What is the initial approach to a comprehensive workup for a patient presenting with dizziness?

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Initial Workup for Dizziness

Categorize dizziness by timing and triggers—not by symptom quality—to guide targeted physical examination and distinguish benign peripheral vestibular disorders from dangerous central causes like stroke. 1, 2

Classification Framework

Classify patients into one of three vestibular syndromes based on temporal pattern 1, 2:

  • Triggered Episodic Vestibular Syndrome: Brief episodes (seconds to <1 minute) provoked by specific head position changes, most commonly BPPV 1, 2
  • Spontaneous Episodic Vestibular Syndrome: Unprovoked episodes lasting minutes to hours without positional triggers, suggesting vestibular migraine or Ménière's disease 1, 2
  • Acute Vestibular Syndrome (AVS): Continuous severe vertigo lasting days to weeks with constant symptoms, indicating vestibular neuritis, labyrinthitis, or posterior circulation stroke 1, 2

Critical History Elements

Focus on specific diagnostic details rather than vague descriptions 2, 3:

  • Duration: Seconds (BPPV), minutes to hours (vestibular migraine, Ménière's), days to weeks (vestibular neuritis, stroke) 1, 2
  • Triggers: Head position changes (BPPV), pressure changes (superior canal dehiscence), none (vestibular neuritis, stroke) 1, 2
  • Associated symptoms:
    • Hearing loss, tinnitus, aural fullness → Ménière's disease 1, 2
    • Headache, photophobia, phonophobia → vestibular migraine 1, 2
    • Focal neurologic deficits → stroke 1, 2

Targeted Physical Examination

For Triggered Episodic Symptoms (Suspected BPPV)

Perform the Dix-Hallpike maneuver as the gold standard diagnostic test 2, 4:

  • Positive findings: 5-20 second latency, torsional upbeating nystagmus toward affected ear, symptoms that increase then resolve within 60 seconds 2, 4
  • If negative but history compatible, perform Supine Roll Test for lateral canal BPPV (10-15% of cases) 4

For Acute Vestibular Syndrome

Perform the HINTS examination (Head Impulse, Nystagmus, Test of Skew) to distinguish peripheral from central causes 1, 2:

  • HINTS has 100% sensitivity for posterior circulation stroke when performed by trained practitioners, superior to early MRI (46% sensitivity) 1, 2
  • Critical caveat: HINTS is unreliable when performed by non-experts 2, 4
  • Complete neurologic examination including cranial nerves, cerebellar testing, and gait assessment 1

Imaging Decisions

No Imaging Indicated 1, 2

  • Brief episodic vertigo with typical BPPV features and positive Dix-Hallpike 1, 2
  • Acute persistent vertigo with normal neurologic exam and HINTS consistent with peripheral vertigo by trained examiner 1, 2

MRI Brain Without Contrast Indicated 1, 2, 4

  • Abnormal neurologic examination 1, 2
  • HINTS examination suggesting central cause 1, 2
  • High vascular risk patients with acute vestibular syndrome 1, 2
  • Unilateral or pulsatile tinnitus 1, 2
  • Asymmetric hearing loss 1, 2
  • Severe postural instability 4

CT head has extremely low diagnostic yield (<1%) for isolated dizziness and should not be used instead of MRI when stroke is suspected 1, 2

Red Flags Requiring Urgent Evaluation

Immediate imaging and neurologic consultation needed for 1, 2:

  • Focal neurological deficits 1, 2
  • Sudden hearing loss 1, 2
  • Inability to stand or walk 1, 2
  • Downbeating nystagmus or other central nystagmus patterns 1, 2
  • New severe headache 2
  • Failure to respond to appropriate vestibular treatments 1, 2

Common Diagnostic Pitfalls to Avoid

  • Do not rely on patient's description of "spinning" vs "lightheadedness"—focus on timing and triggers instead 1, 2
  • Do not assume normal neurologic exam excludes stroke—75-80% of patients with acute vestibular syndrome from posterior circulation infarct have no focal neurologic deficits 2, 4
  • Do not order routine imaging for isolated dizziness—diagnostic yield is very low and most findings are incidental 2
  • Do not use CT when stroke is suspected—CT misses many posterior circulation infarcts 2

Fall Risk Assessment

For all dizzy patients, assess fall risk 1:

  • Ask about falls in past year, feeling unsteady, and worry about falling 1
  • Perform Get Up and Go test or Tinetti Balance Assessment if positive responses 1

Medication Review

Medication side effects are a leading reversible cause of chronic dizziness 2:

  • Review antihypertensives, sedatives, anticonvulsants, and psychotropic drugs 2
  • Consider medication adjustment before extensive workup in chronic cases 2

References

Guideline

Evaluation of Dizziness

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Evaluation of Dizziness Based on Cited Facts

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

A New Diagnostic Approach to the Adult Patient with Acute Dizziness.

The Journal of emergency medicine, 2018

Guideline

Diagnostic Approach to Vertigo

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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