17 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... worsen with head position ... change • Neurologic ... • Short-lived, positional ... Hallpike test (posterior
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Occlusion of posterior ... (Wallenberg's syndrome ... with significant neurologic ... Syndrome usually ... attacks with varying neurologic
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Acute continuous vertigo ... due to Posterior ... Stroke (usually Posterior ... Nausea/vomiting/vertigo ... #Wallenbergs #neurology
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Central Causes of Vertigo ... Benign paroxysmal positional ... vertigo, Méniére ... Wallenberg syndrome ... differential #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
forehead) in classic posterior ... , such as with posterior ... nose) • Head Position ... worsen with head position ... symptoms #comparison #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment
Blood pressure control:
 • Aim for 10-25% BP reduction within
Posterior Reversible ... Encephalopathy Syndrome ... Encephalopathy #Syndrome ... #Treatment #Management ... #Neurology
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
into a supine position ... remains in this position ... remains in this position ... #vertigo #neurology ... #physicalexam #management
Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
Benign #paroxysmal #positional ... #vertigo #neurology ... #physicalexam #management
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Posterior Reversible ... Encephalopathy Syndrome ... may precede the neurologic ... #diagnosis #management ... #neurology
Brandt Daroff Exercise for Treatment of BPPV
This maneuver resembles the Semont maneuver. Also, this maneuver is
upright, seated position ... into the lying position ... seconds or until the vertigo ... #vertigo #neurology ... #physicalexam #management