The Dizzy Patient: Consider a Second Diagnosis.

Background: Many patients with dizziness complain about >1 type of dizziness and therefore there may be ≥2 coexisting diagnoses.

Objective: To determine how often a second or third diagnosis is present in a patient with dizziness and to establish what are the most common combinations of diagnoses.

Study Design: Prospective, observational study in a tertiary center.

The Effect of Vestibular Rehabilitation in Patients with Ménière's Disease.

Objective To systematically review the evidence on the effect of vestibular rehabilitation in patients with Ménière's disease (MD) on balance and dizziness-related quality of life. Data Sources A literature search was conducted in the Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Embase, Web of Science, and CINAHL databases. Review Methods Articles were reviewed by 2 independent authors and data were compiled in tables for analysis regarding balance (ie, posturography) and dizziness-specific quality of life in patients with MD.

Two Common Second Causes of Dizziness in Patients With Ménière's Disease.

Objective: There are no epidemiological studies quantifying the prevalence of second causes of dizziness in Ménière's disease (MD). Therefore, we aimed to quantify which dizziness-inducing causes are prevalent alongside MD. Moreover, we analyzed which second cause of dizziness was more common in a specific age group and if age was a risk factor.

Dizziness and neck pain: a correct diagnosis is required before consulting a physiotherapist.

Patients with dizziness often present with concurrent neck complaints. Although there is no evidence that physiotherapy treatment of the neck reduces dizziness, many patients have been treated by a physiotherapist before they visit our tertiary dizziness centre. 1.

Interventions for Menière's disease: protocol for an umbrella systematic review and a network meta-analysis.

Introduction: The large number of treatment modalities for patients diagnosed with Menière's disease (MD) complicates the selection of the best available treatment as the comparative efficacy of these interventions is not clear. We aim to identify the treatment or treatments with the highest efficacy of current pharmacological and non-pharmacological treatments for MD.

Methods And Analysis: We will identify all available systematic reviews on the treatment of MD.

Age of onset of Ménière's disease in the Netherlands: data from a specialised dizziness clinic.

Objectives: To determine the age of onset of Ménière's disease in patients who visited a specialised dizziness clinic, and to verify whether the trend of a delayed onset age of Ménière's disease as reported for the Japanese population also occurs in the Netherlands.

Method: A retrospective data analysis was performed of patients diagnosed with 'definite' Ménière's disease who visited our clinic between January 2000 and December 2013.

Results: Mean onset age of Ménière's disease among the 296 patients was 53.

Determining vestibular hypofunction: start with the video-head impulse test.

Caloric testing is considered the 'reference standard' in determining vestibular hypofunction. Recently, the video-head impulse test (vHIT) was introduced. In the current study we aimed to assess the diagnostic value of the vHIT as compared to caloric testing in determining vestibular function.

Referrals to a specialised dizziness clinic often result in revised diagnoses and new therapeutic advice.

Background: Patients with dizziness are frequently referred to specialised centres for a second opinion. The incremental diagnostic and therapeutic yield of this approach has rarely been studied.

Aim Of The Study: How often is a new diagnosis or treatment advice given to patients with dizziness who are referred for a second opinion to a tertiary multi-disciplinary expertise centre?

Methods: In a prospective observational study, the following data were collected: reason for referral, diagnosis and treatment made by ENT surgeon and a neurologist in consensus.

The efficacy of vestibular rehabilitation in patients with benign paroxysmal positional vertigo: a rapid review.

Objective: To systematically review the evidence on the effectiveness of vestibular rehabilitation in addition to a canalith repositioning maneuver in patients with benign paroxysmal positional vertigo.

Data Sources: A literature search was performed in the Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, and EMBASE databases.

Review Methods: A comprehensive search was performed up to July 2013.

Systematic Review: Efficacy of Gufoni Maneuver for Treatment of Lateral Canal Benign Paroxysmal Positional Vertigo with Geotropic Nystagmus.

Objective: In this rapid systematic review, we studied the efficacy of the Gufoni maneuver for the treatment of lateral canal benign paroxysmal positional vertigo (BPPV) with geotropic nystagmus.

Methods: A comprehensive search, including PubMed, Embase, Web of Science, and Cochrane as data sources, resulted in 44 original papers for randomized trials that compared the Gufoni maneuver with other maneuvers (date of search: April 23, 2013). Three studies (389 patients) remained after screening of title, abstract, and full text.

A randomised sham-controlled trial to assess the long-term effect of the Epley manoeuvre for treatment of posterior canal benign paroxysmal positional vertigo.

Objective: To evaluate the long-term efficacy of the Epley manoeuvre as a therapeutic procedure for posterior canal benign paroxysmal positional vertigo.

Design: Randomised, double-blind, sham-controlled trial.

Setting: A multidisciplinary dizziness unit in a non-academic Hospital.