Dizziness Flashcards
(12 cards)
What is the key question when presented with dizziness?
Is the cause central or peripheral?
What are the peripheral causes?
ENT causes (V.N/A.N,menieres, BPPV)
Trauma
Drugs(gent)
What are the central causesof dizziness?
Stroke (haemorrhagic or ischaemic)
MS
Tumours
Migraine
What do you think with sudden onset dizziness?
Stroke - Either type
What would suggest vascular event for dizziness?
- Vertical nystagmus (can be horizontal)
- Sudden headache
- Vascular risk factors
- Negative head impulse test
- Any brain stem signs
What would suggest a non vascular cause for dizziness?
Positive head impulse test
Horizontal nystagmus (contralateral snap back phase)
How does cerebellar nystagmus present?
How does vascular nystagmus present?
Ipsalateral nystagmus
Contralateral
What are the symptoms of cerebellar disease?
DANISH PT
Nystagmus is on the ipsalateral side
What are the antibodies for paraneoplastic disease?
Anti Hu,Yo
What are some causes of acute cerebellar disease?
Vascular event
Alcohol excess
Phenytoin
What are some causes of subacute cerebellar disease?
MS
Thiamine deficiency
Paraneoplastic
CJD
What are some causes of chronic cerebellar disease?
Chronic alcohol abuse
Neurodegenerative
