Review article

Psychological-psychiatric factors in chronic dizziness

Danijel Buljan
Iva Ivančić

Abstract

Investigations demonstrated a correlation between oto-neurological illnesses manifested subjectively by instability and dizziness and anxiety and other psychiatric disorders.
The concept of chronic vertigo offered a systematic approach to patients with a lasting dizziness not caused by an evident patophysiological vestibular damage. According to newer neurobiological investigations, there are three subtypes of chronic dizziness: otogenic, psychogenic and interactive.
Nowadays there is a greater diagnostic accuracy and insight into the basic pathophysiological processes of the vestibular migraene, post-concussional syndrom and dysautonomias that can cause chronic dizziness.
Selective serotonin reuptake inhibitors, rehabilitation therapy for restoring the balance, and cognitive- behavioural therapy can be effective in treatment, but this effectiveness is limited.

Keywords

anxiety; phobia; chronic dizziness; postconcussional syndrome; dysautonomia; migraine

Hrčak ID:

17451

URI

https://hrcak.srce.hr/17451

Publication date:

10.10.2007.

Article data in other languages: croatian

Visits: 5.848 *