Benign paroxysmal positional vertigo differential diagnosis: Difference between revisions
No edit summary |
No edit summary |
||
Line 50: | Line 50: | ||
| style="background: #F5F5F5; padding: 5px;" | + | | style="background: #F5F5F5; padding: 5px;" | + | ||
| style="background: #F5F5F5; padding: 5px;" | + | | style="background: #F5F5F5; padding: 5px;" | + | ||
| style="background: #F5F5F5; padding: 5px;" |+/− | | style="background: #F5F5F5; padding: 5px;" | +/− | ||
| style="background: #F5F5F5; padding: 5px;" |− | |||
| style="background: #F5F5F5; padding: 5px;" | + Dix-Hallpike maneuver | |||
| style="background: #F5F5F5; padding: 5px;" |− | | style="background: #F5F5F5; padding: 5px;" |− | ||
| style="background: #F5F5F5; padding: 5px;" |− | | style="background: #F5F5F5; padding: 5px;" |− | ||
| style="background: #F5F5F5; padding: 5px;" |Dix-Hallpike maneuver | | style="background: #F5F5F5; padding: 5px;" |Dix-Hallpike maneuver | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |May be associated with nausea, vomiting, and gait instability | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Vestibular neuritis | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Vestibular neuronitis|Vestibular neuritis]] | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |+ | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |+/− | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |+ (unilateral)/− | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |− | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |+ Head thrust test | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |− | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |− | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |History/ Physical exam | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |May be associated with nausea, vomiting, and gait instability | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |HSV oticus | | style="background: #DCDCDC; padding: 5px; text-align: center;" |HSV oticus |
Revision as of 14:19, 10 April 2019
For the WikiDoc page for this topic, click here
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.
Overview
[Disease name] must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as [differential dx1], [differential dx2], and [differential dx3].
OR
[Disease name] must be differentiated from [[differential dx1], [differential dx2], and [differential dx3].
Differentiating [Disease name] from other Diseases
[Disease name] must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as [differential dx1], [differential dx2], and [differential dx3].
OR
[Disease name] must be differentiated from [differential dx1], [differential dx2], and [differential dx3].
OR
As [disease name] manifests in a variety of clinical forms, differentiation must be established in accordance with the particular subtype. [Subtype name 1] must be differentiated from other diseases that cause [clinical feature 1], such as [differential dx1] and [differential dx2]. In contrast, [subtype name 2] must be differentiated from other diseases that cause [clinical feature 2], such as [differential dx3] and [differential dx4].
Differentiating [disease name] from other diseases on the basis of [symptom 1], [symptom 2], and [symptom 3]
On the basis [symptom 1], [symptom 2], and [symptom 3], [disease name] must be differentiated from [disease 1], [disease 2], [disease 3], [disease 4], [disease 5], and [disease 6].
Diseases | Clinical manifestations | Para-clinical findings | Gold standard | Additional findings | |||||
---|---|---|---|---|---|---|---|---|---|
Symptoms | Physical examination | ||||||||
Lab Findings | Imaging | ||||||||
Acute onset | Recurrency | Nystagmus | Hearing problems | ||||||
Peripheral | |||||||||
BPPV | + | + | +/− | − | + Dix-Hallpike maneuver | − | − | Dix-Hallpike maneuver | May be associated with nausea, vomiting, and gait instability |
Vestibular neuritis | + | +/− | + (unilateral)/− | − | + Head thrust test | − | − | History/ Physical exam | May be associated with nausea, vomiting, and gait instability |
HSV oticus | |||||||||
Meniere disease | |||||||||
Labyrinthine concussion | |||||||||
Perilymphatic fistula | |||||||||
Semicircular canal
dehiscence syndrome |
|||||||||
Vestibular paroxysma | |||||||||
Cogan syndrome | |||||||||
Vestibular schwannoma | |||||||||
Otitis media | |||||||||
Aminoglycoside toxicity | |||||||||
Recurrent vestibulopathy | + | ||||||||
Central | |||||||||
Vestibular migrain | + | ||||||||
Epileptic vertigo | + | ||||||||
Multiple sclerosis | |||||||||
Brain tumors | |||||||||
Crebellar infarction/hemorrhage | + | ||||||||
Brain stem ischemia | + | ||||||||
Chiari malformation | − | ||||||||
Parkinson | − |