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diagnosis differential maneuver symptoms algorithm causes central clinical dizziness instructions liberatory parinauds peripheral physicalexam positional semont treatment video behcet comparison
Characteristics of Peripheral and Central Vertigo PERIPHERAL VERTIGO • Onset: Sudden • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... or minutes with vascular ... circulation TIA • Nystagmus ... diagnosis #findings #signs ... symptoms #comparison #neurology
Diagnostic Algorithm for Dizziness and Vertigo Peripheral Vertigo: • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... Varies • No neurologic ... or minutes with vascular ... causes • Nystagmus ... auditory findings BPPV
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm True Vertigo - Illusion of Rotary Movement Peripheral Vestibular
unidirectonal nystagmus ... symptoms/signs, ... bidirectional nystagmus ... Glomus Tumors - Vascular ... #Neurology #Differential
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 ... " - Vascular disease ... diagnosis #pineal #neurology
Parinaud's syndrome What? • Light-near dissociation (tectal pupils) • Convergence retraction nystagmus • Eyelid retraction (Collier's sign)
Parinaud's syndrome ... Convergence retraction nystagmus ... "setting sun" sign ... • Vascular disease ... #neurology #diagnosis
Causes of Peripheral and Central Vertigo PERIPHERAL VERTIGO 1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
(BPPV) - Short-lived ... Vascular disorders ... (Wallenberg's syndrome ... Syndrome usually ... signs or symptoms
Dix-HaIlpike Maneuver • Turn head to 45° and then rapidly lay patient to a supine position
is rotational nystagmus ... HaIlpike #Maneuver #neurology ... #vertigo #bppv ... #management
Clinical Feature of Hypomagnesemia and Magnesium Deficiency • Electrolyte Disturbance: Hypokalemia, Hypocalcemia • Neuromuscular and central
fasciculations, tremors, Vertigo ... , Nystagmus, • ... Atherosclerotic vascular ... Chronic fatigue syndrome ... symptoms #Treatment #management
Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
• Or brainstem syndromes ... Incontinence • VISUAL: Nystagmus ... objective evidence of neurologic ... sclerosis #diagnosis #management ... #neurology #treatment
Semont Liberatory Maneuver for Treatment of BPPV 1) The patient is seated upright on the side of
for Treatment of BPPV ... Allow any nystagmus ... Again, allow any nystagmus ... #neurology #instructions ... #physicalexam #management
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