Managing the dizzy patient

Associate Professor Glen Croxson, MBBS (Hons), FRACS
Clinical Associate Professor, University of Sydney.
Head of Department, OHNS, Royal Prince Alfred Hospital, Sydney.
Senior Examiner in OHNS RACS 2010–12.

Dizziness can dismay the treating physician because history-taking is time consuming, routine physical examination is often negative, common investigations (CT and MRI) are mostly normal, and the diagnosis can remain elusive.

An essential step in the diagnostic process is to