Hemodynamic orthostatic dizziness/vertigo: Diagnostic criteria: Consensus document of the Committee for the Classification of Vestibular Disorders of the Bárány Society

Hyun Ah Kim, Alexandre Bisdorff, Adolfo M. Bronstein, Thomas Lempert, Marcos Rossi-Izquierdo, Jeffrey P. Staab, Michael Strupp, Ji Soo Kim

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

This paper presents the diagnostic criteria for hemodynamic orthostatic dizziness/vertigo to be included in the International Classification of Vestibular Disorders (ICVD). The aim of defining diagnostic criteria of hemodynamic orthostatic dizziness/vertigo is to help clinicians to understand the terminology related to orthostatic dizziness/vertigo and to distinguish orthostatic dizziness/vertigo due to global brain hypoperfusion from that caused by other etiologies. Diagnosis of hemodynamic orthostatic dizziness/vertigo requires: A) five or more episodes of dizziness, unsteadiness or vertigo triggered by arising or present during upright position, which subsides by sitting or lying down; B) orthostatic hypotension, postural tachycardia syndrome or syncope documented on standing or during head-up tilt test; and C) not better accounted for by another disease or disorder. Probable hemodynamic orthostatic dizziness/vertigo is defined as follows: A) five or more episodes of dizziness, unsteadiness or vertigo triggered by arising or present during upright position, which subsides by sitting or lying down; B) at least one of the following accompanying symptoms: generalized weakness/tiredness, difficulty in thinking/concentrating, blurred vision, and tachycardia/palpitations; and C) not better accounted for by another disease or disorder. These diagnostic criteria have been derived by expert consensus from an extensive review of 90 years of research on hemodynamic orthostatic dizziness/vertigo, postural hypotension or tachycardia, and autonomic dizziness. Measurements of orthostatic blood pressure and heart rate are important for the screening and documentation of orthostatic hypotension or postural tachycardia syndrome to establish the diagnosis of hemodynamic orthostatic dizziness/vertigo.

Original languageEnglish (US)
Pages (from-to)45-56
Number of pages12
JournalJournal of Vestibular Research: Equilibrium and Orientation
Volume29
Issue number2-3
DOIs
StatePublished - Jan 1 2019

Keywords

  • Bárány Society
  • Orthostatic vertigo
  • autonomic dysfunction
  • classification
  • hemodynamic
  • orthostatic dizziness
  • orthostatic hypotension
  • postural tachycardia syndrome

ASJC Scopus subject areas

  • Neuroscience(all)
  • Otorhinolaryngology
  • Sensory Systems
  • Clinical Neurology

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