What are the key indicators for considering a balance disorder in a patient with dizziness?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 22 August 2025Updated: 22 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

For a patient presenting with dizziness, key indicators that suggest considering a balance disorder include:

  • Unstable gait: This is a significant indicator, particularly when observed in older adults .
  • Persistent unsteadiness: Patients may report ongoing feelings of being unsteady .
  • Specific types of vertigo: The nature of the dizziness, such as true spinning vertigo, can also be a clue .

These symptoms warrant further assessment for a potential balance disorder and may indicate the need for specialist referral, aligning with the recognition and referral pathways for suspected neurological conditions .

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