Peripheral Vertigo- Characteristics (nystagmus, balance, N/V, tinnitus, Duration)
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Nystagmus: COMBINED HORIZONTAL AND
TORSIONAL; INHIBITED BY FIXATION OF
EYES ONTO OBJECT; FADES AFTER A FEW
DAYS; DOES NOT CHANGE DIRECTION
WITH GAZE OR TO EITHER SIDE
Mild to Mod imbalance, able to walk
N/V common
tinnitus common
longer duration following provacative dx manuver
Causes of Vertigo
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, Meniere's, vestibular migraine, acoustic neuroma , OSA, DM, Systemic
Sclerosis, genetics, Cerebellar infarction, labyrinthitis
CANLALITHIASIS
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BELIEVED TO RESULT FROM MICROSCOPIC CALCIUM CARBONATE
CRYSTAL DEPOSITION (OTOCONIA) IN THE INNER EAR SEMICIRCULAR
CANALS
(POSTERIOR MOST COMMON)
Benign Paroxysmal Positional Vertigo (BPPV)- Classic S/S
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CLASSICAL S/S - BRIEF SPINNING SENSATION BROUGHT ON WHEN
TURNING IN BED OR TILTING THE HEAD BACKWARD TO LOOK UP.
• THE DIZZINESS IS QUITE BRIEF, USUALLY SECONDS, RARELY MINUTES.
• IT MAY BE SEVERE ENOUGH TO HALT ACTIVITY FOR THIS DURATION.
• PATIENTS MAY EXPERIENCE NAUSEA BUT RARELY VOMIT.
******EAR PAIN, HEARING LOSS, AND TINNITUS ARE ABSENT*******
What does THE VESTIBULE PORTION OF THE LABYRINTH do? And what does it
cause?
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, SENDS INFORMATION TO THE BRAIN
REGARDING POSITION & MOVEMENT OF THE HEAD: ANY DISTURBANCE
OF THE VESTIBULE CAN LEAD TO FAULTY INFORMATION GOING TO THE
BRAIN
WHEN INFORMATION FROM LABYRINTH AND EYES DON'T MATCH, THE
BRAIN HAS TROUBLE INTERPRETING WHAT IS HAPPENING; THIS
MISINTERPRETING OFTEN LEADS TO VERTIGO, NAUSEA AND VOMITING
CUPULOLITHIASIS
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THESE DENSITIES ARE CONSIDERED TO BE FREE-FLOATING AND
MOBILE, AND TO CAUSE VERTIGO BY EXERTING A FORCE.
LABORATORY AND DIAGNOSTIC TESTING for BPPV
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• LABORATORY TESTING NOT USUALLY WARRANTED
• BLOOD GLUCOSE AND ELECTROLYTES IN PATIENTS
WITH CHRONIC MEDICAL CONDITIONS
• EKG, HOLTER MONITOR, DOPPLER TESTING IF SYMPTOMS SUGGESTIVE
OF CARDIAC DISEASE
• CT OR MRI
• ABNORMAL NEUROLOGICAL FINDING
• ASYMMETRIC OR UNILATERAL HEARING LOSS
MENIERE DISEASE: Symptoms and Characteristics
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Nystagmus: COMBINED HORIZONTAL AND
TORSIONAL; INHIBITED BY FIXATION OF
EYES ONTO OBJECT; FADES AFTER A FEW
DAYS; DOES NOT CHANGE DIRECTION
WITH GAZE OR TO EITHER SIDE
Mild to Mod imbalance, able to walk
N/V common
tinnitus common
longer duration following provacative dx manuver
Causes of Vertigo
Give this one a try later!
, Meniere's, vestibular migraine, acoustic neuroma , OSA, DM, Systemic
Sclerosis, genetics, Cerebellar infarction, labyrinthitis
CANLALITHIASIS
Give this one a try later!
BELIEVED TO RESULT FROM MICROSCOPIC CALCIUM CARBONATE
CRYSTAL DEPOSITION (OTOCONIA) IN THE INNER EAR SEMICIRCULAR
CANALS
(POSTERIOR MOST COMMON)
Benign Paroxysmal Positional Vertigo (BPPV)- Classic S/S
Give this one a try later!
CLASSICAL S/S - BRIEF SPINNING SENSATION BROUGHT ON WHEN
TURNING IN BED OR TILTING THE HEAD BACKWARD TO LOOK UP.
• THE DIZZINESS IS QUITE BRIEF, USUALLY SECONDS, RARELY MINUTES.
• IT MAY BE SEVERE ENOUGH TO HALT ACTIVITY FOR THIS DURATION.
• PATIENTS MAY EXPERIENCE NAUSEA BUT RARELY VOMIT.
******EAR PAIN, HEARING LOSS, AND TINNITUS ARE ABSENT*******
What does THE VESTIBULE PORTION OF THE LABYRINTH do? And what does it
cause?
Give this one a try later!
, SENDS INFORMATION TO THE BRAIN
REGARDING POSITION & MOVEMENT OF THE HEAD: ANY DISTURBANCE
OF THE VESTIBULE CAN LEAD TO FAULTY INFORMATION GOING TO THE
BRAIN
WHEN INFORMATION FROM LABYRINTH AND EYES DON'T MATCH, THE
BRAIN HAS TROUBLE INTERPRETING WHAT IS HAPPENING; THIS
MISINTERPRETING OFTEN LEADS TO VERTIGO, NAUSEA AND VOMITING
CUPULOLITHIASIS
Give this one a try later!
THESE DENSITIES ARE CONSIDERED TO BE FREE-FLOATING AND
MOBILE, AND TO CAUSE VERTIGO BY EXERTING A FORCE.
LABORATORY AND DIAGNOSTIC TESTING for BPPV
Give this one a try later!
• LABORATORY TESTING NOT USUALLY WARRANTED
• BLOOD GLUCOSE AND ELECTROLYTES IN PATIENTS
WITH CHRONIC MEDICAL CONDITIONS
• EKG, HOLTER MONITOR, DOPPLER TESTING IF SYMPTOMS SUGGESTIVE
OF CARDIAC DISEASE
• CT OR MRI
• ABNORMAL NEUROLOGICAL FINDING
• ASYMMETRIC OR UNILATERAL HEARING LOSS
MENIERE DISEASE: Symptoms and Characteristics
