Vertigo

Question 1

What is vertigo?

Answer 1

Type of ‘dizziness’ that refers to a false sensation that onself or the surrounding are moving/spinning

Question 2

What are the 2 subtype causes of vertigo?

Answer 2

1. Central:
Cerebrovascular disease
MS
Acoustic neuroma
Cerebella tumours
Intoxication 

2. Peripheral
Labyrinthitis
Ramsay Hunt
BPPV
Meniere's

Question 3

What are red flags for vertigo?

Answer 3

• Focal neurology

* Sudden onset not caused by movement

Question 4

What is benign positional vertigo?

Answer 4

Otiliths in the semi-circular canals causing acute vertigo brought on by moving your hear

Question 5

What is labrynthitis and vestibular neuritis?

Answer 5

Infection of the inner air, most commonly viral infection following cold. Sudden, spontaneous, severe vertigo that is not triggered or worsened by movement

Question 6

What differentiates labrynthitis from vestibular neuritis?

Answer 6

Labrynthitis the hearing is affect but not affected in vestibular neuritis

Question 7

What is the treatment of labrynthitis/vestibular neuritis?

Answer 7

Prochlorperazine/anti-histmine

Question 8

What is meniere’s disease?

Answer 8

Idiopathic condition that results in unpredictable bouts of vertigo, tinnitus and transient hearing loss and a feeling of fullness in 1 ear

Question 9

How is meniere’s disease managed?

Answer 9

• Treated with prochlorperazine/antihistamines acutely

* Betahistine for prevention

Question 10

What is vertebrobasilar insufficiency?

Answer 10

Elderly patients who get dizzy on neck extension