Presentations

Question 1

Benign Paraoyxmal Postitional Vertigo (3)

Answer 1

• Lasts: few secs - few mins
• Nausea
• Torstional nystagmus lasting 1 min with Dill-Hallpike test

Question 2

Describe Dill Hallpike test (3)

Answer 2

• Rotate head to 45 degrees
• Lay down quickly and extend head 20 degrees over the edge of the couch
• Positive: reproduction of nystagmus and vertigo

Question 3

Meniere’s disease (6)

Answer 3

1) Recurrent episodes of vertigo
- Lasts: several minutes to several hours
- Nausea and vomiting
2) Tinnitus = progressively worse
3) Fluctuating hearing loss (sensorineural, usually unilateral)
- Sense of aural pressure/fullness

Question 4

Vestibular neuronitis presentation (3)

Answer 4

Following upper resp tract infection

• Sudden onset vertigo several days to weeks
• Nausea and vomiting
• Horizontal nystagmus

Question 5

Acoustic neuroma (4)

Answer 5

• Vertigo in later stages
• Poor balance
• First: unilateral hearing loss
• Large=raised ICP?