Sandbox:Fahimeh: Difference between revisions
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{{familytree | | | | | M01 | | M02 | | | F02 | | | | |!| |M01=Sudden, and generally momentary, loss of consciousness, or blacking out caused by the Central Ischaemic Response|M02=Temporary abnormal electro-physiologic phenomenon of the brain, resulting in abnormal synchronization of electrical neuronal activity|F02=Sudden onset?<br>Horizental vertigo?<br>Auditory symptoms?<br>No neurological problem?}} | {{familytree | | | | | M01 | | M02 | | | F02 | | | | |!| |M01=Sudden, and generally momentary, loss of consciousness, or blacking out caused by the Central Ischaemic Response|M02=Temporary abnormal electro-physiologic phenomenon of the brain, resulting in abnormal synchronization of electrical neuronal activity|F02=Sudden onset?<br>Horizental vertigo?<br>Auditory symptoms?<br>No neurological problem?}} | ||
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{{familytree |boxstyle=text-align: left; | | | | | X02 | | X01 | | | |!| | | | | |!| | | | | | | |X02=Causes:<br>•Hemorrhage<br>•Hypotension<br>•Hypoxia<br>•Pulmonary embolism<br>•Ruptured abdominal aortic aneurysm<br>•Ventricular arrhythmia<br>•Arrhythmia<br>•Medication<br>•Orthostatic hypotension<br>•Vagal stimulation<br>•Vertebrobasilar insufficiency|X01=Causes:<br>•Brain damage <br>•Congenital abnormalities<br>•Stroke <br>•Infection<br>•Genetic syndromes<br>•Brain tumor<br>•Epilepsy}} | |||
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{{familytree | | | | | | | | | | | | G01 | | G02 | | |!| | | | | | | |G01=Yes|G02=No}} | {{familytree | | | | | | | | | | | | G01 | | G02 | | |!| | | | | | | |G01=Yes|G02=No}} |
Revision as of 14:29, 13 March 2019
Patient present with dizziness[1][2][3][4] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Loss of consciousness? | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Yes | No | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Sense of motion/ spinning? | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Other | Sweating Heaviness sensation in the legs "Tunnel" vision Feeling warm or hot Nausea Vomiting | History of seizure Aura Post-ictal phase Uncontrollable muscle spasms Drooling or frothing at the mouth Teeth clenching Tongue biting Sudden, rapid eye movements | Yes | No | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
Electrolyte imbalance/ Intracranial process | Syncope | Seizure | Vertigo | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Sudden, and generally momentary, loss of consciousness, or blacking out caused by the Central Ischaemic Response | Temporary abnormal electro-physiologic phenomenon of the brain, resulting in abnormal synchronization of electrical neuronal activity | Sudden onset? Horizental vertigo? Auditory symptoms? No neurological problem? | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Causes: •Hemorrhage •Hypotension •Hypoxia •Pulmonary embolism •Ruptured abdominal aortic aneurysm •Ventricular arrhythmia •Arrhythmia •Medication •Orthostatic hypotension •Vagal stimulation •Vertebrobasilar insufficiency | Causes: •Brain damage •Congenital abnormalities •Stroke •Infection •Genetic syndromes •Brain tumor •Epilepsy | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Yes | No | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Peripheral | Central | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
BPPV Vestibular neuritis HSV oticus Meniere disease Labyrinthine concussion Perilymphatic fistula Semicircular canal dehiscence syndrome Vestibular paroxysma Cogan syndrome Vestibular schwannoma Otitis media Aminoglycoside toxicity Recurrent vestibulopathy | Vestibular migraine Epileptic vertigo Multiple sclerosis Brain tumors Crebellar infarction/hemorrhage Brain stem ischemia Chiari malformation Parkinson | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Hyperventilation Psychiatric symptoms | Balance problem | Sweating Tunnel Vision Nausea Heart palpitations Abdominal discomfort Slurred speech | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Psychogenic dizziness | Dysequilibrium | Presyncope | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dizziness which is not characterized by true vertigo and it can be replicated by hyperventilation and psychiatric symptoms that usually precede its onset. | Impaired sense or absence of balance or equilibrioception that primarily occurs during standing or walking | Feeling of lightheadedness that can lead to syncope | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
- ↑ Dieterich M, Staab JP, Brandt T (2016). "Functional (psychogenic) dizziness". Handb Clin Neurol. 139: 447–468. doi:10.1016/B978-0-12-801772-2.00037-0. PMID 27719862.
- ↑ Cheshire WP (April 2017). "Syncope". Continuum (Minneap Minn). 23 (2, Selected Topics in Outpatient Neurology): 335–358. doi:10.1212/CON.0000000000000444. PMID 28375909.
- ↑ Chan, Yvonne (2009). "Differential diagnosis of dizziness". Current Opinion in Otolaryngology & Head and Neck Surgery. 17 (3): 200–203. doi:10.1097/MOO.0b013e32832b2594. ISSN 1068-9508.
- ↑ Brandt, T (2001). "NOSOLOGICAL ENTITIES?: Cervical vertigo". Journal of Neurology, Neurosurgery & Psychiatry. 71 (1): 8–12. doi:10.1136/jnnp.71.1.8. ISSN 0022-3050.