Vertigo and Dizziness in the Elderly
TLDR
In this mini review, age-related degenerative processes that affect balance are presented and diagnostic and therapeutic approaches oriented to the specific impaired system, including visual, proprioceptive, and vestibular pathways, are proposed.Abstract:
The prevalence of vertigo and dizziness in people aged more than 60 years reaches 30%, and due to aging of world population, the number of patients is rapidly increasing. The presence of dizziness in the elderly is a strong predictor of falls, which is the leading cause of accidental death in people older than 65 years. Balance disorders in the elderly constitute a major public health problem, and require an adequate diagnosis and management by trained physicians. In the elderly, common causes of vertigo may manifest differently, as patients tend to report less rotatory vertigo and more nonspecific dizziness and instability than younger patients, making diagnosis more complex. In this mini review, age-related degenerative processes that affect balance are presented. Diagnostic and therapeutic approaches oriented to the specific impaired system, including visual, proprioceptive, and vestibular pathways are proposed. In addition, presbystasis -the loss of vestibular and balance functions associated with aging-, benign paroxysmal positional vertigo, and stroke (in acute syndromes) should always be considered.read more
Citations
More filters
Journal ArticleDOI
Fifteen Years of Wireless Sensors for Balance Assessment in Neurological Disorders.
Alessandro Zampogna,Ilaria Mileti,Eduardo Palermo,Claudia Celletti,Marco Paoloni,Alessandro Manoni,Ivan Mazzetta,Gloria Dalla Costa,Carlos Pérez-López,Filippo Camerota,Letizia Leocani,Joan Cabestany,Fernanda Irrera,Antonio Suppa +13 more
TL;DR: This narrative review aims to address the topic of balance and wireless sensors in several neurological disorders, including Alzheimer's disease, Parkinson’s disease, multiple sclerosis, stroke, and other neurodegenerative and acute clinical syndromes.
Journal ArticleDOI
Benign paroxysmal positional vertigo in the elderly: current insights.
TL;DR: In this paper, a review of the diagnostic, pathogenetic and therapeutic aspects of BPPV in the elderly is presented, focusing on the difficulty in obtaining an accurate history, difficulty in performing diagnostic and therapeutic maneuvers, which should be executed with slow and gentle movements and extremely cautiously to avoid any vascular or orthopedic complications.
Journal ArticleDOI
Economic burden of vertigo: a systematic review
TL;DR: This is the first systematic review of the existing evidence of the economic burden of vertigo and reveals apparent targets of future research, including studies of diagnostics and therapies for vestibular disease should include cost-effectiveness considerations.
Journal ArticleDOI
Assessment of the underlying systems involved in standing balance : the additional value of electromyography in system identification and parameter estimation
Jantsje H. Pasma,J. van Kordelaar,Digna de Kam,Vivian Weerdesteyn,Alfred C. Schouten,Alfred C. Schouten,H. van der Kooij,H. van der Kooij +7 more
TL;DR: Adding the muscle activation in combination with the activation dynamics and acceleration feedback to CLSIT improves the accuracy and reliability of the estimated parameters and gives the possibility to separate the neural time delay, electromechanical delay and the intrinsic and reflexive dynamics.
Journal ArticleDOI
The impact of dizziness on quality-of-life in the elderly.
TL;DR: The aim of this paper is to evaluate the impact of dizziness on the quality-of-life (QoL) in the elderly, also analyzing the instruments available, nowadays, to evaluate QoL of dizzy patients.
References
More filters
Journal ArticleDOI
The outcome of childhood Haemophilus influenzae meningitis. A population based study.
TL;DR: To determine the morbidity and mortality from childhood Haemophilus influenzae type b (Hib) meningitis in a well defined population, a large number of cases are diagnosed with Hib.
A Population-Based Study
Dimitri A. Christakis,Jeffrey A. Richards,Frederick J. Zimmerman,Michelle M. Garrison,Dongxin Xu,Umit Yapanel +5 more
TL;DR: In this article, a software program incorporating automatic speech-identification technology processed the recorded file to analyze the sounds the children were exposed to and the sounds they made, and a conditional linear regression was used to determine the association between audible television and the outcomes of interest.
Journal ArticleDOI
Clinical practice guideline: Benign paroxysmal positional vertigo
Neil Bhattacharyya,Reginald F. Baugh,Laura J. Orvidas,David M. Barrs,Leo J. Bronston,Stephen P. Cass,Ara A. Chalian,Alan L. Desmond,Jerry M. Earll,Terry D. Fife,Drew C. Fuller,James O. Judge,Nancy R. Mann,Richard M. Rosenfeld,Linda T. Schuring,Robert William Prasaad Steiner,Susan L. Whitney,Jenissa Haidari +17 more
TL;DR: This guideline provides evidence-based recommendations on managing benign paroxysmal positional vertigo (BPPV), which is the most common vestibular disorder in adults, with a lifetime prevalence of 2.4 percent.
Journal ArticleDOI
HINTS to Diagnose Stroke in the Acute Vestibular Syndrome Three-Step Bedside Oculomotor Examination More Sensitive Than Early MRI Diffusion-Weighted Imaging
TL;DR: In this paper, the authors conducted a prospective, cross-sectional study at an academic hospital and found that patients with AVS (vertigo, nystagmus, nausea/vomiting, head-motion intolerance, unsteady gait) with ≥ 1 stroke risk factor underwent structured examination, including horizontal head impulse test of vestibulo-ocular reflex function, observation of nnagmus in different gaze positions, and prism crosscover test of ocular alignment.
Journal ArticleDOI
Disorders of Balance and Vestibular Function in US Adults: Data From the National Health and Nutrition Examination Survey, 2001-2004
TL;DR: The prevalence of vestibular dysfunction among US adults, as measured by a simple postural metric, is common and significantly increases the likelihood of falls, which are among the most morbid and costly health conditions affecting older individuals.