Vertigo
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Zehra Malik, M.B.B.S[2]
Synonyms and keywords:
Overview
Historical Perspective
Classification
Area of Lesion | Disease | Pathology | Main Feature |
Peripheral | Ménière’s disease | Increased endolymph volume in semicircular canals | Recurrent vertigo, aural fullness, hearing loss and tinnitus |
Spastic | Bilateral upper motor neuron(UMN) | Weakness, hyperreflexia, hypertonicity | |
Unilateral UMN | Unilateral upper motor neuron | Weakness, reduced range of motion, decreased fine motor control of tongue & lips | |
Ataxic | Cerebellum | Poorly coordinated movements of speech mechanism, scanning/drunken speech | |
Hyper-kinetic | Basal ganglia | Quick involuntary movements (hyperkinesis) | |
Hypo-kinetic | Basal ganglia | Less movement (hypokinesis), increased muscle tone | |
Mixed | More that one type of dysarthria co-exist | Mixed presentation |
Pathophysiology
Causes
Differentiating Vertigo from other Diseases
- Vertigo must be differentiated from other diseases that cause imbalance, dizziness, and lightheadedness.[1]
Epidemiology and Demographics
- Among the patient who presents with dizziness in the primary care setting, fifty-four percent have vertigo upon investigation.[2]
Screening
Risk Factors
Natural History, Complications and Prognosis
Diagnosis
Treatment
- ↑ Labuguen RH (2006). "Initial evaluation of vertigo". Am Fam Physician. 73 (2): 244–51. PMID 16445269.
- ↑ Kroenke, Kurt (1992). "Causes of Persistent Dizziness". Annals of Internal Medicine. 117 (11): 898. doi:10.7326/0003-4819-117-11-898. ISSN 0003-4819.