Abstract

Examination of the dizzy patient should include a search for neurological signs and symptpms and careful observation for nystagmus. Most neurological signs and symptoms are markers of dizziness of central origin. However, some of them represent vestibular or other neurological imbalances that cause dizziness. Nystagmus could also represent central or peripheral vestibular imbalances that cause dizziness. Careful examination can also help in discriminating psychogenic (functional) dizziness.

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