ENT: Vertigo Flashcards
what is vertigo?
An inflammatory condition caused by bacteria or viruses that affects the inner ear, which consists of the cochlea and vestibular system.
how does vertigo present?
- sensorineural hearing loss
- problems with balance, dizziness
- nausea and committing
- otorrhoea
- nystagmus
- tinnitus
- vertigo-related quick head or body movements
what is otorrhoea?
Ear discharge
what are some Exacerbating factors of vertigo?
positional, straining, head movement
what is Benign paroxysmal positional vertigo (BPPV)?
brief episodes of mild to intense dizziness. Benign paroxysmal positional vertigo is usually triggered by specific changes in the position of your head. This might occur when you tip your head up or down, when you lie down, or when you turn over or sit up in bed
- rarely serious unless it increases chances of falls
what investigation can be performed for Benign paroxysmal positional vertigo (BPPV)?
dix-hallpike test
how do you treat Benign paroxysmal positional vertigo (BPPV)?
Epley Manouvre
what is Vestibular neuronitis?
sudden severe attack of vertigo (a false sensation of moving or spinning) caused by inflammation of the vestibular nerve, the branch of the 8th cranial nerve that helps control balance.
what is Labyrinthitis?
Inflammatory condition affecting the labyrinth in the cochlea and vestibular system of the inner ear.
Viral infections are the most common cause of labyrinthitis. Bacterial labyrinthitis is a complication of otitis media or meningitis.
Typical presentation includes vertigo, imbalance, and hearing loss.
what is Meniere’s disease?
auditory disease characterised by an episodic sudden onset of vertigo, low-frequency hearing loss (in the early stages of the disorder), low-frequency roaring tinnitus, and sensation of fullness in the affected ear.
- Episodic attacks last hours
what type of vertigo lasts seconds to minutes with no associated hearing loss?
BPPV
what type of vertigo lasts minutes to hours with no associated hearing loss?
migraine associated vertigo
what type of vertigo lasts minutes to hours with associated hearing loss?
Meniere’s Disease
what type of vertigo lasts hours to days with no associated hearing loss?
Labyrinthitis
SSHL with vertigo
what type of vertigo lasts hours to days with associated hearing loss?
Vestibular Neuronitis
