Neurological lectures...Vertigo

Vertigo Professor Yasser Metwally

What could be reffered to as „dizziness” by the patient? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Development of vertigo Afferent Visual Proprioceptive Vestibular CNS Efferent Oculomotor Sceletal muscles Vegetative Dizziness

What should be considered dizziness by medical personnel? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Questions to be asked (taking the history) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Examination of the patient with vertigo ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

In case of vertigo No sponteous nystagmus Sponteous nystagmus Posture and balance control negative Posture and balance control positive Nausea vomiting Sweating, tachycardia Nausea, vomiting, sweating, anxiety GI disorder Chest pain Anxiety „ Harmonic” vestibular sy „ Dysharmonic” vestibular sy Internal medicine Angina, MI Loss of hearing, tinnitus Numbness, double vision, dysarthria Cardiology Psychiatry Vestibular neuronitis, Meniére disease Brainstem infarct Otology Neurology

Differentiating peripheral and central vestibular lesion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Differentiating peripheral and central vestibular lesion

Examination of the patient with vertigo ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Common causes of vertigo ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Duration of vertigo Time Peripheral Central Seconds BPPV VB-TIA, aura of epilepsy Minutes perilymph fistula VB-TIA, aura of migraine (Half) hours Meni é re disease basilar migraine Days vestibular neuronitis labyrinthitis VB stroke Weeks, Month acustic neurinoma, drug toxicity multiple sclerosis cerebellar degenerations

Peripheral types of vertigo ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Left Right HC HC AC AC PC PC + -

BPPV diagnosis: Dix-Hallpike manoeuvre

BPPV: therapy ,[object Object],[object Object],Semont Brandt-Daroff

2. Vestibular neuronitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

2. Vestibular neuronitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

4. Meni è re disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

4. Meni è re disease ,[object Object],[object Object]

5. Perilymphatic fistula ,[object Object],[object Object],[object Object]

Drug toxicity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Other causes of vertigo ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Neurological lectures...Vertigo

Empfohlen

Empfohlen

Weitere ähnliche Inhalte

Was ist angesagt?

Was ist angesagt? (20)

Andere mochten auch

Andere mochten auch (11)

Ähnlich wie Neurological lectures...Vertigo

Ähnlich wie Neurological lectures...Vertigo (20)

Mehr von Professor Yasser Metwally

Mehr von Professor Yasser Metwally (20)

Kürzlich hochgeladen

Kürzlich hochgeladen (20)

Neurological lectures...Vertigo