Flashcards in Benign Positional Vertigo Deck (11):
Best treatment for benign positional vertigo?
Dix-Hallpike maneuver (to dx BPV)
Peripheral versus central vertigo: dysfunction of?
Caused by labyrinthine apparatus or vestibular nerve
brainstem or cerebellum
Differential diagnosis for dizziness?
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
Causes of presyncope?
Vasovegal, orthostatic hypotension, arrhythmias
Disequilibrium can be caused by these drugs?
Antihypertensives, antidepressants, anticholinergics
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
Positive Dix-Hallpike maneuver it?
Nystagmus occurs 5 to 10 seconds after moving head
Treatment for benign paroxysmal positional vertigo?
1. Meclizine or diphenhydramine (anti-cholinergics)
3. Epley maneuver
Severe vertigo with tinnitus, hearing loss, and sensation of ear fullness