Vertigo
Definition
Vertigo: illusion of rotational (BPPV, meniere's, labyrinthitis), linear, or tilting movement of self or environment
Vertigo: illusion of rotational (BPPV, meniere's, labyrinthitis), linear, or tilting movement of self or environment
- Vertigo is produced by peripheral (inner ear) or central (brainstem-cerebellum) stimulation
History
What is background?
When do you get it?
Is it present all the time? No = vestibul;ar pathology (always a self limiting sx)
How long does it last?
How many attacks
What does it feel like?
What sets it off?
What made it wose?
What else happens at the same time?
Source
Toronto Notes 2012
Dr Gavin Earles 2014
What is background?
When do you get it?
Is it present all the time? No = vestibul;ar pathology (always a self limiting sx)
How long does it last?
How many attacks
What does it feel like?
- Spinning = peripheral vestibular pathology
- Unsteady/ clumsy = cerebellar lesion, acoustic neuroma
- Fainting = hypo/hypertension, hypoglycaremia, VBI
- LOC = epilepsy, CVA
What sets it off?
- Looking up/down = BPPV
- Turning over in bed = BPPV
- Getting up from sitting/ lying = postural hypotension
- Coughing sneezing, straining, rubbing ear, loud sounds = Tullio effect = perilymph fistula
What made it wose?
- Vestibular vertigo always made worse by head movement
What else happens at the same time?
- Aural fullness = Meneire's
Source
Toronto Notes 2012
Dr Gavin Earles 2014