Dizziness

Question 1

What does BPPV stand for?

Answer 1

benign positional paroxysmal vertigo

Question 2

Is BPPV common?

Answer 2

Yes very

Question 3

Is Menieres common?

Answer 3

NOw

Question 4

Define vertigo.

Answer 4

Sensation of movement usually spinning

Question 5

What is nystagmus?

Answer 5

“dancing eyes”

involuntary eye movement

Question 6

Is nystagmus observed in vestibular pathologies?

Answer 6

Yes

Question 7

Is nystagmus observed in non vestibular pathologies?

Answer 7

Not normally

Question 8

How can Menieres be managed?

Answer 8

tinnitus therapy
hearing aids
restriction of caffiene, alcohol etc
grommet
intratympanic gentamycin/steroids
surgery

Question 9

Describe BPPV.

Answer 9

Vertigo on looking up/turning/getting out of bed/bending etc

Question 10

What causes BPPV?

Answer 10

otolithiasis

Question 11

What may BPPV be confused with?

Answer 11

vestibular insuffiency

Question 12

For VBI what else do you need to make a diagnosis?

Answer 12

patient will have other symptoms of impaired circulation in posterior brain eg visual disturbance, weakness, numbness

Question 13

What is the Dix Hallpike test?

Answer 13

Look for nystagmus when patient turns head and lies down

Question 14

In which condition, vestibular neuronitis or labyrinthitis, are you likely to suffer hearing loss/tinnitis?

Answer 14

labyrinthitis

Question 15

How long do vestibular neuronitis and labyrinthitis tend to last?

Answer 15

days to weeks

Question 16

What is phonophobia?

Answer 16

fear of loud sounds

Question 17

How long do episodes of BPPV last?

Answer 17

minutes

Question 18

How long do episodes of Menieres last?

Answer 18

hours

Question 19

In which condition, Menieres of BPPV will the patient have hearing loss/tinnitis?

Answer 19

Menieres

Question 20

Which condition may involve aural fullness?

Answer 20

menieres

Question 21

In which condition of dizziness is there a clear positional trigger?

Answer 21

BPPV