Articles related to DIZZINESS & VERTIGO

Explore this case study that underscores the importance of an interdisciplinary approach in managing patients with dizziness and disequilibrium, particularly highlighting the role of neuro-optometrists in initiating treatment for symptoms exacerbated by head movement and peripheral motion with underlying binocular vision dysfunctions.

In the ER, the patient was disoriented and appeared pale and diaphoretic. He initially complained of dizziness, shortness of breath, ringing in the ears, and feeling “weird.” Temperature and oxygen saturation were normal. BP was 182/112, and blood glucose was 152. Initial labs and studies showed no obvious cause for the patient’s problem. Follow Dr. Antonio Granfone through the differential and the ultimate discovery and correction of the cause.

In addition to stroke, central causes of vertigo include brainstem glioma, medulloblastoma, vestibular schwannoma, and vestibular migraine. Peripheral causes include BPPV, Meniere disease, acute labyrinthitis, vestibular neuritis, and multiple sclerosis.

Seven studies totaling 802 patients investigated the primary outcome of change in 100-point vertigo visual analog scale scores at around 2 hours following treatment with an antihistamine or benzodiazepine in this systematic review and meta-analysis of 1,586 participants within 17 trials. Antihistamines improved patients’ conditions more than benzodiazepines did (difference, 16.1), but they weren’t better than other active comparators such ondansetron, droperidol, metoclopramide, and piracetam.

Can you determine the appropriate case management for a 68-year-old man who is evaluated for an episode of syncope and repeated episodes of near-fainting when standing and working on his tractor? On physical examination, vital signs are normal. Supine blood pressure is 124/78 mm Hg, and pulse rate is 76/min. After the patient stands for three minutes, standing blood pressure is 88/68 mm Hg, and pulse rate is 94/min. The remainder of the examination is normal. How would you proceed?