31 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... change • Neurologic ... auditory findings BPPV ... No auditory symptoms ... Long symptom-free
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
(BPPV) From Vestibular ... Hallpike test: Positive ... consistent with BPPV ... #BPPV #Vestibular ... Labyrinthitis #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
labyrinthitis • Head Position ... nose) • Head Position ... worsen with head position ... findings #signs #symptoms ... #comparison #neurology
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
(BPPV) • Latency ... in head-hanging position ... symptoms in head-hanging ... position • Upbeat ... findings #signs #bppv
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
(BPPV) - Short-lived ... (Wallenberg's syndrome ... with significant neurologic ... Syndrome usually ... attacks with varying neurologic
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
a patient with vertigo ... symptoms, this ... Clinical #Video #Positive ... #Neurology #Central ... #Vertigo
Migraine with Aura
Diagnostic Criteria (ICHD-3):
A) At least 2 attacks fulfilling criteria B and C:
B) One or
reversible aura symptoms ... visual aura, but symptoms ... • Brainstem: Vertigo ... is positive ... diagnosis #criteria #neurology
Serotonin-Norepinephrine Reuptake Inhibitors(SNRIs): Mechanisms and Side Effects

Withdrawal: Dizziness, Diarrhea, Insomnia, Nausea, Vomiting
Serotonin Syndrome - Potentially Life
Vomiting Serotonin Syndrome ... Insomnia, Fatigue, Vertigo ... SerotoninNorepinephrine #Inhibitors #Pathophysiology ... Diagnosis #Signs #Symptoms
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
patient to a supine position ... The test is positive ... HaIlpike #Maneuver #neurology ... #vertigo #bppv
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
for Treatment of BPPV ... into a supine position ... Epley #Maneuver #BPPV ... paroxysmal #positional #vertigo ... #neurology #instructions