Benign Positional Vertigo Flashcards Preview

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Flashcards in Benign Positional Vertigo Deck (11)
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0
Q

Peripheral versus central vertigo: dysfunction of?

A

Caused by labyrinthine apparatus or vestibular nerve

versus

brainstem or cerebellum

1
Q

Best treatment for benign positional vertigo?

A

Dix-Hallpike maneuver (to dx BPV)

2
Q

Differential diagnosis for dizziness?

A
  1. Presyncope
  2. Dysequilibrium
  3. Vertigo
3
Q

Peripheral versus central vertigo: Duration and deficits?

A

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
Q

Causes of presyncope?

A

Vasovegal, orthostatic hypotension, arrhythmias

5
Q

Disequilibrium can be caused by these drugs?

A

Antihypertensives, antidepressants, anticholinergics

6
Q

Peripheral versus central vertigo: Urgency of treatment?

A

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

Peripheral causes can be handled as an outpatient

7
Q

Positive Dix-Hallpike maneuver it?

A

Nystagmus occurs 5 to 10 seconds after moving head

8
Q

Treatment for benign paroxysmal positional vertigo?

A
  1. Meclizine or diphenhydramine (anti-cholinergics)
  2. Benzodiazepines
  3. Epley maneuver
9
Q

Meniere disease?

A

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

10
Q

Vertebrobasilar insufficiency?

A

Vertigo with diplopia, dysarthria, numbness

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