Vertigo

From IKE

• Describe your approach to a patient who says they are "dizzy".
• Distinguish between peripheral and central causes of vertigo.
• Provide a general differential diagnosis for vertigo.
• Generally, describe the treatments for Peripheral (Vestibular) Vertigo.
• Briefly describe labyrinthitis, Aminoglcoside induced vertigo, Meniere s disease, and Benign Paroxysmal Positional Vertigo (BPPV)

Contents 1 Essentials of diagnosis 2 Common Differential breakdown 3 Wikipedia 4 Notes

Essentials of diagnosis

• Sensation of motion when there is no motion
• OR An exaggerated sense of motion in response to movement
• Can be a symptom of vestibular disease
• Can be central or peripheral

Common Differential breakdown

Duration of Typical Vertiginous Episodes	Auditory Symptoms Present	Auditory Symptoms Absent
Seconds	Perilymphatic fistula	Positioning vertigo (cupulolithiasis), vertebrobasilar insufficiency, cervical vertigo
Hours	Endolymphatic hydrops (Meniere's syndrome, syphilis)	Recurrent vestibulopathy, vestibular migraine
Days	Labyrinthitis, labyrinthine concussion	Vestibular neuronitis
Months	Acoustic neuroma, ototoxicity	Multiple sclerosis, cerebellar degeneration

From [1]

Wikipedia

• Wikipedia:Balance disorder
• Wikipedia:acute inner ear crisis
• Wikipedia:dizziness
• Wikipedia:Labyrinthitis
• Wikipedia:Meniere's disease
• Wikipedia:Benign paroxysmal positional vertigo (BPPV)

Notes

• Vestibular Disorders & Tinitus - Available under the GNU FDL

• Vertigo management - Available under the GNU FDL