Optimal management of the dizzy patient depends on an accurate diagnosis an
d knowledge of medical, surgical, and rehabilitative options. Acute vertigo
may represent labyrinthine dysfunction treated with medication or a more s
erious central nervous system process requiring prompt intervention to avoi
d long-term disability. Chronic vertigo, however, may require surgical or r
ehabilitative measures for lasting relief. This article outlines the ration
ale for treating both groups with a variety of therapeutic options.