Vertigo neurologic

1,413 views
1,184 views

Published on

Published in: Health & Medicine
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
1,413
On SlideShare
0
From Embeds
0
Number of Embeds
9
Actions
Shares
0
Downloads
71
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

Vertigo neurologic

  1. 1. VERTIGO A CLINICAL APPROACH
  2. 2. What is Vertigo ? <ul><li>Impaired spatial orientation </li></ul><ul><ul><li>Vertigo Sbjective/Objective </li></ul></ul><ul><ul><li>Giddiness, dizziness, positional isecurity </li></ul></ul><ul><li>Oculomotor : Oscillopsia </li></ul><ul><li>Motor abnormality: unsteadiness, fall </li></ul><ul><li>Autonaumic dysfunction: nausea vomiting, sweating, palpitation </li></ul>
  3. 3. What are the types of Vertigo? <ul><li>Peripheral </li></ul><ul><ul><ul><li>Cervical </li></ul></ul></ul><ul><ul><ul><li>Auditary </li></ul></ul></ul><ul><ul><ul><li>Ocular </li></ul></ul></ul><ul><li>Central </li></ul><ul><ul><ul><li>Brainstem </li></ul></ul></ul><ul><ul><ul><li>Cortical </li></ul></ul></ul><ul><ul><ul><li>Psychogenic </li></ul></ul></ul>
  4. 4. How to Investigate Vertigo? <ul><li>History </li></ul><ul><ul><li>Onset </li></ul></ul><ul><ul><li>Character </li></ul></ul><ul><ul><li>Severity </li></ul></ul><ul><ul><li>Duration </li></ul></ul><ul><ul><li>Relation to psoture and head position </li></ul></ul><ul><ul><li>Association </li></ul></ul><ul><ul><ul><li>tinitus, deafness </li></ul></ul></ul><ul><ul><ul><li>sweating, nausea vomiting, </li></ul></ul></ul><ul><ul><ul><li>neurological and psychological signs </li></ul></ul></ul>
  5. 5. Investigaion Vertigo Cont. <ul><li>General Examination </li></ul><ul><ul><li>Pulse, BP, pallor </li></ul></ul><ul><li>Otological Examintation </li></ul><ul><ul><li>External and Ineternal ear </li></ul></ul><ul><ul><li>Hearing </li></ul></ul><ul><ul><li>Vestibular : Head thurst, Dix Hllpike man. </li></ul></ul><ul><li>Neurologic Examination </li></ul><ul><ul><li>Cranial nerve , Cerebellar, sensory, motor </li></ul></ul><ul><li>Psychologic evaluation </li></ul>
  6. 6. Vertigo Investigation cont. <ul><li>Otologic </li></ul><ul><ul><li>Audiometry </li></ul></ul><ul><ul><li>Electornystagmography </li></ul></ul><ul><ul><li>Brain stem evoked potential </li></ul></ul><ul><li>Neurologic </li></ul><ul><ul><li>CT scan, MRI </li></ul></ul><ul><ul><li>EEG </li></ul></ul><ul><ul><li>Angiogram </li></ul></ul><ul><ul><li>CSF </li></ul></ul>
  7. 7. Types of Vertigo
  8. 8. Types of Vertigo cont.
  9. 9. Neurogenic Vertigo <ul><li>Brainstem </li></ul><ul><ul><li>Vascular </li></ul></ul><ul><ul><ul><li>Vertebrobasilar Insufficiency </li></ul></ul></ul><ul><ul><ul><li>Wallenberg’s syndrome </li></ul></ul></ul><ul><ul><ul><li>Cerebellar infarction </li></ul></ul></ul><ul><ul><ul><li>Cerebellar hemorrhage </li></ul></ul></ul>
  10. 10. Neurogenic Vertigo cont. <ul><li>Brainstem </li></ul><ul><ul><li>Brain stem encephalitis </li></ul></ul><ul><ul><li>Multiple sclerosis </li></ul></ul><ul><ul><li>Developmental </li></ul></ul><ul><ul><li>Tumors : Intrinsic, Extrinsic </li></ul></ul><ul><ul><li>Degenerative </li></ul></ul><ul><ul><li>Migraine </li></ul></ul>
  11. 11. Neurogenic Vertigo cont <ul><li>Supratentorial </li></ul><ul><ul><li>Epilepsy </li></ul></ul><ul><ul><li>Trauma </li></ul></ul><ul><ul><li>Cerebral tumor </li></ul></ul><ul><li>Psychogenic </li></ul>
  12. 12. Thank you

×