“SO STONED”: Common Sense Approach of the Dizzy Patient

DimensionsQuestionsTargeted additional questions
SSYMPTOMSWhat are the symptoms?Vertigo, dizziness, nausea, postural instability, falls without syncope, falls with syncope, lightheadedness, rotatory or linear sensations, tilt of the vertical, oscillopsia, drunken feeling, lateropulsion, to-and-fro rocking,..
OOFTENHow often does “it” happen?Daily (once or several times a day), weekly, monthly, irregularly, continuously, only once, only during the trigger
SSINCESince when do you suffer from this problem? Both related to time and circumstancesA day, week, month, year, decade agoAfter a viral illness, a head trauma, a medical/surgical intervention, a journey on a boat, train or plane, without any clear cause
TTRIGGERWhat triggers the complaints/symptoms and what makes them worse, i.e., aggravating factors?General head movements, walking, rolling over in bed, bending over, looking up, being a passenger in a car or plane, walking in supermarket aisles, walking in semi-darkness, coughing, noise, visual stimuli, or … completely spontaneous
OOTOLOGYDo you experience any concomitant otological symptoms and when do these occur?Hearing loss (fluctuating), tinnitus, aural fullness, hyperacusis, autophonia, draining ear, otalgiaBefore, during, or after the attacks, in between, long-lasting, i.e., independent of the symptoms
NNEUROLOGYDo you experience any concomitant neurological symptoms?Headache, migraine (current and in the past), face or limb paresthesia, scotoma, phonophobia, photophobia, numbness, palpitations, hyperventilation, speech problems, diplopia, cervical problems
EEVOLUTIONWhat is the evolution of the symptoms?Persistent, improving, worsening, ups, and downs
DDURATIONWhat is the duration of the symptoms?Seconds, minutes, hours, days, continuously

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