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Research Article

A systematic review of vertigo in primary care.

K Hanley, T O'Dowd and N Considine
British Journal of General Practice 2001; 51 (469): 666-671.
K Hanley
Trinity College, Dublin, Ireland. nunan@gofree.indigo.ie
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T O'Dowd
Trinity College, Dublin, Ireland. nunan@gofree.indigo.ie
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N Considine
Trinity College, Dublin, Ireland. nunan@gofree.indigo.ie
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Abstract

The symptom of vertigo is usually managed in primary care without further referral. This review examines the evidence on which general practitioners can base clinical diagnosis and management of this relatively common complaint. Research in this area has in the main been from secondary and tertiary centres and has been of variable quality. Indications are that the conditions that present in general practice are most likely to be benign positional vertigo, acute vestibular neuronitis, and Ménière's disease; however, vascular incidents and neurological causes, such as multiple sclerosis, must be kept in mind. An important practice point is that vestibular sedatives are not recommended on a prolonged basis for any type of vertigo. There is a need for basic epidemiological and clinical management research of vertigo in general practice.

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British Journal of General Practice: 51 (469)
British Journal of General Practice
Vol. 51, Issue 469
August 2001
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A systematic review of vertigo in primary care.
K Hanley, T O'Dowd, N Considine
British Journal of General Practice 2001; 51 (469): 666-671.

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A systematic review of vertigo in primary care.
K Hanley, T O'Dowd, N Considine
British Journal of General Practice 2001; 51 (469): 666-671.
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Print ISSN: 0960-1643
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