Epistemis

Vertigo

Specialty: Neurology.

  • peripheral vertigo
  • central vertigo
  • spin sensation

Why it occurs

  • BPPV (benign positional)
  • Vestibular neuritis
  • Ménière's disease
  • Central vertigo (posterior fossa stroke)

Initial workup

Distinguish peripheral/central; Dix-Hallpike and nystagmus scan; neuroimaging if there are central signs.

red flags

Vertigo + headache, diplopia, dysarthria or ataxia → suspected central cause.

Standard management

  • Sulpiride / betahistine — vestibular sedatives, in the acute phase
  • Epley maneuver — repositioning in the BPPV

Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.

PreviousMotor tics
Area
Neurology
Listed causes
4
Treatment options
2
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