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Svimmelhet, diagnostikk

Sykehistorien er avgjørende når diagnosen skal stilles. Legen vil foreta en grundig undersøkelse av blodtrykk, hjerte og lunger samt såkalt nevrologisk undersøkelse. En undersøkelse av ørene vil også være nødvendig. I tillegg tas blodprøver som kan hjelpe til å skille mellom de mulige årsaker til plagene.

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Andre undersøkelser som kan være nødvendige dersom man ikke finner forklaringen ved en vanlig undersøkelse, er:

  • Audiometri - hørselstest
  • CT eller MR av hjerne eller indre øre
  • EEG - registrering av elektrisk aktivitet i hjernen med elektroder som festes til hodebunnen
  • Forskjellige spesialtester for balanse og hørsel

Dette dokumentet er basert på det profesjonelle dokumentet Svimmelhet . Referanselisten for dette dokumentet vises nedenfor

  1. Muncie HL, Sirmans SM, James E. Dizziness: Approach to Evaluation and Management. Am Fam Physician. 2017;95(3):154-162. PubMed
  2. Newman-Toker DE, Cannon LM, Stofferahn ME,et al. Imprecision in patient reports of dizziness symptom quality: a cross-sectional study conducted in an acute care setting. Mayo Clin Proc. 2007 Nov;82(11):1329-40. PMID: 17976352. PubMed
  3. Karatas M. Central vertigo and dizziness: epidemiology, differential diagnosis, and common causes. Neurologist. 2008;14:355-364. PubMed
  4. Herdman D. Advances in the diagnosis and management of acute vertigo. J Laryngol Otol. 2024 Jun;138(S2):S8-S13.PMID: 38779893. PubMed
  5. Kerber KA, Newman-Toker DE. Misdiagnosing dizzy patients. Common pitfalls in clinical practice. Neurol Clin. 2015;33(3):565–575, viii.
  6. Dommaraju S, Perera E. An approach to vertigo in general practice. Aust Fam Physician. 2016;45(4):190-194. PubMed
  7. Newman-Toker DE, Camargo CA Jr. 'Cardiogenic vertigo'--true vertigo as the presenting manifestation of primary cardiac disease. Nat Clin Pract Neurol. 2006 Mar;2(3):167-72; quiz 173. PMID: 16932543. PubMed
  8. Wipperman J. Dizziness and vertigo. Prim Care. 2014;41(1):115–131.
  9. Tarnutzer AA, Berkowitz AL, Robinson KA, Hsieh YH, Newman-Toker DE. Does my dizzy patient have a stroke? A systematic review of bedside diagnosis in acute vestibular syndrome. CMAJ. 2011;183(9):E571–E592.
  10. Maarsingh OR, Dros J, Schellevis FG, et al. Causes of persistent dizziness in elderly patients in primary care. Ann Fam Med. 2010;8(3):196–205.
  11. Berge JE, Nordahl SHG, Aarstad HJ, Gilhus NE, Goplen FK. Evaluation of Self-reported Symptoms in 1,457 Dizzy Patients and Associations With Caloric Testing and Posturography. Otol Neurotol. 2020 Aug;41(7):956-963. PMID: 32558751. PubMed
  12. Piker EG, Jacobson GP. Self-report symptoms differ between younger and older dizzy patients. Otol Neurotol. 2014 Jun;35(5):873-9. PMID: 24759419. PubMed
  13. Tarnutzer AA, Berkowitz AL, Robinson KA, Hsieh YH, et al. Does my dizzy patient have a stroke? A systematic review of bedside diagnosis in acute vestibular syndrome. CMAJ. 2011 Jun 14;183(9):E571-92. PMID: 21576300. PubMed
  14. Newman-Toker DE, Kerber KA, Hsieh YH, et al. HINTS outperforms ABCD2 to screen for stroke in acute continuous vertigo and dizziness. Acad Emerg Med. 2013 Oct;20(10):986-96. PMID: 24127701. PubMed
  15. Buttner U, Helmchen C, Brandt T. Diagnostic criteria for central versus peripheral positioning nystagmus and vertigo: a review. Acta Otolaryngol 1999; 119: 1-5. PubMed
  16. Turner B, Eynon-Lewis N. Systematic approach needed to establish cause of vertigo. Practitioner. 2010;254:19-23, 2-3.
  17. Dix MR, Hallpike CS. The pathology, symptomatology and diagnosis of certain common disorders of the vestibular system. Proc R Soc Med 1952; 45: 341-54. PubMed
  18. Hornibrook J. Benign paroxysmal positional vertigo (BPPV): history, pathophysiology, office treatment and future directions. Int J Otolaryngol. 2011;2011:835671. PubMed
  19. Harcourt J, Barraclough K, Bronstein AM. Meniere's disease. BMJ. 2014;349:g6544. PubMed
  20. Lawhn-Heath C, Buckle C, Christoforidis G, Straus C. Utility of head CT in the evaluation of vertigo/dizziness in the emergency department. Emerg Radiol 2012. doi:10.1007/s10140-012-1071-y DOI
  21. Yardley L, Barker F, Muller I, et al. Clinical and cost effectiveness of booklet based vestibular rehabilitation for chronic dizziness in primary care: single blind, parallel group, pragmatic, randomised controlled trial. BMJ 2012; 344: e2237. doi:10.1136/bmj.e2237 DOI
  22. Bhattacharyya N, Baugh RF, Orvidas L, et al. Clinical practice guideline: benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg. 2008;139:S47-81. PubMed
  23. Chan Y. Differential diagnosis of dizziness. Curr Opin Otolaryngol Head Neck Surg. 2009;17: 200-203. PubMed
  24. Gerlier C, Hoarau M, Fels A, et al. Differentiating central from peripheral causes of acute vertigo in an emergency setting with the HINTS, STANDING, and ABCD2 tests: A diagnostic cohort study. Acad Emerg Med. 2021 Dec;28(12):1368-1378. PMID: 34245635. PubMed
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