TY - CHAP M1 - Book, Section TI - Dizziness and Vertigo A1 - Kircher, Matthew A1 - Leonetti, John A1 - Marzo, Sam A2 - Salardini, Arash A2 - Biller, José Y1 - 2016 N1 - T2 - The Hospital Neurology Book AB - The approach to the patient with dizziness and/or vertigo requires a careful history. Vertigo, which is the illusion of movement, is highly suggestive of a peripheral vestibular disorder. After a thorough history, the physician should be able to narrow the suspected condition to a peripheral vestibular disorder, central vestibular disorder, or nonvestibular cause. Common peripheral vestibular diseases include benign positional paroxysmal vertigo, vestibular neuronitis, labyrinthitis, superior canal dehiscence and Ménière’s disease. Common central vestibular disorders include vestibular migraine, and posterior circulation (vertebrobasilar) ischemia. Nonvestibular dizziness could be due to medications, cardiac diseases, or psychogenic causes. The physical examination should include otoscopy and cranial nerve testing as well as selected cerebellar testing. Audiometry and videonystagmography are important tests, while MRI and CT may also provide helpful information. Common medications used to treat vertigo include antihistamines and benzodiazepines. Vestibular rehabilitation therapy can be useful in many peripheral and central vestibular disorders. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - neurology.mhmedical.com/content.aspx?aid=1127046014 ER -