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July 1967

The Dizzy Patient: Eliciting His History

Author Affiliations

Los Angeles
From the Otologic Medical Group, and from the Los Angeles Foundation of Otology, Los Angeles.

Arch Otolaryngol. 1967;86(1):18-19. doi:10.1001/archotol.1967.00760050020004

Doctor, don't you understand? I'm just dizzy.

A STATEMENT of this type is heard frequently in every otologic practice. Often it heralds the beginning of a lengthy historytaking session complicated by the patient's inability to accurately describe his or her symptoms, and the doctor's frustration in this regard.

The purpose of this paper is to present a "dizziness questionnaire" which we have found helpful in solving this problem to a considerable extent.

The Dizzy Patient  The dizzy patient has always been with us, but prior to recent years we were unable to adequately evaluate the many facets of his problem. With the introduction of more sophisticated testing (Bekesy, SISI, ENG) and the development of more advanced surgical techniques (otologic approaches to the internal auditory canal, endolymphatic subarachnoid shunt, ultrasound, and cryosurgery), the neuro-otologic evaluation has become a major area of concern for most otologists. Many, if not the majority of

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