Neurology & Neurosurgery
1116 Medical Physiology
Publication Status: Published
Conference Place: Netherlands
Online Publication Date: 2019-03-11
Appears in Collections:Faculty of Medicine



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