In May 1998, at Medicine Grand Rounds, David A. Drachman, MD, discussed
the wide range of causes of dizziness, along with the evaluation and treatment
options for its different types.1 Mr D, a 69-year-old
man, had experienced 2 types of dizziness: initially, vertigo, which Dr Drachman
identified as an acute and recurrent peripheral vestibulopathy that most likely
resolved, followed by a residual impairment of disequilibrium or lightheadedness.
Dr Drachman described Mr D's fear of his symptoms as secondary agoraphobia
and pointed out that Mr D's multiple medications might contribute to his sense
of imbalance. We asked Mr D and his doctor to update us about his dizziness.
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