Vertigo medical therapy: Difference between revisions

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Revision as of 16:51, 28 December 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Zehra Malik, M.B.B.S [2]


Treating Peripheral Vertigo
Ménière’s disease	Treatment is focused on preventing acute attacks and controlling the excess fluid build-up. Non-invasive: Low-sodium diet, hearing aid, positive pressure therapy. Medications: Meclizine, diazepam, promethazine, diuretics Steroid^[1] or gentamicin^[2] injections in middle ear. Surgery: Decompress endolymphatic sac, labyrinthectomy, Vestibular nerve section^[3].
Acoustic neuroma
Benign positional paroxysmal vertigo
Acute labyrinthitis
Acute vestibular neuritis
Cholesteatoma
Otosclerosis
Perilymphatic fistula
Treating Central Vertigo
Brainstem Stroke
Vestibular Migraine
Multiple Sclerosis
Cerebellar tumors
Lateral medullary syndrome

↑ Phillips, John S; Westerberg, Brian (2011). "Intratympanic steroids for Ménière's disease or syndrome". Cochrane Database of Systematic Reviews. doi:10.1002/14651858.CD008514.pub2. ISSN 1465-1858.
↑ Postema, Rolf J.; Kingma, Charlotte M.; Wit, Hero P.; Albers, Frans W.J.; Van Der Laan, Bernard F.A.M. (2009). "Intratympanic gentamicin therapy for control of vertigo in unilateral Menière's disease: a prospective, double-blind, randomized, placebo-controlled trial". Acta Oto-Laryngologica. 128 (8): 876–880. doi:10.1080/00016480701762458. ISSN 0001-6489.
↑ Syed, I.; Aldren, C. (2012). "Meniere's disease: an evidence based approach to assessment and management". International Journal of Clinical Practice. 66 (2): 166–170. doi:10.1111/j.1742-1241.2011.02842.x. ISSN 1368-5031.

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+|-
 !Benign positional paroxysmal vertigo
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@@ Line 31: / Line 32: @@
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 *
+|-
 ![[Cholesteatoma]]
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 *
+|-
 ![[Otosclerosis]]
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+|-
 ![[Perilymphatic fistula]]
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@@ Line 43: / Line 47: @@
 ! colspan="2" |Treating Central Vertigo
 |-
-![[Orbit (anatomy)|Orbital]] and locoregional retinoblastoma
+![[Brainstem]] [[Stroke]]
 |
-* [[Chemotherapy]]
+*
-* [[Radiation therapy]]
 |-
-![[CNS disease]]
+![[Vestibular]] [[Migraine]]
 |
-*[[Systemic]] [[chemotherapy]] and [[CNS]]-directed [[therapy]]
+*
-*[[Systemic]] [[chemotherapy]] followed by myeloablative [[chemotherapy]] and [[stem cell]] rescue
 |-
-!Trilateral retinoblastoma
+![[Multiple Sclerosis]]
 |
-*[[Systemic]] [[chemotherapy]] followed by [[surgery]] and myeloablative [[chemotherapy]] with [[stem cell]] rescue
+*
-*[[Systemic]] [[chemotherapy]] followed by [[surgery]] and [[radiation therapy]]
 |-
-![[Extracranial]] [[metastatic]] retinoblastoma
+![[Cerebellar]] [[tumors]]
 |
-*[[Systemic]] [[chemotherapy]] followed by myeloablative [[chemotherapy]] with [[stem cell]] rescue and [[radiation therapy]]
+*
 |-
-!Progressive or recurrent extraocular retinoblastoma
+![[Lateral medullary syndrome]]
 |
-*[[Systemic]] [[chemotherapy]] and [[radiation therapy]] for [[orbital disease]]
+*
-*[[Systemic]] [[chemotherapy]] followed by myeloablative [[chemotherapy]] with [[stem cell]] rescue, and [[radiation therapy]] for extra-[[Orbital Disease|orbital]] [[disease]]
 |}