Persistent vertigo and dizziness after mild traumatic brain injury

Annals of the New York Academy of Sciences
Terry D Fife, Deepak Kalra

Abstract

Vertigo, dizziness, and disequilibrium are common symptoms following concussion or mild traumatic brain injury (mTBI). Dizziness and vertigo may be the result of trauma to the peripheral vestibular system or the central nervous system, or, in some cases, may be due to anxiety, depression, or posttraumatic stress disorder; these mechanisms are not mutually exclusive. While most peripheral vestibular disorders can be identified by testing and examination, those without inner-ear causes that have persisting complaints of dizziness and motion sickness are more difficult to understand and to manage. Some of these patients exhibit features compatible with vestibular migraine and may be treated successfully with migraine-preventative medications. This paper reviews the nonotogenic causes of persisting dizziness, the possible mechanisms, and the pathophysiology, as a framework for patient management and for future research.

References

Apr 1, 1994·Journal of Neurotrauma·C W ChristmanJ T Povlishock
Nov 1, 1996·Cephalalgia : an International Journal of Headache·D C Haas
Oct 13, 2000·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·S Margulies
Nov 13, 2001·Journal of Neurosurgery·H L LaurerT K McIntosh
Jul 12, 2003·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Michael W CollinsJoseph Maroon
Oct 2, 2003·The Laryngoscope·Jeffrey P Staab, Michael J Ruckenstein
Mar 17, 2004·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Michael E HofferDerin Wester
Sep 30, 2004·The Laryngoscope·Sam J MarzoPeter Letarte
Sep 24, 2005·The Journal of Neuropsychiatry and Clinical Neurosciences·Corwin BoakePedro J Diaz-Marchan
Apr 15, 2006·Journal of Neurology, Neurosurgery, and Psychiatry·C BestM Dieterich
Aug 12, 2006·Current Treatment Options in Neurology·Barry Willer, John J Leddy
Feb 21, 2007·Archives of Otolaryngology--head & Neck Surgery·Jeffrey P Staab, Michael J Ruckenstein
Aug 19, 2008·Neuroscience Letters·Neil P McAngus ToddJames G Colebatch
Jan 13, 2009·Otolaryngologic Clinics of North America·Michael J Ruckenstein, Jeffrey P Staab
Feb 10, 2009·Scandinavian Journal of Clinical and Laboratory Investigation·Johan Undén, Bertil Romner
Mar 3, 2009·Journal of Neurology·Majid FotuhiTzipora Sofare
Jun 2, 2009·Brain Injury : [BI]·Solrun SigurdardottirAnne-Kristine Schanke
Oct 28, 2009·The Journal of Head Trauma Rehabilitation·Rochelle Whelan-GoodinsonFiona Grant
Dec 17, 2009·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Michael E HofferJoseph R Penta
Jan 20, 2010·Acta Oto-laryngologica·Uwe SchönfeldAndrew H Clarke
Jul 16, 2010·The Journal of Head Trauma Rehabilitation·Rael T LangeAlice Rose
Nov 27, 2010·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Chadwick J DonaldsonKim R Gottshall
Jan 5, 2011·Brain : a Journal of Neurology·Kirsi Maria KinnunenDavid James Sharp
Feb 25, 2011·Current Opinion in Psychiatry·George P Prigatano, Shawn D Gale
May 12, 2011·NeuroRehabilitation·Ronald M Ruff
May 18, 2011·Neuropsychology·Susanne MearesJeno E Marosszeky
Jun 7, 2011·Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists·Konstantine K Zakzanis, Emily Yeung
Jun 23, 2011·Therapeutic Advances in Neurological Disorders·Alexandre R Bisdorff
Aug 16, 2011·Clinical Neurology and Neurosurgery·Maryam FourtassiAbdeslam El Khamlichi
Sep 21, 2011·Journal of Neuroscience Methods·Michael J KaneDonald M Kuhn
Nov 1, 2011·The Journal of Laryngology and Otology·M B NaguibA Abo-Setta
Jan 31, 2012·Experimental Neurology·Victoria E JohnsonDouglas H Smith
Feb 22, 2012·Journal of Vestibular Research : Equilibrium & Orientation·Carey D Balaban
Apr 4, 2012·Neuropsychology·Jennie PonsfordMichael Schönberger
May 25, 2012·The Journal of Pediatrics·Rosemarie Scolaro MoserPhilip Schatz

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Citations

Jun 5, 2018·The Journal of Head Trauma Rehabilitation·Hilary BertischUNKNOWN Transforming Research and Clinical Knowledge in TBI (TRACK-TBI) Investigators
Aug 26, 2020·Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists·Huan-Hsuan HsuChi-Cheng Yang
Dec 10, 2019·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Mari Kalland KnapstadFrederik Kragerud Goplen
Sep 18, 2020·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Michelle A BabiczKenneth Podell

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