PMID: 9537964May 13, 1998Paper

Dizziness: neurological emergencies

Neurologic Clinics
R W Baloh

Abstract

A patient's medical history provides the key information for deciding on the type of dizziness and its likely cause. First, one must separate vestibular from non-vestibular causes of dizziness to determine the focus of the diagnostic work-up. Of the common causes of vertigo, benign positional vertigo can be reliably diagnosed and cured at the bedside. One of the few instances where neuroimaging is required on an emergent basis is for a patient presenting with acute vertigo and profound imbalance likely to be a cerebellar hemorrhage or infarct. Antivertiginous and anti-emetic drugs can provide relief of acute vertigo and nausea, but medications should be rapidly tapered to allow compensation to occur.

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Citations

Dec 5, 2008·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Neil BhattacharyyaUNKNOWN American Academy of Otolaryngology-Head and Neck Surgery Foundation
May 16, 2002·Surgical Neurology·Sachin PhansalkarMoises Gaviria
May 18, 2011·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Alexander A TarnutzerDavid E Newman-Toker
Sep 15, 2012·Emergency Medicine Clinics of North America·Jeffrey I Schneider, Jonathan S Olshaker
Nov 3, 2007·Mayo Clinic Proceedings·Victoria A StantonDavid E Newman-Toker
Mar 2, 2017·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Neil BhattacharyyaMaureen D Corrigan
Apr 19, 2008·Acta Oto-laryngologica·David E Newman-TokerRichard E Rothman

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