Vertigo history and symptoms: Difference between revisions
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==History and Symptoms== | ==History and Symptoms== | ||
*Important factors in history: | *Important factors in history: | ||
**'''Confirm true vertigo''' | |||
***True vertigo is described as the room spinning around the patient. | |||
***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 a Day or Longer: [[Vestibular neuronitis]], vertebrobasilar [[ischemia]] with [[labyrinth]] infarct, [[Brainstem stroke]], Inferior [[cerebellar]] [[infarct]]/bleed | ||
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**'''Associated Signs and symptoms''': | **'''Associated Signs and symptoms''': | ||
***[[Benign paroxysmal positional vertigo]]: Triggered by a change in head position. | ***[[Benign paroxysmal positional vertigo]]: Triggered by a change in head position. | ||
***Vertebrobasilar stroke: [[diplopia]], [[dysphagia]], [[dysarthria]], and [[numbness]] or weakness. | ***Vertebrobasilar [[stroke]]: [[diplopia]], [[dysphagia]], [[dysarthria]], and [[numbness]] or weakness. | ||
***[[Acoustic neuroma]]: [[tinnitus]], ear pain, [[aural fullness]], [[headache]], facial weakness. | ***[[Acoustic neuroma]]: [[tinnitus]], ear pain, [[aural fullness]], [[headache]], facial weakness. | ||
***[[Vestibular Migraine]]: [[headache]], [[photophobia]], visual aura. | ***[[Vestibular Migraine]]: [[headache]], [[photophobia]], visual aura. | ||
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***Acute [[labyrinthitis]] or [[vestibular neuritis]]: recent viral infection | ***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]] | ***Medication induced: [[aminoglycosides]], [[anticonvulsants]]([[phenytoin]]), [[anti-depressants]]([[tricyclic antidepressants]], [[monoamine oxidase]]), [[antihypertensives]], [[diuretics]] ([[furosemide]]), [[barbiturates]], [[cocaine]], [[nitroglycerin]], [[salicylates]] | ||
== References == | == References == | ||
Revision as of 16:05, 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.
- 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