Vertigo and Dizziness - neurology presentations

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<strong>Vertigo</strong> of central originCause: lesion of vestibular nucleus other CNS lesion• dysharmonic vestibular syndrome (can be harmonic as well!)• direction of nystagmus can change with gaze direction• nystagmus is not supressed by vizsual fixation• nystagmus can be up- or downbeat or rotatory,or even dissociated• dizzy feeling not severe <strong>and</strong> mostly not rotatory• symptoms not intensified by change of head position• vegetative symptoms less severe• other neurol. symptoms: double vision, dysarthric speech,dysphagia, numbness, paresis, ataxia etc.
• Type of vertigo• Duration• TriggerHistoryrotatory / postural / atypicalseconds / minutes / hours / continuous / recurrentno / walking / head rotation / certain head positions /coughing / pressing / loud sounds / life situations• Accompanying symptomshypacusis / tinnitus / double vision / ataxia / nystagmus/ oscillopsy / brainstem or cerebellar symptoms / headache
Page 1 and 2: Vertigo andDizzinesscauses, diagnos
Page 3 and 4: Development of vertigoVestibular -
Page 5: Symptoms of vertigo ofperipheral or
Page 9 and 10: Special examination tecniques• Ey
Page 11 and 12: Special examination tecniques• La
Page 13 and 14: Most frequent causes (Brandt)• BP
Page 15 and 16: Most frequent central causes• Bra
Page 17 and 18: General therapySymptomatic, during
Page 19 and 20: Vertigo syndromes ofperipheral caus
Page 21 and 22: BPPV therapy• Drugs not help!!!
Page 23 and 24: PPV phobic postural vertigo• Pers
Page 25 and 26: Menière disease• Tipical attack:
Page 27 and 28: Bilateral vestibulopathy• Aetiolo
Page 29 and 30: • Aetiology:Vestibular paroxysmia
Page 31 and 32: Perilymphatic fistula• Attacks la
Page 33 and 34: Perilymphatic fistula• Conservati
Page 35 and 36: Basilar / vestibular migraine• Re
Page 37 and 38: Brainstem ischemiaPICA areaWallenbe

Vertigo and Dizziness - neurology presentations

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