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Richard A. Parker, MD; Erin E. Hartman, MS
From the Division of General Medicine, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.

JAMA. 1999;282:378.

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

In May 1998, at Medicine Grand Rounds, David A. Drachman, MD, discussed the wide range of causes of dizziness, along with the evaluation and treatment options for its different types.¹ Mr D, a 69-year-old man, had experienced 2 types of dizziness: initially, vertigo, which Dr Drachman identified as an acute and recurrent peripheral vestibulopathy that most likely resolved, followed by a residual impairment of disequilibrium or lightheadedness. Dr Drachman described Mr D's fear of his symptoms as secondary agoraphobia and pointed out that Mr D's multiple medications might contribute to his sense of imbalance. We asked Mr D and his doctor to update us about his dizziness.

MR D, THE PATIENT

My dizziness is generally better, and I'm not sure why. I did have 1 bad spell this week while pushing my grandchild on the swing. It lasted 30 minutes, and I had to put the . . . [Full Text of this Article]