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Clinical Crossroads Update
July 28, 1999

A 69-Year-Old Man With Chronic Dizziness, 1 Year Later

Author Affiliations

From the Division of General Medicine, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.

JAMA. 1999;282(4):378. doi:10.1001/jama.282.4.378

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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