Vertigo history and symptoms

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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)

• History of head trauma or barotrauma and symptoms triggered by straining/sneezing/coughing (perilymphatic fistula)
• 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

• Prior history of migraines