| | Vertigo (Site not responding. Last check: 2007-11-06) |
 | | This may be a nonspecific complaint which must be refined further into either an altered somatic sensation (giddiness, wooziness); orthostatic blood pressure changes (lightheadedness, sensation of fainting); or the sensation of the environment (or patient) spinning (true vertigo). |
 | | In inner ear disease, vertigo is virtually always accompanied by nystagmus, which is the ocular compensation for the unreal sensation of spinning; but the nystagmus may be extinguished when the eyes are open and fixed on some point (by the same token, vertigo is usually worse with the eyes closed). |
 | | With a sensation of dysequilibrium or an elderly patient's feeling that he is going to fall, look for peripheral neuropathy, cervical spondylosis, stiff legs and vasodilator medication. |
| www.ncemi.org /cse/bak/cse0111.htm (1213 words) |