NHG-Standaard
M75
2.2
juli 2017
januari 2024
N. Zenuwstelsel
Richtlijnen diagnostiek
Naar Volledige tekst ›Anamnese
Naar Volledige tekst ›Lichamelijk onderzoek
Naar Volledige tekst ›Bij draaiduizeligheid
Naar Volledige tekst ›Bij licht gevoel in het hoofd
Naar Volledige tekst ›Bij bewegingsonzekerheid
Naar Volledige tekst ›Aanvullend onderzoek
Naar Volledige tekst ›Evaluatie
Naar Volledige tekst ›Richtlijnen beleid
Naar Volledige tekst ›Neuritis vestibularis/labyrintitis
Naar Volledige tekst ›Ziekte van Ménière
Naar Volledige tekst ›Vestibulaire migraine
Naar Volledige tekst ›Psychische oorzaak
Naar Volledige tekst ›Vasovagale klachten
Naar Volledige tekst ›Orthostatische klachten
Naar Volledige tekst ›Bijwerking van medicatie
Naar Volledige tekst ›Cardiovasculaire oorzaak
Naar Volledige tekst ›Bewegingsonzekerheid
Naar Volledige tekst ›Aspecifieke duizeligheid
Naar Volledige tekst ›Overige verwijsindicaties
Naar Volledige tekst ›Achtergronden
Naar Samenvatting ›Epidemiologie
Naar Samenvatting ›Ouderen
Naar Samenvatting ›Klachten, pathofysiologie en diagnoses
Naar Samenvatting ›Draaiduizeligheid
Naar Samenvatting ›Benigne paroxismale positieduizeligheid (BPPD)
Naar Samenvatting ›Neuritis vestibularis
Naar Samenvatting ›Ziekte van Ménière
Naar Samenvatting ›Vestibulaire migraine
Naar Samenvatting ›Medicatie
Naar Samenvatting ›Beroerte in het vertebrobasilaire stroomgebied
Naar Samenvatting ›Licht gevoel in het hoofd
Naar Samenvatting ›Vasovagale klachten
Naar Samenvatting ›Orthostatische klachten
Naar Samenvatting ›Medicatie
Naar Samenvatting ›Ritme- en geleidingsstoornissen
Naar Samenvatting ›Psychische aandoeningen
Naar Samenvatting ›Bewegingsonzekerheid
Naar Samenvatting ›Aspecifieke duizeligheid
Naar Samenvatting ›Richtlijnen diagnostiek
Naar Samenvatting ›Spoedeisende klachten
Naar Samenvatting ›Anamnese
Naar Samenvatting ›Lichamelijk onderzoek
Naar Samenvatting ›Draaiduizeligheid
Naar Samenvatting ›Op indicatie
Naar Samenvatting ›Licht gevoel in het hoofd
Naar Samenvatting ›Op indicatie
Naar Samenvatting ›Bewegingsonzekerheid
Naar Samenvatting ›Aanvullend onderzoek
Naar Samenvatting ›Evaluatie
Naar Samenvatting ›Draaiduizeligheid
Naar Samenvatting ›Licht gevoel in het hoofd
Naar Samenvatting ›Aspecifieke duizeligheid
Naar Samenvatting ›Richtlijnen beleid
Naar Samenvatting ›Algemeen
Naar Samenvatting ›Vestibulaire revalidatie
Naar Samenvatting ›BPPD
Naar Samenvatting ›Voorlichting
Naar Samenvatting ›Niet-medicamenteuze behandeling
Naar Samenvatting ›Epleymanoeuvre
Naar Samenvatting ›Vestibulaire revalidatie
Naar Samenvatting ›Controle en verwijzing
Naar Samenvatting ›Neuritis vestibularis/labyrintitis
Naar Samenvatting ›Voorlichting
Naar Samenvatting ›Niet-medicamenteuze behandeling
Naar Samenvatting ›Medicamenteuze behandeling
Naar Samenvatting ›Niet aanbevolen
Naar Samenvatting ›Controle en verwijzing
Naar Samenvatting ›Ziekte van Ménière
Naar Samenvatting ›Voorlichting
Naar Samenvatting ›Niet-medicamenteuze behandeling
Naar Samenvatting ›Medicamenteuze behandeling
Naar Samenvatting ›Controle
Naar Samenvatting ›Verwijzing
Naar Samenvatting ›Vestibulaire migraine
Naar Samenvatting ›Voorlichting
Naar Samenvatting ›Behandeling
Naar Samenvatting ›Controle en verwijzing
Naar Samenvatting ›Psychische oorzaak
Naar Samenvatting ›Voorlichting
Naar Samenvatting ›Behandeling
Naar Samenvatting ›Controle
Naar Samenvatting ›Vasovagale klachten
Naar Samenvatting ›Voorlichting
Naar Samenvatting ›Thuisarts
Naar Samenvatting ›Behandeling
Naar Samenvatting ›Orthostatische klachten
Naar Samenvatting ›Voorlichting
Naar Samenvatting ›Behandeling
Naar Samenvatting ›Bij gebruik antihypertensiva
Naar Samenvatting ›Controle
Naar Samenvatting ›Bijwerking van medicatie
Naar Samenvatting ›Voorlichting
Naar Samenvatting ›Behandeling
Naar Samenvatting ›Controle en verwijzing
Naar Samenvatting ›Cardiovasculaire oorzaak
Naar Samenvatting ›Voorlichting
Naar Samenvatting ›Behandeling
Naar Samenvatting ›Verwijzing
Naar Samenvatting ›Bewegingsonzekerheid
Naar Samenvatting ›Voorlichting
Naar Samenvatting ›Behandeling
Naar Samenvatting ›Verwijzing
Naar Samenvatting ›Aspecifieke duizeligheid
Naar Samenvatting ›Voorlichting
Naar Samenvatting ›Behandeling
Naar Samenvatting ›Controle
Naar Samenvatting ›Verwijzing
Naar Samenvatting ›Overige verwijsindicaties
Naar Samenvatting ›Referenties
- KNO-vereniging. Richtlijn Duizeligheid bij ouderen (2015).
- Ausman JI, Shrontz CE, Pearce JE, Diaz FG, Crecelius JL. Vertebrobasilar insufficiency. A review. Arch Neurol 1985;42:803-8.
- NIVEL. Linh-zorgregistratie huisartsen. Incidentie- en prevalentiecijfers in de huisartsenpraktijk (2014).
- Maarsingh OR, Dros J, Schellevis FG, Van Weert HC, Bindels PJ, Van der Horst HE. Dizziness reported by elderly patients in family practice: Prevalence, incidence, and clinical characteristics. BMC Fam Pract 2010a;11:2.
- Stam H, Harting T, Van der Sluijs M, Van Marum R, Van der Horst H, Van der Wouden JC, et al. Usual care and management of fall risk increasing drugs in older dizzy patients in dutch general practice. Scand J Prim Health Care 2016:1-7.
- Harcourt J, Barraclough K, Bronstein AM. Meniere’s disease. BMJ 2014;349:g6544.
- Kentala E. Characteristics of six otologic diseases involving vertigo. Am J Otol 1996;17:883-92.
- Lopez-Escamez JA, Carey J, Chung WH, Goebel JA, Magnusson M, Mandala M, et al. Diagnostic criteria for meniere’s disease. J Vestib Res 2015;25:1-7.
- Parnes LS, McClure JA. Free-floating endolymph particles. A new operative finding during posterior semicircular canal occlusion. Laryngoscope 1992;102:988-92.
- Parnes LS, Agrawal SK, Atlas J. Diagnosis and management of benign paroxysmal positional vertigo (BPPV). CMAJ 2003;169:681-93.
- KNO-vereniging. Richtlijn benigne paroxysmale positieduizeligheid (BPPD) (2011). Ga naar bron: KNO-vereniging. Richtlijn benigne paroxysmale positieduizeligheid (BPPD) (2011).
- Neuhauser HK. Epidemiology of vertigo. Curr Opin Neurol 2007;20:40-6.
- Kim JS, Zee DS. Clinical practice. Benign paroxysmal positional vertigo. N Engl J Med 2014;370:1138-47.
- Bhattacharyya N, Baugh RF, Orvidas L, Barrs D, Bronston LJ, Cass S, et al. Clinical practice guideline: Benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2008;139:S47-81.
- Fife TD, Iverson DJ, Lempert T, Furman JM, Baloh RW, Tusa RJ, et al. Practice parameter. Therapies for benign paroxysmal positional vertigo (an evidence-based review): Report of the quality standards subcommittee of the american academy of neurology. Neurology 2008;70:2067-74.
- Tinetti ME, Williams CS, Gill TM. Health, functional, and psychological out-comes among older persons with chronic dizziness. J Am Geriatr Soc 2000;48:417-21.
- Dros J, Maarsingh OR, Beem L, Van der Horst HE, Ter Riet G, Schellevis FG, et al. Impact of dizziness on everyday life in older primary care patients. A cross-sectional study. Health Qual Life Outcomes 2011;9:44.
- Dros J, Maarsingh OR, Beem L, Van der Horst HE, Ter Riet G, Schellevis FG, et al. Functional prognosis of dizziness in older adults in primary care. A prospective cohort study. J Am Geriatr Soc 2012;60:2263-9.
- Agrawal Y, Carey JP, Della Santina CC, Schubert MC, Minor LB. Disorders of balance and vestibular function in US adults. Data from the national health and nutrition examination survey, 2001-2004. Arch Intern Med 2009;169:938-44.
- Ekwall A, Lindberg A, Magnusson M. Dizzy - why not take a walk? Low level physical activity improves quality of life among elderly with dizziness. Gerontology 2009;55:652-9.
- Stevens KN, Lang IA, Guralnik JM, Melzer D. Epidemiology of balance and dizziness in a national population. Findings from the english longitudinal study of ageing. Age Ageing 2008;37:300-5.
- Drachman DA, Hart CW. An approach to the dizzy patient. Neurology 1972;22:323-34.
- Maarsingh OR, Dros J, Schellevis FG, Van Weert HC, Van der Windt DA, Ter Riet G, et al. Causes of persistent dizziness in elderly patients in primary care. Ann Fam Med 2010b;8:196-205.
- Edlow JA. Diagnosing dizziness: We are teaching the wrong paradigm! Acad Emerg Med 2013;20:1064-6.
- Newman-Toker DE, Edlow JA. Titrate: A novel, evidence-based approach to diagnosing acute dizziness and vertigo. Neurol Clin 2015;33:577-99.
- Brandt T, Bronstein AM. Cervical vertigo. J Neurol Neurosurg Psychiatry 2001;71:8-12.
- Lystad RP, Bell G, Bonnevie-Svendsen M, Carter CV. Manual therapy with and without vestibular rehabilitation for cervicogenic dizziness. A systematic review. Chiropr Man Therap 2011;19:21.
- Hain TC. Cervicogenic causes of vertigo. Curr Opin Neurol 2015;28:69-73.
- Hanley K, O’ Dowd T. Symptoms of vertigo in general practice. A prospective study of diagnosis. Br J Gen Pract 2002;52:809-12.
- Kroenke K, Lucas CA, Rosenberg ML, Scherokman B, Herbers JE, Jr., Wehrle PA, et al. Causes of persistent dizziness. A prospective study of 100 patients in ambulatory care. Ann Intern Med 1992;117:898-904.
- Madlon-Kay DJ. Evaluation and outcome of the dizzy patient. J Fam Pract 1985;21:109-13.
- Sloane PD, Dallara J, Roach C, Bailey KE, Mitchell M, McNutt R. Management of dizziness in primary care. J Am Board Fam Pract 1994;7:1-8.
- Barraclough K, Bronstein A. Vertigo. BMJ 2009;339:b3493.
- Fishman JM, Burgess C, Waddell A. Corticosteroids for the treatment of idiopathic acute vestibular dysfunction (vestibular neuritis). Cochrane Database Syst Rev 2011:Cd008607.
- Van Leeuwen RB, Bruintjes TD, Kingma H. Vestibulaire migraine. Ned Tijdschr Geneeskd 2014;158:A6310.
- Lempert T, Neuhauser H, Daroff RB. Vertigo as a symptom of migraine. Ann N Y Acad Sci 2009;1164:242-51.
- Phillips J, Longridge N, Mallinson A, Robinson G. Migraine and vertigo. A marriage of convenience? Headache 2010;50:1362-5.
- Neuhauser HK, Radtke A, von Brevern M, Feldmann M, Lezius F, Ziese T, et al. Migrainous vertigo: prevalence and impact on quality of life. Neurology 2006;67:1028-33.
- Lempert T, Olesen J, Furman J, Waterston J, Seemungal B, Carey J, et al. Vestib-ular migraine: Diagnostic criteria. J Vestib Res 2012;22:167-72.
- Neff BA, Staab JP, Eggers SD, Carlson ML, Schmitt WR, Van Abel KM, et al. Auditory and vestibular symptoms and chronic subjective dizziness in patients with meniere’s disease, vestibular migraine, and meniere’s disease with concomitant vestibular migraine. Otol Neurotol 2012;33:1235-44.
- Neuhauser H, Radtke A, Von Brevern M, Lempert T. Zolmitriptan for treatment of migrainous vertigo. A pilot randomized placebo-controlled trial. Neurology 2003;60:882-3.
- Maldonado Fernandez M, Birdi JS, Irving GJ, Murdin L, Kivekas I, Strupp M. Pharmacological agents for the prevention of vestibular migraine. Cochrane Database Syst Rev 2015;6:Cd010600.
- Moya A, Sutton R, Ammirati F, Blanc JJ, Brignole M, Dahm JB, et al. Guidelines for the diagnosis and management of syncope (version 2009). Eur Heart J 2009;30:2631-71.
- Freeman R, Wieling W, Axelrod FB, Benditt DG, Benarroch E, Biaggioni I, et al. Consensus statement on the definition of orthostatic hypotension, neurally mediated syncope and the postural tachycardia syndrome. Clin Auton Res 2011;21:69-72.
- Heitterachi E, Lord SR, Meyerkort P, McCloskey I, Fitzpatrick R. Blood pressure changes on upright tilting predict falls in older people. Age Ageing 2002;31:181-6.
- Hiitola P, Enlund H, Kettunen R, Sulkava R, Hartikainen S. Postural changes in blood pressure and the prevalence of orthostatic hypotension among home-dwelling elderly aged 75 years or older. J Hum Hypertens 2009;23:33-9.
- Van Hateren KJ, Kleefstra N, Blanker MH, Ubink-Veltmaat LJ, Groenier KH, Houweling ST, et al. Orthostatic hypotension, diabetes, and falling in old-er patients. A cross-sectional study. Br J Gen Pract 2012;62:e696-702.
- Benvenuto LJ, Krakoff LR. Morbidity and mortality of orthostatic hypotension: Implications for management of cardiovascular disease. Am J Hypertens 2011;24:135-44.
- Rose KM, Eigenbrodt ML, Biga RL, Couper DJ, Light KC, Sharrett AR, et al. Orthostatic hypotension predicts mortality in middle-aged adults. The atherosclerosis risk in communities (aric) study. Circulation 2006;114:630-6.
- Arbogast SD, Alshekhlee A, Hussain Z, McNeeley K, Chelimsky TC. Hypotension unawareness in profound orthostatic hypotension. Am J Med 2009;122:574-80.
- Masuo K, Mikami H, Ogihara T, Tuck ML. Changes in frequency of orthostatic hypotension in elderly hypertensive patients under medications. Am J Hypertens 1996;9:263-8.
- Cooke J, Carew S, O’Connor M, Costelloe A, Sheehy T, Lyons D. Sitting and standing blood pressure measurements are not accurate for the diagnosis of orthostatic hypotension. QMJ 2009;102:335-9.
- Gebu. Geneesmiddelengeïnduceerde draaiduizeligheid. Gebu 2015. 49(5). Ga naar bron: Gebu. Geneesmiddelengeïnduceerde draaiduizeligheid. Gebu 2015. 49(5).
- KNMP Geneesmiddel Informatie Centrum. Informatorium medicamentorum 2016. Den Haag: KNMP, 2016.
- Shoair OA, Nyandege AN, Slattum PW. Medication-related dizziness in the older adult. Otolaryngol Clin North Am 2011;44:455-71.
- Van der Velde N, Stricker BH, Pols HA, Van der Cammen TJ. Risk of falls after withdrawal of fall-risk-increasing drugs. A prospective cohort study. Br J Clin Pharmacol 2007;63:232-7.
- Woolcott JC, Richardson KJ, Wiens MO, Patel B, Marin J, Khan KM, et al. Meta-analysis of the impact of 9 medication classes on falls in elderly persons. Arch Intern Med 2009;169:1952-60.
- Harun A, Agrawal Y. The use of fall risk increasing drugs (frids) in patients with dizziness presenting to a neurotology clinic. Otol Neurotol 2015;36:862-4.
- Tamber AL, Bruusgaard D. Self-reported faintness or dizziness -- comorbidity and use of medicines. An epidemiological study. Scand J Public Health 2009;37:613-20.
- American Psychiatric Association. Diagnostic and statistical manual of mental disorders DSM-5TM. 5 ed. Washington/London: American Psychiatric Publishing, 2013.
- Yardley L. Overview of psychologic effects of chronic dizziness and balance disorders. Otolaryngol Clin North Am 2000;33:603-16.
- Maarsingh OR, Dros J, Van der Windt DA, Ter Riet G, Schellevis FG, Van Weert HC, et al. Diagnostic indicators of anxiety and depression in older dizzy patients in primary care. J Geriatr Psychiatry Neurol 2011;24:98-107.
- Eckhardt-Henn A, Breuer P, Thomalske C, Hoffmann SO, Hopf HC. Anxiety disorders and other psychiatric subgroups in patients complaining of dizziness. J Anxiety Disord 2003;17:369-88.
- Wiltink J, Tschan R, Michal M, Subic-Wrana C, Eckhardt-Henn A, Dieterich M, et al. Dizziness. Anxiety, health care utilization and health behavior--results from a representative german community survey. J Psychosom Res 2009;66:417-24.
- Kerber KA, Brown DL, Lisabeth LD, Smith MA, Morgenstern LB. Stroke among patients with dizziness, vertigo, and imbalance in the emergency department. A population-based study. Stroke 2006;37:2484-7.
- Cheung CS, Mak PS, Manley KV, Lam JM, Tsang AY, Chan HM, et al. Predictors of important neurological causes of dizziness among patients presenting to the emergency department. Emerg Med J 2010;27:517-21.
- Tarnutzer AA, Berkowitz AL, Robinson KA, Hsieh YH, Newman-Toker DE. Does my dizzy patient have a stroke? A systematic review of bedside diagnosis in acute vestibular syndrome. CMAJ 2011;183:E571-92.
- Lee H, Sohn SI, Jung DK, Cho YW, Lim JG, Yi SD, et al. Sudden deafness and anterior inferior cerebellar artery infarction. Stroke 2002;33:2807-12.
- Murakami T, Nakayasu H, Doi M, Fukada Y, Hayashi M, Suzuki T, et al. Anterior and posterior inferior cerebellar artery infarction with sudden deafness and vertigo. J Clin Neurosci 2006;13:1051-4.
- Rubinstein SM, Peerdeman SM, Van Tulder MW, Riphagen I, Haldeman S. A systematic review of the risk factors for cervical artery dissection. Stroke 2005;36:1575-80.
- Chase M, Joyce NR, Carney E, Salciccioli JD, Vinton D, Donnino MW, et al. Ed patients with vertigo. Can we identify clinical factors associated with acute stroke? Am J Emerg Med 2012;30:587-91.
- Chase M, Goldstein JN, Selim MH, Pallin DJ, Camacho MA, O’Connor JL, et al. A prospective pilot study of predictors of acute stroke in emergency department patients with dizziness. Mayo Clin Proc 2014;89:173-80.
- Kattah JC, Talkad AV, Wang DZ, Hsieh YH, Newman-Toker DE. Hints to diagnose stroke in the acute vestibular syndrome. Three-step bedside oculomotor examination more sensitive than early mri diffusion-weighted imaging. Stroke 2009;40:3504-10.
- Navi BB, Kamel H, Shah MP, Grossman AW, Wong C, Poisson SN, et al. Application of the abcd2 score to identify cerebrovascular causes of dizziness in the emergency department. Stroke 2012;43:1484-9.
- Maarsingh OR, Schellevis FG, Van der Horst HE. Looks vestibular. Irrational prescribing of antivertiginous drugs for older dizzy patients in general practice. Br J Gen Pract 2012;62:518-20.
- Von Brevern M, Bertholon P, Brandt T, Fife T, Imai T, Nuti D, et al. Benign paroxysmal positional vertigo: Diagnostic criteria. J Vestib Res 2015;25:105-17.
- Dros J, Maarsingh OR, Van der Horst HE, Bindels PJ, Ter Riet G, Van Weert HC. Tests used to evaluate dizziness in primary care. CMAJ 2010;182:E621-31.
- Beckett NS, Peters R, Fletcher AE, Staessen JA, Liu L, Dumitrascu D, et al. Treatment of hypertension in patients 80 years of age or older. N Engl J Med 2008;358:1887-98.
- Bejan-Angoulvant T, Saadatian-Elahi M, Wright JM, Schron EB, Lindholm LH, Fagard R, et al. Treatment of hypertension in patients 80 years and older: the lower the better? A meta-analysis of randomized controlled trials. J Hypertens 2010;28:1366-72.
- Di Stefano C, Milazzo V, Totaro S, Sobrero G, Ravera A, Milan A, et al. Orthostat-ic hypotension in a cohort of hypertensive patients referring to a hypertension clinic. J Hum Hypertens 2015;29:599-603.
- Hajjar I. Postural blood pressure changes and orthostatic hypotension in the elderly patient. Impact of antihypertensive medications. Drugs Aging 2005;22:55-68.
- Naschitz JE, Slobodin G, Elias N, Rosner I. The patient with supine hypertension and orthostatic hypotension. A clinical dilemma. Postgrad Med J 2006;82:246-53.
- Kamaruzzaman S, Watt H, Carson C, Ebrahim S. The association between orthostatic hypotension and medication use in the british women’s heart and health study. Age Ageing 2010;39:51-6.
- Wu JS, Yang YC, Lu FH, Wu CH, Chang CJ. Population-based study on the prevalence and correlates of orthostatic hypotension/hypertension and orthostatic dizziness. Hypertens Res 2008;31:897-904.
- Barochiner J, Alfie J, Aparicio L, Rada M, Morales M, Cuffaro P, et al. Orthostatic hypotension in treated hypertensive patients. Rom J Intern Med 2012;50:203-9.
- Slavachevsky I, Rachmani R, Levi Z, Brosh D, Lidar M, Ravid M. Effect of enalapril and nifedipine on orthostatic hypotension in older hypertensive patients. J Am Geriatr Soc 2000;48:807-10.
- Cleophas TJ, Grabowsky I, Niemeyer MG, Makel WM, Van der Wall EE. Paradoxical pressor effects of beta-blockers in standing elderly patients with mild hypertension. A beneficial side effect. Circulation 2002;105:1669-71.
- Lamarre-Cliche M, Cusson J. The fainting patient: Value of the head-upright tilt-table test in adult patients with orthostatic intolerance. CMAJ 2001;164:372-6.
- Cooke J, Carew S, Quinn C, O’Connor M, Curtin J, O’Connor C, et al. The prev-alence and pathological correlates of orthostatic hypotension and its subtypes when measured using beat-to-beat technology in a sample of older adults living in the community. Age Ageing 2013;42:709-14.
- Frith J. Diagnosing orthostatic hypotension. A narrative review of the evidence. Br Med Bull 2015;115:123-34.
- Ward C, Kenny RA. Reproducibility of orthostatic hypotension in symptomat-ic elderly. Am J Med 1996;100:418-22.
- Hoefman E, Van Weert HC, Reitsma JB, Koster RW, Bindels PJ. Diagnostic yield of patient-activated loop recorders for detecting heart rhythm abnormalities in general practice. A randomised clinical trial. Fam Pract 2005;22:478-84.
- De Asmundis C, Conte G, Sieira J, Chierchia GB, Rodriguez-Manero M, Di Giovanni G, et al. Comparison of the patient-activated event recording system vs. Traditional 24 h holter electrocardiography in individuals with paroxysmal palpitations or dizziness. Europace 2014;16:1231-5.
- Olson JA, Fouts AM, Padanilam BJ, Prystowsky EN. Utility of mobile cardiac outpatient telemetry for the diagnosis of palpitations, presyncope, syncope, and the assessment of therapy efficacy. J Cardiovasc Electrophysiol 2007;18:473-7.
- Colledge NR, Barr-Hamilton RM, Lewis SJ, Sellar RJ, Wilson JA. Evaluation of investigations to diagnose the cause of dizziness in elderly people. A community based controlled study. BMJ 1996;313:788-92.
- Hoffman RM, Einstadter D, Kroenke K. Evaluating dizziness. Am J Med 1999;107:468-78.
- Navi BB, Kamel H, Shah MP, Grossman AW, Wong C, Poisson SN, et al. The use of neuroimaging studies and neurological consultation to evaluate dizzy patients in the emergency department. Neurohospitalist 2013;3:7-14.
- Fakhran S, Alhilali L, Branstetter BFt. Yield of CT angiography and contrast-enhanced mr imaging in patients with dizziness. AJNR Am J Neuroradiol 2013;34:1077-81.
- Vandervelde C, Connor SE. Diagnostic yield of mri for audiovestibular dysfunction using contemporary referral criteria: Correlation with presenting symptoms and impact on clinical management. Clin Radiol 2009;64:156-63.
- Tung C, Lindgren A, Siemund R, van Westen D. Emergency room decision-making for urgent cranial computed tomography. Selection criteria for subsets of non-trauma patients. Acta Radiol 2014;55:847-54.
- Muller I, Kirby S, Yardley L. Understanding patient experiences of self-managing chronic dizziness: a qualitative study of booklet-based vestibular rehabilitation, with or without remote support. BMJ Open 2015;5:e007680.
- Van Vugt VA, De Kruif AJ, Van der Wouden JC, Van der Horst HE, Maarsingh OR. Experiences of patients and physiotherapists with blended internet-based vestibular rehabilitation: a qualitative interview study. BJGP Open 2020;4.
- Jacobson GP, Newman CW. The development of the Dizziness Handicap Inventory. Arch Otolaryngol Head Neck Surg 1990;116:424-7.
- Yardley L, Barker F, Muller I, Turner D, Kirby S, Mullee M, et al. Clinical and cost effectiveness of booklet based vestibular rehabilitation for chronic dizziness in primary care: single blind, parallel group, pragmatic, randomised controlled trial. BMJ 2012;344:e2237.
- McDonnell MN, Hillier SL. Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Cochrane Database Syst Rev 2015;1:CDS005397.
- Smółka W, Smółka K, Markowski J, Pilch J, Piotrowska-Seweryn A, Zwierzchowska A. The efficacy of vestibular rehabilitation in patients with chronic unilateral vestibular dysfunction. Int J Occup Med Environ Health 2020;33:273-82.
- Van Vugt VA, Van der Wouden JC, Essery R, Yardley L, Twisk JWR, Van der Horst HE, et al. Internet based vestibular rehabilitation with and without physiotherapy support for adults aged 50 and older with a chronic vestibular syndrome in general practice: three armed randomised controlled trial. BMJ 2019;367:l5922.
- Radtke A, Von Brevern M, Tiel-Wilck K, Mainz-Perchalla A, Neuhauser H, Lempert T. Self-treatment of benign paroxysmal positional vertigo. Semont maneuver vs epley procedure. Neurology 2004;63:150-2.
- Hilton MP, Pinder DK. The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo. Cochrane Database Syst Rev 2014:Cd003162.
- De Vries EI, Maarsingh OR. Epley effectief bij behandeling BPPD. Huisarts Wet 2015;58:449.
- Van der Linden MW, Westert GP, De Bakker DH, Schellevis FG. Tweede nationale studie naar ziekten en verrichtingen in de huisartspraktijk. Klachten en aandoeningen in de bevolking en in de huisartspraktijk. Utrecht/Bilthoven: NIVEL/RIVM, 2004.
- Amini A, Heidari K, Kariman H, Taghizadeh M, Hatamabadi H, Shahrami A, et al. Histamine antagonists for treatment of peripheral vertigo. A meta-analysis. J Int Adv Otol 2015;11:138-42.
- Della Pepa C, Guidetti G, Eandi M. Betahistine in the treatment of vertiginous syndromes. A meta-analysis. Acta Otorhinolaryngol Ital 2006;26:208-15.
- Murdin L, Hussain K, Schilder AG. Betahistine for symptoms of vertigo. Cochrane Database Syst Rev 2016:Cd010696.
- Zorginstituut Nederland. Farmacotherapeutisch kompas (2016). Ga naar bron: Zorginstituut Nederland. Farmacotherapeutisch kompas (2016).
- Teive HA, Troiano AR, Germiniani FM, Werneck LC. Flunarizine and cinnarizine-induced parkinsonism. A historical and clinical analysis. Parkinsonism Relat Disord 2004;10:243-5.
- Goudakos JK, Markou KD, Franco-Vidal V, Vital V, Tsaligopoulos M, Darrouzet V. Corticosteroids in the treatment of vestibular neuritis. A systematic review and meta-analysis. Otol Neurotol 2010;31:183-9.
- James AL, Burton MJ. Betahistine for meniere’s disease or syndrome. Cochrane Database Syst Rev 2001, update 2011:Cd001873.
- Adrion C, Fischer CS, Wagner J, Gurkov R, Mansmann U, Strupp M. Efficacy and safety of betahistine treatment in patients with meniere’s disease. Primary results of a long term, multicentre, double blind, randomised, placebo controlled, dose defining trial (bemed trial). BMJ 2016;352:h6816.
- Nauta JJ. Meta-analysis of clinical studies with betahistine in meniere’s disease and vestibular vertigo. Eur Arch Otorhinolaryngol 2014;271:887-97.
- Mira E, Guidetti G, Ghilardi L, Fattori B, Malannino N, Maiolino L, et al. Betahistine dihydrochloride in the treatment of peripheral vestibular vertigo. Eur Arch Otorhinolaryngol 2003;260:73-7.
- Oosterveld WJ. Flunarizine bij de behandeling van duizeligheid en de profylaxe van migraine. Gebu 1988;22:49-52.
- Broomfield SJ, O’Donoghue GM. Self-reported symptoms and patient experience. A british acoustic neuroma association survey. Br J Neurosurg 2015:1-8.
- Hersenstichting. Brughoektumor (2016). Ga naar bron: Hersenstichting. Brughoektumor (2016).
- Mills PB, Fung CK, Travlos A, Krassioukov A. Nonpharmacologic management of orthostatic hypotension. A systematic review. Arch Phys Med Rehabil 2015;96:366-75.e6.
- Stam H, van der Horst HE, Smalbrugge M, Maarsingh OR. Chronische duizeligheid bij ouderen. Een multifactoriele benadering is gewenst. Ned Tijdschr Geneeskd 2015;159:A8301.
- Maarsingh OR, Stam H, van der Horst HE. A different approach of dizziness in older patients. Away from the diagnostic dance between patient and phys-ician. Front Med (Lausanne) 2014;1:50.
- Gomez F, Curcio CL, Duque G. Dizziness as a geriatric condition among rural community-dwelling older adults. J Nutr Health Aging 2011;15:490-7.
- Kabra R, Robbie H, Connor SE. Diagnostic yield and impact of mri for acute ischaemic stroke in patients presenting with dizziness and vertigo. Clin Radiol 2015;70:736-42.
- Honda S, Inatomi Y, Yonehara T, Hashimoto Y, Hirano T, Ando Y, et al. Discrim-ination of acute ischemic stroke from nonischemic vertigo in patients presenting with only imbalance. J Stroke Cerebrovasc Dis 2014;23:888-95.
- Lawhn-Heath C, Buckle C, Christoforidis G, Straus C. Utility of head ct in the evaluation of vertigo/dizziness in the emergency department. Emerg Radiol 2013;20:45-9.
- Van Leeuwen RB, Van der Zaag-Loonen H. Referrals to a specialised dizziness clinic often result in revised diagnoses and new therapeutic advice. Eur Neurol 2015;73:20-2.
- Bronstein AM, Lempert T. Dizziness. A practical approach to diagnosis and management. Journal of Neurol Neurosurg Psychiatry 2007;78:779.
- Bartolomeo M, Biboulet R, Pierre G, Mondain M, Uziel A, Venail F. Value of the video head impulse test in assessing vestibular deficits following vestibular neuritis. Eur Arch Otorhinolaryngol 2014;271:681-8.
- Mahringer A, Rambold HA. Caloric test and video-head-impulse. A study of vertigo/dizziness patients in a community hospital. Eur Arch Otorhinolaryngol 2014;271:463-72.