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November 1969

The Dizzy Patient.

Arch Neurol. 1969;21(5):557-558. doi:10.1001/archneur.1969.00480170129017

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In this book the author attempts initially to define "dizziness"; then he presents briefly some anatomy and physiology of the cochlear and vestibular apparatus, a classification of the pathological processes associated with "dizziness," a description of the diagnostic tests useful in evaluating the "dizzy patient," and a discussion of some of the pathological processes previously classified. He devotes a long section to Ménière's disease, reproducing both the original paper in French by Ménière and an English translation of it. He concludes his book with a speculative chapter on the importance of microcirculation in dizziness.

From the outset, the terms used in this book are imprecise. The author defines dizziness as a disturbance of balance and "an extensive array of unpleasant sensations of unreal movement." However, he then includes as common complaints of the dizzy patient symptoms such as "pressure in the head," "mental confusion," "uncertainty," and "wooziness." He never

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