Vertigo and dizziness in the emergency department.
Understanding three peripheral vestibular disorders--vestibular neuritis, benign paroxysmal positional vertigo, and Meniere's disease--is the key to the evaluation and management of vertigo and dizziness presentations in the emergency department. Each of these benign disorders is a common cause of a broad category of dizziness presentation. In addition, each of these disorders has characteristic features that allow for a bedside diagnosis. An effective strategy for "ruling-out" a serious disorder, such as stroke, is "ruling-in" a peripheral vestibular disorder. In this article a focus is on the key features of these disorders.
Kerber
Kevin A
KA
Department of Neurology, University of Michigan Health System, Ann Arbor, MI 48109-0316, USA. kakerber@med.umich.edu
D004244:Dizziness / Q000209:etiology* / Q000628:therapy; D004636:Emergency Service, Hospital; D006801:Humans; D008575:Meniere Disease / Q000175:diagnosis*; D009460:Neurologic Examination; D009759:Nystagmus, Pathologic; D014717:Vertigo / Q000175:diagnosis*; D020338:Vestibular Neuronitis / Q000175:diagnosis*