Vertigo history and symptoms: Difference between revisions
Jump to navigation
Jump to search
Zehra Malik (talk | contribs) |
Zehra Malik (talk | contribs) |
||
| Line 4: | Line 4: | ||
==History and Symptoms== | ==History and Symptoms== | ||
*Important factors in history: | *Important factors in history: | ||
**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 | ||
***Lasting Minutes to Hours || [[Meniere’s disease]], vertebrobasilar [[transient ischemic attack]] (TIA), [[Migraine]] [[headache]], [[Perilymph fistula]]. | ***Lasting Minutes to Hours || [[Meniere’s disease]], vertebrobasilar [[transient ischemic attack]] (TIA), [[Migraine]] [[headache]], [[Perilymph fistula]]. | ||
***Lasting Seconds|| [[Benign paroxysmal positional vertigo]] | ***Lasting Seconds|| [[Benign paroxysmal positional vertigo]] | ||
**Associated Signs and symptoms: | **'''Associated Signs and symptoms''': | ||
***Vertebrobasilar stroke || [[diplopia]], [[dysphagia]], [[dysarthria]], and [[numbness or weakness. | ***Vertebrobasilar stroke || [[diplopia]], [[dysphagia]], [[dysarthria]], and [[numbness or weakness. | ||
***[[Vestibular Migraine]]|| [[headache]], [[photophobia]], visual aura | ***[[Vestibular Migraine]]|| [[headache]], [[photophobia]], visual aura | ||
| Line 14: | Line 14: | ||
***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]] | ||
**'''Test/Examinations''': | |||
**Test/ | |||
***'''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]]. | ||
Revision as of 17:52, 15 December 2020
|
Vertigo Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Vertigo history and symptoms On the Web |
|
American Roentgen Ray Society Images of Vertigo history and symptoms |
|
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:
- 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:
- 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/Examinations:
- 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.
- Time course:
| 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 | ||||||||||||||||||||||||||||||||||||||||||||||||