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