Dizziness as a first alarming symptom to neurological hospital admission: reasons and differentiation problem - a pilot study.





stroke, vertigo, dizziness assessment, acute dizziness, emergency neurology


Aim. This prospective study aimed to assess the diversity of diagnoses
in patients hospitalized in the neurology department, in whom the occurrence of dizziness was the presenting complaint during qualification for hospitalization, based on a joint assessment performed by a doctor and a physiotherapist and the implementation of treatment, including physiotherapy.

Material and Methods. The study included consecutive patients selected from 2155 individuals hospitalized between 2018 and 2020 in the Neurology Unit who reported dizziness as the presenting complaint.

Results. 100 patients (the mean age 58.68±16.57) were qualified for the study: 53 men (the mean age 59.47±15.44) and 47 women (the mean age 57.79±17.88). In the overwhelming number of cases, dizziness was associated with a vascular incident. However, cases of vertigo were also reported.

Conclusion. A variety of diagnoses were made in patients hospitalized in the neurological department in whom the occurrence of dizziness was the presenting complaint during qualification for hospitalization.


Download data is not yet available.


Royl, G., C.J. Ploner, and C. Leithner, Dizziness in the emergency room: diagnoses and misdiagnoses. Eur Neurol, 2011. 66(5): p. 256-63. DOI: 10.1159/000331046

Lam, J., et al., The Epidemiology of Patients with Dizziness in an Emergency Department. Hong Kong Journal of Emergency Medicine, 2006. 13(3): p. 133-139. https://doi.org/10.1177/102490790601300302

Sienkiewicz-Jarosz, H. and K. Rejdak, Zawroty głowy; przyczyny, epidemiologia, rodzaje i leczenie. Polski Przegląd Neurologiczny, 2018. 14(2): p. 67-74.

Wojtczak, R., et al., Epidemiology of dizziness in northern Poland – The first Polish neurootologic survey of the general population. Annals of Agricultural and Environmental Medicine, 2017. 24(3): p. 502-506. DOI: https://doi.org/10.5604/12321966.1228401

Maarsingh, O.R., H. Stam, and H.E. van der Horst, A Different Approach of Dizziness in Older Patients: Away from the Diagnostic Dance between Patient and Physician. Frontiers in Medicine, 2014. 1(50). 10.3389/fmed.2014.00050

Litwin, T. and A. Członkowska, Zawroty głowy w praktyce neurologa - diagnostyka i leczenie. Polski Przegląd Neurologiczny, 2008. 4(2): p. 78-86.

Ten Voorde, M., H.J. van der Zaag-Loonen, and R.B. van Leeuwen, Dizziness impairs health-related quality of life. Quality of Life Research, 2012. 21(6): p. 961-966. DOI: 10.1007/s11136-011-0001-x

Duracinsky, M., et al., Literature review of questionnaires assessing vertigo and dizziness, and their impact on patients' quality of life. Value Health, 2007. 10(4): p. 273- 84. DOI: 10.1111/j.1524-4733.2007.00182.x

Strupp, M. and T. Brandt, Diagnosis and treatment of vertigo and dizziness. Dtsch Arztebl Int, 2008. 105(10): p. 173-80. DOI: 10.3238/arztebl.2008.0173

Comolli, L., et al., Schwindelerkrankungen in einem tertiären HNO-Notfallzentrum. HNO, 2020. 68(10): p. 763-772.

Royl G, Ploner CJ, Leithner C. Dizziness in the emergency room: diagnoses and misdiagnoses. Eur Neurol. 2011;66(5):256-63. DOI: 10.1159/000331046. Epub 2011 Oct 6. PMID: 21986277.

Kerber, K.A., et al., Stroke among patients with dizziness, vertigo, and imbalance in the emergency department: a population-based study. Stroke, 2006. 37(10): p. 2484-7. DOI: 10.1161/01.STR.0000240329.48263.0d

Nowaczewska, M., Vestibular migraine — an underdiagnosed cause of vertigo. Diagnosis and treatment. Neurologia i Neurochirurgia Polska, 2020. 54(2): p. 106-115. DOI: 10.5603/PJNNS.a2020.0031

Sandlund, M.G., et al., Effectiveness of care in acute dizziness presentations. Eur Arch Otorhinolaryngol, 2019. 276(9): p. 2389-2396. DOI: 10.1007/s00405-019-05470-0

Mao, L., et al., Neurologic Manifestations of Hospitalized Patients With Coronavirus Disease 2019 in Wuhan, China. JAMA Neurol, 2020. 77(6): p. 683-690. Doi:10.1001/jamaneurol.2020.1127

Boonsinsukh, R., et al., The effect of the type of foam pad used in the modified Clinical Test of Sensory Interaction and Balance (mCTSIB) on the accuracy in identifying older adults with a fall history. Hong Kong Physiother J. 2020. 40(2): 133–143. Doi: 10.1142/S1013702520500134

Szostek-Rogula, S, Zamysłowska-Szmytke, E. A review of scales and tests for functional assessment of patients with vertigo and balance disorder. Otorynolaryngologia, 2015. 14(3): 141-149.

Kevin A. Kerber, MD , Devin L. Brown, MD , Lynda D. Lisabeth, PhD , Melinda A. Smith, MPH , and Lewis B. Morgenstern, MD

Stroke Among Patients With Dizziness, Vertigo, and Imbalance in the Emergency Department

Weisshaar M, Mygland Å, Ljøstad U. Utredning av pasienter med akutt svimmelhet ved en nevrologisk avdeling [Examination of patients with acute dizziness in a neurological department]. Tidsskr Nor Laegeforen. 2019 Oct 2;139(14). Norwegian. doi: 10.4045/tidsskr.18.0820. PMID: 31592615.




How to Cite

Mielańczuk-Lubecka B, Krzysztoń K, Zdrowowicz A, Stolarski J, Piaścik R, Domitrz I. Dizziness as a first alarming symptom to neurological hospital admission: reasons and differentiation problem - a pilot study. JMS [Internet]. 2021 Dec. 29 [cited 2024 Jun. 21];90(4):e562. Available from: https://jms.ump.edu.pl/index.php/JMS/article/view/562



Brief Reports
Received 2021-08-25
Accepted 2021-12-22
Published 2021-12-29