67 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... minutes to days • Nystagmus ... vascular causes • Nystagmus ... #Algorithm #differential ... #diagnosis #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
- Differential ... Diagnosis Algorithm ... unidirectonal nystagmus ... symptoms/signs, ... #Neurology #Differential
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Acute continuous ... vertigo due to ... /nystagmus - Vestibular ... #Wallenbergs #neurology ... #diagnosis
Parinaud's Syndrome
What?
 - Impaired upgaze
 - Light-near dissociation
 - Convergence retraction nystagmus
 - Eyelid retraction (Collier's
Parinaud's Syndrome ... Convergence retraction nystagmus ... → "setting sun sign ... #diagnosis #pineal ... #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... #diagnosis #findings ... #signs #symptoms ... #comparison #neurology
Parinaud's syndrome
What?
 • Light-near dissociation (tectal pupils)
 • Convergence retraction nystagmus
 • Eyelid retraction (Collier's sign)
Parinaud's syndrome ... Convergence retraction nystagmus ... retraction (Collier's sign ... "setting sun" sign ... #neurology #diagnosis
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Central Causes of Vertigo ... fistula, Cogan's syndrome ... Wallenberg syndrome ... Central #Causes #differential ... #diagnosis #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Hallpike test: Positive ... and torsional nystagmus ... impulse test: Positive ... Labyrinthitis #diagnosis ... #neurology #comparison
Guillain-Barre Syndrome
An acute polyneuropathy (disorder Of the peripheral nervous System).
Symptoms are Often symmetrical and progress Over
Guillain-Barre Syndrome ... An acute polyneuropathy ... GuillainBarre #Syndrome ... #Diagnosis #Neurology ... #Signs
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
(Wallenberg's syndrome ... Syndrome usually ... signs or symptoms ... #Causes #differential ... #diagnosis #neurology