[vertigo&dizziness] Flashcards
Movement
the illusion of movement (rotary)
canalolithiasis (debris in semi-circular canal)
seconds (as debris resettles)
Hall Pikes manoeuvre causing nystagmus
Epleys manoeuvre
The severe stage = days
Total recovery = weeks
URTI
vestibular neuronitis
Vertigo
Sensorineural hearing loss
Tinnitus
> 20 mins (endolymph +perilymph re-equilibration)
Menieres
Best rest/reassurance
Cinnarizine (anti-histamine)
prochlorperazine (buccal) (D2 antagonist)
very severe disease
Endolymphatic sac decompression
Tx: ablation of the vestibular organs
Aminoglycoside (gentamicin)
Loop diuretics
cisplatin
Acoustic neuroma
Unilateral hearing loss
5
6
9
10
ICP
acoustic neuromas
petrous temporal
T
sitting, head to one side
lie back quickly
rotational nystagmus
relocates the debris
Herpes zoster
herpetic eruption of the external auditory meatus
Menieres
Menieres
Faintness
Light headedness
Pre-syncope
Anxiety
BPV
The otoliths dissolve
Menieres
Anaemia
orthostatic hypotension
Epilepsy
Syncope
The vestibular nerve is concerned with balance.
Menieres Acoustic neuroma (mass effect)
Low sodium