Chronic subjective dizziness versus conversion disorder: Discussion of clinical findings and rehabilitation

Julie A. Honaker, Jane M. Gilbert, Jeffrey P. Staab

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Purpose: Audiologists frequently encounter patients who complain of chronic dizziness or imbalance, in the absence of active vestibular or neurological deficits. Knowledge about conditions that cause this clinical presentation will allow audiologists to make important contributions to accurate diagnosis and effective management of these patients. This article reviews 2 such conditions, chronic subjective dizziness (CSD) and conversion disorder. Method: A case of CSD and another of conversion disorder are presented, with a literature review of their clinical presentations, key diagnostic features, and treatment strategies. The role of the audiologist in assessing patients with these conditions and facilitating appropriate treatment referrals is discussed. Conclusions: The audiologist is in a key position to identify individuals with CSD and conversion disorder, 2 conditions that can be effectively managed if properly recognized. The authors demonstrate an effective team approach program that includes the audiologist's contribution to differential diagnosis, education of patients and other clinicians about these conditions, and development of recommendations for neurological, psychiatric, otologic, and physical therapy referrals.

Original languageEnglish (US)
Pages (from-to)3-8
Number of pages6
JournalAmerican Journal of Audiology
Volume19
Issue number1
DOIs
StatePublished - Jun 1 2010

Keywords

  • Chronic dizziness
  • Chronic subjective dizziness
  • Conversion disorder
  • Vestibular and balance rehabilitation

ASJC Scopus subject areas

  • Speech and Hearing

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