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December 1992

Vertigo: Its Multisensory Syndrome

Author Affiliations

Rochester, NY

Arch Neurol. 1992;49(12):1224. doi:10.1001/archneur.1992.00530360018003

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Dizziness is an extraordinarily common symptom in clinical practice. This is particularly true as age increases. Despite the prevalence of this symptom and frequent complaints of dizziness to physicians, however, the subject receives little attention during our educational process. Part of the problem is that the science of balance and orientation in space is too often neglected before clinical training. Another is that the term dizziness represents a multifactorial set of complaints, ranging from lightheadedness and faintness to frank sensations of self-rotation, as if on an amusement park ride (although the ride is neither solicited nor amusing), and this results in confusion and misunderstanding on the part of both patients and physicians. Finally, the community of specialists interested in the science and medicine of dysequilibrium comprises a small group (even on an international scale). One ramification is that there are rather few comprehensive texts on the subject, particularly with regard

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