Dizziness in the Elderly-MARTIN SAMUELS.pdf - CCEHS

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Ill-Defined Lightheadedness• The core problem is anxiety• Dizziness is meant metaphorically• Depression may be a component• Panic disorders• Agorophobia• Treatment may include psychotherapy,anxiolytics, antidepressants and cognitivebehavioral therapyMartin A. Samuels
Drug Treatment of Vertigo• Most or all drugs work as centrally acting anticholinergicsubstances– Diphenhydramine 25-100mg daily– Diphenhydrinate 25-100mg daily– Meclizine 25-100mg daily– Promethazine 25-100 daily– Atropine patch• Benzodiazepines are weak anti-vertigo drugs, andare mainly useful for associated anxiety• Sympathomimetics improve anticholinergicefficacy and reduce soporific side effects– Modafanil 200mg daily– Methylphenidate 15-60mg dailyMartin A. Samuels
Page 1 and 2: The Brigham Department of Neurology
Page 3 and 4: History in the Dizzy Person• Take
Page 5 and 6: Epidemiology of Dizziness:More dizz
Page 7 and 8: Examination of the Dizzy Person•
Page 9 and 10: VIII Nerve Anatomy & Physiology•
Page 11 and 12: Martin A. Samuels
Page 15 and 16: CanalolithiasisMartin A. Samuels
Page 21 and 22: Repositioning Maneuvers forBPPVAll
Page 29 and 30: Brandt-Daroff ExercisesMartin A. Sa
Page 31 and 32: Perilymphatic Fistula• Rare cause
Page 33 and 34: Labrynthitis, Vestibular Neuritisan
Page 35 and 36: Traumatic Vertigo• Usually major
Page 37 and 38: Vestibulo-cochlear tumors• Usuall
Page 39 and 40: Migrainous Vertigo• Probably quit
Page 41: Dysequilibrium (Gait Disorder)• E
Page 45: The Brigham Department of Neurology

Dizziness in the Elderly-MARTIN SAMUELS.pdf - CCEHS

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