Vertigo history and symptoms: Difference between revisions
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|'''Disease''' || '''Differentiating Signs and Symptoms''' | |'''Disease''' || '''Differentiating Signs and Symptoms''' | ||
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| Vertebrobasilar stroke || diplopia, dysphagia, dysarthria, and numbness or weakness. | | Vertebrobasilar stroke || [[diplopia]], [[dysphagia]], [[dysarthria]], and [[numbness or weakness. | ||
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| || | | [[Vestibular Migraine]]|| [[headache]], [[photophobia]], visual aura | ||
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| || | | [[Ménière disease]]|| hearing loss, [[tinnitus]] | ||
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| Acute [[labyrinthitis]] or [[vestibular neuritis]] || recent viral infection | |||
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| Medication induced || [[aminoglycosides]], [[anticonvulsants]]([[phenytoin]]), [[anti-depressants]]([[tricyclic antidepressants]], [[monoamine oxidase]]), [[antihypertensives]], [[diuretics]] ([[furosemide]]), [[barbiturates]], [[cocaine]], [[nitroglycerin]], [[salicylates]] | |||
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**'''HINTS''': '''H'''ead '''I'''mpulse, '''N'''ystagmus, '''T'''est of '''S'''kew (cover/uncover test) to identify if the cause of [[vestibular neuritis]] is central or peripheral. | **'''HINTS''': '''H'''ead '''I'''mpulse, '''N'''ystagmus, '''T'''est of '''S'''kew (cover/uncover test) to identify if the cause of [[vestibular neuritis]] is central or peripheral. | ||
**[[Dix-Hallpike]] maneuver is used to diagnose [[benign paroxysmal positional vertigo]]. | **[[Dix-Hallpike]] maneuver is used to diagnose [[benign paroxysmal positional vertigo]]. | ||
{{familytree/start |summary=PE diagnosis Algorithm.}} | {{familytree/start |summary=PE diagnosis Algorithm.}} | ||
Revision as of 17:43, 15 December 2020
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Vertigo Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Vertigo history and symptoms On the Web |
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American Roentgen Ray Society Images of Vertigo history and symptoms |
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Risk calculators and risk factors for Vertigo history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
History and Symptoms
- Important factors in history:
- Time course
| Time course of symptoms | Disease |
| 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:
| Disease | Differentiating Signs and Symptoms |
| Vertebrobasilar stroke | diplopia, dysphagia, dysarthria, and [[numbness or 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 |
- Test/Exams:
- HINTS: Head Impulse, Nystagmus, Test of Skew (cover/uncover test) to identify if the cause of vestibular neuritis is central or peripheral.
- Dix-Hallpike maneuver is used to diagnose benign paroxysmal positional vertigo.
| To determine if the cause is central or peripheral | |||||||||||||||||||||||||||||||||||||||||||||||||
| Peripheral | Central | ||||||||||||||||||||||||||||||||||||||||||||||||
| Intermittent Positional Associated factors (tinnitus, hearing loss, unsteadiness) Nystagmus (delayed, rotatory/horizontal, adaptive) Stops with visual fixation | Non-positional Assosiated factors (other cranial nerves involvement - facial droop/dysarthria) Nystagmus (immediate/delayed, rotatory/horizontal/vertical, not adaptive Does not stop with visual fixation | ||||||||||||||||||||||||||||||||||||||||||||||||