Upload File

dizziness and vertigo - neurogrow...episodes of dizziness last hours to days symptoms can range from...

  • Home
  • Documents
  • Dizziness and Vertigo - NeuroGrow...Episodes of dizziness last hours to days Symptoms can range from frank vertigo (spinning) to a rocking sensation or disequilibrium Often associated
21
Dizziness and Vertigo Majid Fotuhi, MD PhD Suburban Hospital- Grand Rounds Lecture Bethesda, MD March 6, 2014

Upload: others

Post on 28-Jan-2021

15 views

Category:

Documents


0 download

Report

TRANSCRIPT

  • Dizziness and Vertigo



    Majid Fotuhi, MD PhD

    Suburban Hospital- Grand Rounds Lecture Bethesda, MD March 6, 2014

  • https://neuroanthropology.files.wordpress.com/2008/11/equilibrium-sys.jpg�2

  • Dizziness: a vague term

    ▪ “floating” ▪ “tilting” ▪ “off balance” ▪ “walking on pillows”

    Vertigo: sensation that the environment moves around

    ▪ “world spinning” ▪ Often worse with turning head quickly ▪ Sudden onset ▪ Very uncomfortable

    Definitions

    �3

  • Common Causes of Dizziness

    Vestibular

    Neuritis

    Vestibular Migraine

    Meniere’s 
Disease

    Medication

    side-effects

    4

  • BPPV▪ Vertigo in a specific head

    position (most often with looking up or turning in bed - less symptomatic with walking)

    ▪ “World spinning”—patient feels very nauseated and uncomfortable

    ▪ Symptoms stop when a specific head position is avoided

    ▪ Is easy to diagnose and treat

    5

    BPPV

  • Examination in BPPVThe Dix–Hallpike Test of

    a patient with BPPV affecting 


    the right ear

    6

  • Maneuvers to Diagnose and Treat BPPV

    7

  • Epley ManeuverBPPV

    8

    http://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.htmlhttp://www.dizziness-and-balance.com/disorders/bppv/epley/first.html

  • Common Causes of Dizziness

    Vestibular

    Neuritis

    Vestibular Migraine

    BPPV

    Meniere’s 
Disease

    Medication

    side-effects

    9

  • Vestibular Neuritis

    Vestibular

    Neuritis

    ▪ Inflammation in vestibular nerve, causes disruption in the flow of information from the inner ears to the brain

    ▪ Acute symptoms of gait imbalance, veering to the right or left, vertigo with rapid head movements to the right or left

    10

    https://12cranialnerves.files.wordpress.com/2012/04/vestibular-neuritis.jpg

  • Examination and Treatment ▪ Gait imbalance (veer to one side) ▪ Difficulty with standing on either foot

    alone (falls to the same side on repeated testing)

    ▪ Positive head-impulse test ▪ Positive Fukuda test ▪ Normal hearing ▪ Negative Dix–Hallpike ▪ Vestibular rehab can result in

    complete resolution of symptoms within weeks to months

    ▪ Prednisone taper if symptoms began within 2-3 days of visit

    Vestibular

    Neuritis

    11

  • Common Causes of Dizziness

    Vestibular

    Neuritis

    Vestibular Migraine

    BPPV

    Meniere’s 
Disease

    Medication

    side-effects

    15

  • Vestibular Migraine (VM)

    ▪ Most often underdiagnosed, attributed to anxiety

    ▪ Episodes of dizziness last hours to days

    ▪ Symptoms can range from frank vertigo (spinning) to a rocking sensation or disequilibrium

    ▪ Often associated with motion sensitivity

    ▪ Can happen with or without headaches, photophobia, phonophobia, and nausea

    Vestibular Migraine

    16

  • Examination in VM▪ Normal ▪ Difficulty with focusing eyes, may

    have convergence insufficiency (trouble reading)

    ▪ Sometimes patients have evidence of unilateral vestibular hypofunction or spontaneous nystagmus (especially during the vertigo attack)

    ▪ Signs of anxiety and depression 
(in up to 40% of patients)

    17

  • Treatment for Vestibular Migraine▪ Identify and address the triggers for migraine:

    ▪ Poor sleep ▪ Poor diet, certain food item ▪ Excessive noise, light, odors, people, or visual stimuli in the work/home

    environment ▪ Stress and anxiety ▪ Lack of rest and relaxation

    ▪ Treatment with medications: ▪ Distinguish between headache and non-headache symptoms ▪ Topamax or other prophylactic medications for headaches ▪ Anti-anxiety medications such as SSRIs for 3-6 months ▪ Counseling, meditation training, or neurofeedback

    18

  • Common Causes of Dizziness

    Vestibular

    Neuritis

    Vestibular Migraine

    BPPV

    Meniere’s 
Disease

    Medication

    side-effects

    12

  • Ménière Disease

    http://picnicwithants.com/menieres-disease/

    ▪ “Glaucoma of the inner ear” ▪ Increased pressure inside

    inner ear ▪ Associated with fluctuating ▪ Hearing loss ▪ Fullness in ears ▪ Tinnitus ▪ Attacks of unprovoked

    vertigo, not positional ▪ Couple of hours at a time

    Meniere’s 
Disease

    13

  • Examination and Treatment

    http://upload.wikimedia.org/wikipedia/commons/0/00/Menieres-hearing-loss.png

    ▪ Unilateral LF hearing loss ▪ May have unilateral vestibular

    hypofunction (positive head impulse test)

    ▪ Normal gait (unless experiencing vertigo attack at the time of examination, in which case cannot walk at all)

    ▪ Treated with ▪ Low salt diet ▪ Acetazolamide ▪ Clonazepam (for acute vertigo attacks)

    14

    Meniere’s 
Disease

  • Common Causes of Dizziness

    Vestibular

    Neuritis

    Vestibular Migraine

    BPPV

    Meniere’s 
Disease

    Medication

    side-effects

    19

  • Dizziness and Vertigo 
are treatable conditions

    ▪ Important to make the right diagnosis

    ▪ Treatment depends on the specific diagnosis

    ▪ More than 99% patients can expect significant improvement in their symptoms

    https://alum.mit.edu/news/QuickTake/Archive/200804/

    20

  • THANK YOU!



    [email protected]
443-722-0888


    


    �21

    mailto:[email protected]

Approach to Dizziness and Vertigo in Emergency Department

Definition Central Vertigo - Dizziness-and-Balance.com handouts/nonotol… · Definition Central vertigo is vertigo caused by a ... – No spontaneous nystagmus – Neuropathy. 7

Positional Dizziness (BPPV) - penninecare.nhs.uk · Positional dizziness Positional dizziness, known as Benign Paroxysmal Positional Vertigo (or BPPV) is a disorder that usually causes

Vertigo/Dizziness and Homoeopathy - Ningapi.ning.com/.../DizzinessvertigoandHomoeopathy.pdf · and phobic postural vertigo (Psora). ... This is rare cause of vertigo. These tumors

Vertigo, Dizziness, and Tinnitus After Otobasal · PDF fileIntemational Tinnitus loumal, Vol.10, No. 1, 94-100 (2004) Vertigo, Dizziness, and Tinnitus After Otobasal Fractures Lóránt

ER-Vertigo & Dizziness

Vertigo and Dizziness

Neurologic Origins of Dizziness & Vertigo Clinical presentations of Dizziness or Vertigo that is of Neurologic Origin Neurologically mediated dizziness

DIZZINESS & VERTIGO

VERTIGO-DIZZINESS AND TINNITUS IN WHIPLASH INJURIES (INTRODU

Management of Dizziness and Vertigo- Medical Update- Oct 2012 34

Dizziness, Vertigo, And Imbalance

Vertigo remedies, treat the root cause of your balance problems, home remedies for vertigo dizziness

Dizziness- Vertigo and Homoeopathy

Clinical and electrographic findings in epileptic vertigo ...€¦ · defined 3 study population types: (1) seizures, some experiencing vertigo/dizziness (disease cohort); (2) vertigo/dizziness,

Dizziness, Disequilibrium and Vertigo

VERTİGO - · PDF fileVertigo/dizziness yaam kalitesini bozan, hastaları günlük yaamlarında çok zor durumlara sokan belirtilerdir. Vertigo/dizziness çok çeitli nedenlerle ortaya

PeriPheral Vestibular and Cerebellum disorders with ... · with dizziness and vertigo, the syndromes that can cause dizziness and vertigo, whether it’s vestibular migraine, whether

Advancing the diagnosis and treatment of dizziness, vertigo and

dizziness, vertigo, balance, migraine

Dizziness and Vertigo V. Abbasi, M.D.. Dizziness Vertigo: illusion of movement Ataxia: inability to co-ordinate movements (walking or of extremities),

Vertigo Southern Neurology. Dizziness – is it vertigo ? Is the dizziness is vertiginous in nature, or more suggestive of near-syncope or non-vestibular

Vertigo solutions, what medication is prescribed for vertigo natural solutions for vertigo,dizziness

DIZZINESS & VERTIGO - University of Mauritius · •Vertigo is an illusion of movement •Dizziness is a vague term - vertigo, unsteadiness, presyncope - non-specific symptoms (weakness,

Advancing the diagnosis and treatment of dizziness, vertigo and … · 2015. 4. 1. · vertigo, dizziness and balance disorders. Since 1977, founder Dr. Howard Mango and his team

Balance Disorders: Dizziness & Vertigo

From dizziness to vertigo: a proposal for the management

Vertigo and Disequilibrium, Chapter 8

Vertigo vs Dizziness · Vertigo vs Dizziness Summary Diagnosis ICD-10 Central vertigo H81.4 Peripheral vertigo Benign paroxymal positional vertigo Meniere’s disease Vestibular neuronits

Copy of เอกสาร VERTIGO - med.tu.ac.th vertigo.pdf · 2 Vertigo and Dizziness : Multisensory syndrome คําจํากัดความ Vertigo และ Dizziness

Causes of Dizziness and Vertigo - WordPress.com · 2018-09-26 · CAUSES OF DIZZINESS AND VERTIGO The body maintains balance with sensory information from three systems: VISION SOMATOSENSORY

Syncope, Dizziness & Vertigo: Case Review

Vertigo and Dizziness in Whiplash Injuries (Royal Belgian e

Acute Dizziness and Vertigo: Diagnosis, Assessment and Management

DIZZINESS History Dizziness Vertigo INNER EAR Single episode Multiple episodes Disequilibrium Presyncope Other Spinning History of 1 st episode Predisposing