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Discussant David A. Drachman, MD

JAMA. 1998;280:2111-2118.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

DR PARKER:Mr D is a 69-year-old man troubled by dizziness. He is retired from his job as building superintendent for a public school. He is married, lives in the Boston, Mass, suburbs, and has managed Medicare insurance.

Mr D dates the onset of his dizziness to 1994, when the symptoms were predominantly vertiginous. He described the sensation as "everything is moving" and "like I had too much to drink." These episodes lasted 1 to 2 hours, occurred several times per week, and often came on suddenly, such as when arising in the middle of the night. At that time, use of meclizine hydrochloride seemed to decrease the symptoms. Results of a magnetic resonance imaging (MRI) scan of the brain at that time were normal.

The symptoms seemed to resolve over time, but in 1996, Mr D fell off a ladder from a height of . . . [Full Text of this Article]

MR D: HIS UNDERSTANDING AND PERCEPTIONS

DR M: HIS UNDERSTANDING AND PERCEPTIONS

AT THE CROSSROADS: QUESTIONS TO DR DRACHMAN

The Physiological Basis of Dizziness

Different Symptoms Resulting in the Complaint of Dizziness

The Range of Diseases Presenting With Dizziness

Diagnosis of Dizziness: A Clinical Strategy

Arriving at a Diagnosis

Mr D's Problem

Treatment of Dizziness

Treatment for Mr D

QUESTIONS AND DISCUSSION

Dr Drachman is Professor and Chairman, Department of Neurology, University of Massachusetts Medical Center, Worcester.

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