Vertigo history and symptoms: Difference between revisions
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***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. | ***Once true vertigo is established next step is to identify if the origin of dysfunction is central or peripheral. | ||
{| class="wikitable" style="margin: 1em auto 1em auto" | |||
|+ '''Cells left-aligned, table centered''' | |||
! 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''': | **'''Time course''': | ||
***Lasting a Day or Longer: [[Vestibular neuronitis]], vertebrobasilar [[ischemia]] with [[labyrinth]] infarct, [[Brainstem stroke]], Inferior [[cerebellar]] [[infarct]]/bleed | ***Lasting a Day or Longer: [[Vestibular neuronitis]], vertebrobasilar [[ischemia]] with [[labyrinth]] infarct, [[Brainstem stroke]], Inferior [[cerebellar]] [[infarct]]/bleed |
Revision as of 19:27, 7 January 2021
Vertigo Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
History and Symptoms
- Important factors in history:
- Confirm true vertigo:
- True vertigo is described as the room spinning around the patient[1].
- Once true vertigo is established next step is to identify if the origin of dysfunction is central or peripheral.
- 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
- Time course:
References
- ↑ Labuguen RH (2006). "Initial evaluation of vertigo". Am Fam Physician. 73 (2): 244–51. PMID 16445269.