Vertigo history and symptoms: Difference between revisions
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*'''Confirm true vertigo''': | *'''Confirm true vertigo''': | ||
**True vertigo is described as the room spinning around the patient<ref name="pmid16445269">{{cite journal| author=Labuguen RH| title=Initial evaluation of vertigo. | journal=Am Fam Physician | year= 2006 | volume= 73 | issue= 2 | pages= 244-51 | pmid=16445269 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16445269 }} </ref>. | **True vertigo is described as the room spinning around the patient<ref name="pmid16445269">{{cite journal| author=Labuguen RH| title=Initial evaluation of vertigo. | journal=Am Fam Physician | year= 2006 | volume= 73 | issue= 2 | pages= 244-51 | pmid=16445269 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16445269 }} </ref>. | ||
**Once true vertigo is established next step is to identify if the origin of dysfunction is central or peripheral<ref name="Baloh2016">{{cite journal|last1=Baloh|first1=Robert W.|title=Differentiating between peripheral and central causes of vertigo|journal=Otolaryngology–Head and Neck Surgery|volume=119|issue=1|year=2016|pages=55–59|issn=0194-5998|doi=10.1016/S0194-5998(98)70173-1}}</ref> | **Once true vertigo is established next step is to identify if the origin of dysfunction is central or peripheral<ref name="Baloh2016">{{cite journal|last1=Baloh|first1=Robert W.|title=Differentiating between peripheral and central causes of vertigo|journal=Otolaryngology–Head and Neck Surgery|volume=119|issue=1|year=2016|pages=55–59|issn=0194-5998|doi=10.1016/S0194-5998(98)70173-1}}</ref>. | ||
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Revision as of 19:32, 7 January 2021
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Vertigo Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Vertigo history and symptoms On the Web |
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American Roentgen Ray Society Images of Vertigo history and symptoms |
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Risk calculators and risk factors for Vertigo history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
History and Symptoms
Important factors in history:
- Confirm true vertigo:
| Distinguishing Feature | Peripheral Vertigo | Central Vertigo |
|---|---|---|
| Nausea | Could be severe | Variable |
| Vomiting | Could be severe | Variable |
| Hearing loss | Common | Rare |
| Tinnitus | Common | Rare |
| Other Neurological Symptoms | Rare | Common |
- Time course:
- Lasting a Day or Longer: Vestibular neuronitis, vertebrobasilar ischemia with labyrinth infarct, Brainstem stroke, Inferior cerebellar infarct/bleed
- Lasting Minutes to Hours: Meniere’s disease, vertebrobasilar transient ischemic attack (TIA), Migraine headache, Perilymph fistula.
- Lasting Seconds: Benign paroxysmal positional vertigo
- Associated Signs and symptoms:
- Benign paroxysmal positional vertigo: Triggered by a change in head position.
- Vertebrobasilar stroke: diplopia, dysphagia, dysarthria, and numbness or weakness.
- Acoustic neuroma: tinnitus, ear pain, aural fullness, headache, facial weakness.
- Vestibular Migraine: headache, photophobia, visual aura.
- Ménière disease: hearing loss, tinnitus
- Acute labyrinthitis or vestibular neuritis: recent viral infection
- Medication induced: aminoglycosides, anticonvulsants (phenytoin), anti-depressants (tricyclic antidepressants, monoamine oxidase), antihypertensives, diuretics (furosemide), barbiturates, cocaine, nitroglycerin, salicylates
References
- ↑ Labuguen RH (2006). "Initial evaluation of vertigo". Am Fam Physician. 73 (2): 244–51. PMID 16445269.
- ↑ Baloh, Robert W. (2016). "Differentiating between peripheral and central causes of vertigo". Otolaryngology–Head and Neck Surgery. 119 (1): 55–59. doi:10.1016/S0194-5998(98)70173-1. ISSN 0194-5998.