7 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... vascular causes • Nystagmus ... worsen with head position ... auditory findings BPPV ... • Short-lived, positional
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... nose) • Head Position ... worsen with head position ... symptoms #comparison #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Benign Paroxysmal Positional ... Vertigo (BPPV) ... and torsional nystagmus ... consistent with BPPV ... Labyrinthitis #diagnosis #neurology
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
patient to a supine position ... is rotational nystagmus ... HaIlpike #Maneuver #neurology ... #vertigo #bppv
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
for Treatment of BPPV ... Allow any nystagmus ... This maneuver is popular ... #positional #vertigo ... #neurology #instructions
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
for Treatment of BPPV ... Allow any nystagmus ... This maneuver is popular ... #positional #vertigo ... #neurology #instructions
Evaluation of Recurrent Falls

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