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Diagnosis Of Internal Carotid Artery Stenosis In A Patient Referred To A Physiotherapist For Dizziness, Ryan Boggs, Michael Ross, Michael Tall

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PURPOSE: The purpose of this report is to describe the diagnostic focus of the clinical decision-making process for a patient referred to a physiotherapist for treatment of persistent dizziness, who was subsequently diagnosed with severe stenosis of the internal carotid arteries.

CASE DESCRIPTION: The patient was a 79-year-old man who was referred to a physiotherapist by his primary care physician for the treatment of persistent intermittent dizziness. The patient’s dizziness began 6 months prior insidiously; it was worsening over time and now interfered with activities of daily living. The patient denied cervical pain or headaches, numbness or tingling in his …