Vertigo history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

History and Symptoms

Time Course

• Most helpful in determining etiology (see above)

Brainstem Symptoms

• Diplopia
• Facial numbness
• Weakness
• Hemiparesis
• Dysphagia

Aural Fullness with Deafness, Tinnitus

• Suggestive of inner ear lesion (Meniere’s, labyrinthitis)

Atherosclerotic Risk Factors or History Coronary Artery Disease/Peripheral Vascular Disease (CAD/PVD)

• Increases likelihood vertebrobasilar insufficiency

Recurrent Episodes with Remissions

• Pattern suggestive of multiple sclerosis (MS), especially if other associated symptoms