Vestibular differential diagnosis

Question 1

What are the two main categories of vestibular diagnosis?

Answer 1

peripheral- BPPV, neuritis, meniere’s

central- stroke, concussion, TBI, migraine

Question 2

What are 3 aspects of the patient history that should be asked about?

Answer 2

1. tempo- acute (3 days or less), chronic (more than 3), spells or episodes
2. symptoms
3. circumstance- situations or movements

Question 3

Vertigo

Answer 3

spinning of self or environment

Question 4

Disequilibrium

Answer 4

imbalance while standing or walking

Question 5

Oscillopsia

Answer 5

object bouncing in visual field

Question 6

Room spins when turning in bed

Answer 6

BPPV

Question 7

Feeling “off” with negative vestibular signs

Answer 7

cervicogenic

Question 8

Oscillopsia or constant imbalance

Answer 8

bilateral vestibular hypo

Question 9

turning head in standing

Answer 9

unilateral vestibular hypo

Question 10

visual motion sensitivity

Answer 10

concussion or TBI (central)