Vertigo Flashcards
How long does the vertigo last in Menieres?
Minutes-hours.
What conditions do you get aural fullness?
Menierres.
What type of HL in menieeres disease?
Sensorineural, worse at low frequencies.
How long does the vertigo last in BPPV?
Seconds-minutes.
Out of labyrinhitis and neuronitis, which wine is associated with HL/tinnitus?
Labyrinthitis.
Of the 4 vertigo conditions, which 2 are associated with hearing loss?
Labyrinthitis and Menieres/.
Presentation of Menieres’
Upsloping audiogram
At least 2episodes of unilateral vertigo of unknown origi.
- Prostration.
- Nausea and vomiting.
- Tinnitus, fluctuating hearing loss and aural fullness.
- HL is sensorineural and gets better with remission low frequency.
- Hearing usually returns to normal but recurrent attacks can lead to gradual deterioration and low frequency loss.
- If tinnitus constant, attack is usually indicated with a change in nature of the tinnitus.
Management of of Ménière’s disease?
Supportive during attach.
Lifestyle: reduce salt, alcohol caffeine and stress.
Prophylaxis = Beta Histine.
Acute phase only = Prochlorperazine and cylizine.,
Surgical management of menieres?
Grommets, endolymphatic shunt.
Diagnosis and treatment of BPPV?
Diagnosis - Dix hallpoke
Treatment = epley.
What is vertebrobasillar insufficiency?
Similar to BPPV but only provoking position is neck extension.
Vertigo assoc worth visual disturbance, numbness and weakness.
Investigation of veterbrobasillar insufficiency?>
CT or MRI angiogram
