7 results
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Benign Paroxysmal Positional ... • Meniere's Disease ... Dysfunction - Imbalance, neurologic ... symptoms/signs, ... #Neurology #Differential
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Méniére's disease ... with significant neurologic ... course of the disease ... Disease onset usually ... signs or symptoms
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
tinnitus (Méniére's disease ... nose) • Head Position ... worsen with head position ... diagnosis #findings #signs ... symptoms #comparison #neurology
Romberg's Test for Proprioception
History: First described in the 19th century in patients with tabes dorsalis (later
test (Romberg's sign ... • Cerebellar disease ... : tendency to fall ... Rombergs #Test #neurology ... proprioception #physicalexam
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
any nystagmus or vertigo ... shoulder down position ... Epley maneuver fails ... #vertigo #neurology ... clinical #video #physicalexam
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Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
any nystagmus or vertigo ... shoulder down position ... Epley maneuver fails ... #vertigo #neurology ... clinical #video #physicalexam
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Evaluation of Recurrent Falls

Core Concept:
Maintaining an upright posture requires the integrated function of multiple systems.
Disruption in
Benign paroxysmal positional ... vertigo (BPPV) ... neuritis • Clues: Vertigo ... positive Romberg sign ... Evaluation #Geriatrics #Neurology