Vertigo

• Assess patients with vertigo for focal neurologic signs and symptoms, sustained substantial headache or neck pain, inability to stand and spontaneous vertical nystagmus.

• Perform the Dix–Hallpike test only for patients with episodes of vertigo less than 2 minutes and no nystagmus at rest.

• Perform the head impulse, nystagmus and test of skew (HINTS) plus (plus refers to a test of recent hearing loss) examination only for patients with hours or days of constant, ongoing vertigo and nystagmus at rest.

Author/s:

Johns, Peter, Quinn, James

HYPERVENTILATION SYNDROME: WHY IS IT REGULARLY OVERLOOKED?

Brian Desmarais — Tue, 11 Aug 2020 16:44:08 +0000

Date Added:

August 11, 2020

Journal/Publication:

The American Journal of Medicine

Publication Date:

August 9, 2020

URL:

HYPERVENTILATION SYNDROME: WHY IS IT REGULARLY OVERLOOKED?

Type:

Meta-analyses, Reviews, and Guidelines

Format:

Article

DOI (1):

https://doi.org/10.1016/j.amjmed.2020.07.006

MeSH

A short, case-based review of the diagnosis and management of hyperventilation syndrome, an extremely common cause of nonspecific “dizziness.” James W. Mold, MD, MPH

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Not available.

Clinical Practice Guideline: Ménière's Disease Executive Summary

John Bayhi — Mon, 18 May 2020 22:07:40 +0000

Date Added:

May 18, 2020

Journal/Publication:

Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery

Publisher:

Sage Publishing

Publication Date:

April 1, 2020

Issue:

Volume:

162

Pages:

415-434

URL:

Clinical Practice Guideline: Ménière's Disease Executive Summary

Type:

Meta-analyses, Reviews, and Guidelines

Format:

Article

DOI (1):

10.1177/0194599820909439

Keywords

Meniett device

electrocochleography

endolymphatic hydrops

endolymphatic sac decompression

fluctuating aural symptoms

gentamicin

labyrinthectomy

sensorineural hearing loss

sodium-restricted diet

vestibular testing

PMID (1):

32267820

MeSH

A 2020 guideline for diagnosis and management of Meniere’s Disease from the American Academy of Otorhinolaryngology. James W. Mold, MD, MPH

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OBJECTIVE:

Ménière's disease (MD) is a clinical condition defined by spontaneous vertigo attacks (each lasting 20 minutes to 12 hours) with documented low- to midfrequency sensorineural hearing loss in the affected ear before, during, or after one of the episodes of vertigo. It also presents with fluctuating aural symptoms (hearing loss, tinnitus, or ear fullness) in the affected ear. The underlying etiology of MD is not completely clear, yet it has been associated with inner ear fluid volume increases, culminating in episodic ear symptoms (vertigo, fluctuating hearing loss, tinnitus, and aural fullness). Physical examination findings are often unremarkable, and audiometric testing may or may not show low- to midfrequency sensorineural hearing loss. Imaging, if performed, is also typically normal. The goals of MD treatment are to prevent or reduce vertigo severity and frequency; relieve or prevent hearing loss, tinnitus, and aural fullness; and improve quality of life. Treatment approaches to MD are many, and approaches typically include modifications of lifestyle factors (eg, diet) and medical, surgical, or a combination of therapies.

PURPOSE:

The primary purpose of this clinical practice guideline is to improve the quality of the diagnostic workup and treatment outcomes of MD. To achieve this purpose, the goals of this guideline are to use the best available published scientific and/or clinical evidence to enhance diagnostic accuracy and appropriate therapeutic interventions (medical and surgical) while reducing unindicated diagnostic testing and/or imaging.

Author/s:

Basura, GJ, Adams, ME, Monfared, A, Schwartz, SR, Antonelli, PJ, Burkard, R, Bush, ML, Bykowski, J, Colandrea, M, Derebery, J, Kelly, EA, Kerber, KA, Koopman, CF, Kuch, AA, Marcolini, E, McKinnon, BJ, Ruckenstein, MJ, Valenzuela, CV, Vosooney,A, Walsh, SA, Nnacheta, LC, Dhepyasuwan, N, Buchanan, EM

Clinical diagnosis of benign paroxysmal positional vertigo and vestibular neuritis

John Bayhi — Mon, 24 Feb 2020 20:37:12 +0000

Date Added:

February 24, 2020

Journal/Publication:

Canadian Medical Association Journal

Publisher:

Joule Inc

Publication Date:

February 24, 2020

Issue:

Volume:

192

Pages:

E182-E186

Type:

Meta-analyses, Reviews, and Guidelines

Format:

Article

DOI (1):

10.1503/cmaj.190334

Keywords

vertigo

benign paroxysmal positional vertigo

MeSH

Benign Paroxysmal Positional Vertigo

A nice review of how to differentiate clinically between benign paroxysmal positional vertigo, vestibular neuritis, and central causes of vertigo.

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KEY POINTS

• Assess patients with vertigo for focal neurologic signs and symptoms, sustained substantial headache or neck pain, inability to stand and spontaneous vertical nystagmus.

• Perform the Dix–Hallpike test only for patients with episodes of vertigo less than 2 minutes and no nystagmus at rest.

Author/s:

Johns, P, Quinn, J