Benign Positional Vertigo Flashcards Preview

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Flashcards in Benign Positional Vertigo Deck (11):
0

Best treatment for benign positional vertigo?

Dix-Hallpike maneuver (to dx BPV)

1

Peripheral versus central vertigo: dysfunction of?

Caused by labyrinthine apparatus or vestibular nerve

versus

brainstem or cerebellum

2

Differential diagnosis for dizziness?

1. Presyncope
2. Dysequilibrium
3. Vertigo

3

Peripheral versus central vertigo: Duration and deficits?

Intermittent but recurrent with hearing loss/tinnitus but no other neurologic deficits

Chronic with neurologic deficits (palsies, weakness, dysarthria) but no tinnitus or hearing loss

4

Causes of presyncope?

Vasovegal, orthostatic hypotension, arrhythmias

5

Disequilibrium can be caused by these drugs?

Antihypertensives, antidepressants, anticholinergics

6

Peripheral versus central vertigo: Urgency of treatment?

Central causes can suggest hemorrhage or infarction and can be life-threatening

Peripheral causes can be handled as an outpatient

7

Positive Dix-Hallpike maneuver it?

Nystagmus occurs 5 to 10 seconds after moving head

8

Treatment for benign paroxysmal positional vertigo?

1. Meclizine or diphenhydramine (anti-cholinergics)
2. Benzodiazepines
3. Epley maneuver

9

Meniere disease?

Severe vertigo with tinnitus, hearing loss, and sensation of ear fullness

10

Vertebrobasilar insufficiency?

Vertigo with diplopia, dysarthria, numbness

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