{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T09:58:48Z","timestamp":1777888728436,"version":"3.51.4"},"reference-count":0,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2010,1,1]],"date-time":"2010-01-01T00:00:00Z","timestamp":1262304000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Restorative Neurology and Neuroscience"],"published-print":{"date-parts":[[2010,2]]},"abstract":"<jats:p>In this review we present a pragmatic approach to the patient with\n\t\t\t chronic vestibular symptoms. Even in the chronic patient a retrospective\n\t\t\t diagnosis should be attempted, in order to establish how the patient reached\n\t\t\t the current situation. Simple questions are likely to establish if the chronic\n\t\t\t dizzy symptoms started as benign paroxysmal positional vertigo (BPPV),\n\t\t\t vestibular neuritis, vestibular migraine, Meniere's disease or as a brainstem\n\t\t\t stroke. Then it is important to establish if the original symptoms are still\n\t\t\t present, in which case they need to be treated (e.g. repositioning maenouvres\n\t\t\t for BPPV, migraine prophylaxis) or if you are only dealing with chronic dizzy \n\t\t\t symptoms. In addition the doctor or physiotherapist needs to establish if the\n\t\t\t process of central vestibular compensation has been impeded due to additional\n\t\t\t clinical problems, e.g. visual problems (squints, cataract operation),\n\t\t\t proprioceptive deficit (neuropathy due to diabetes or alcohol), additional\n\t\t\t neurological or orthopaedic problems, lack of mobility or confidence, such as \n\t\t\t fear of falling or psychological disorders. A general neurological examination\n\t\t\t should also be conducted, amongst other reasons to make sure your patient's\n\t\t\t `chronic dizziness' is not due to a neurological gait disorder. Treatment of\n\t\t\t the syndrome of chronic dizziness is multidisciplinary but rehabilitation and\n\t\t\t simple counselling should be available to all patients. In contrast, vestibular\n\t\t\t suppressants or tranquilisers should be reduced or, if possible, stopped.<\/jats:p>","DOI":"10.3233\/rnn-2010-0530","type":"journal-article","created":{"date-parts":[[2019,12,3]],"date-time":"2019-12-03T18:03:21Z","timestamp":1575396201000},"page":"83-90","source":"Crossref","is-referenced-by-count":10,"title":["Management of the patient with chronic dizziness"],"prefix":"10.1177","volume":"28","author":[{"given":"A.M.","family":"Bronstein","sequence":"first","affiliation":[{"name":"Neuro-otology Unit, Division of Neuroscience and\r\t\t\t Mental Health, Imperial College London, Charing Cross Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Th","family":"Lempert","sequence":"additional","affiliation":[{"name":"Neurology Department, Schlosspark Klinik, Berlin,\r\t\t\t Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2010,1]]},"container-title":["Restorative Neurology and Neuroscience"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.3233\/RNN-2010-0530","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.3233\/RNN-2010-0530","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T04:56:30Z","timestamp":1777611390000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.3233\/RNN-2010-0530"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,1]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2010,2]]}},"alternative-id":["10.3233\/RNN-2010-0530"],"URL":"https:\/\/doi.org\/10.3233\/rnn-2010-0530","relation":{"is-cited-by":[{"id-type":"doi","id":"10.12688\/f1000research.14089.1","asserted-by":"object"}]},"ISSN":["0922-6028","1878-3627"],"issn-type":[{"value":"0922-6028","type":"print"},{"value":"1878-3627","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,1]]}}}