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Episodic vs chronic dizziness: An analysis of predictive factors

Annals of Otology, Rhinology & Laryngology Jun 17, 2021

Formeister EJ, Chae R, Wong E, et al. - In this cross-sectional, observational study, researchers sought to investigate differences in demographic and clinical features between patients with episodic and chronic dizziness. The sample consisted of 217 adults (average age, 53.7 years; 56.7% female) referred for dizziness at 1 tertiary center. Study participants were split into a chronic dizziness group (> 15 dizzy days per month) and an episodic dizziness group (< 15 dizzy days per month). Ménière’s disease and BPPV were significantly more common among those with episodic dizziness, whereas the prevalence of vestibular migraine did not vary according to the chronicity of symptoms. Chronic dizziness is associated with significantly higher dizziness handicap inventory and high comorbid rates of depression and anxiety than episodic dizziness. The findings indicate that factors other than diagnosis play a role in the chronification of dizziness, which could help improve multimodal treatment options for this group of patients.

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