Vertigo history and symptoms: Difference between revisions
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***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. | ||
**'''Time course''': | **'''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 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]] | ***Lasting Seconds: [[Benign paroxysmal positional vertigo]] | ||
**'''Associated Signs and symptoms''': | **'''Associated Signs and symptoms''': |
Revision as of 16:47, 7 January 2021
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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.
- 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
- Confirm true vertigo:
References
- ↑ Labuguen RH (2006). "Initial evaluation of vertigo". Am Fam Physician. 73 (2): 244–51. PMID 16445269.