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Flashcards in Vestibular Disorders Deck (49)
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1
Q

BPPV timeframe

A

Seconds

2
Q

BPPV associated s/s

A

Posturally evoked

3
Q

Vestibular Migraine timeframe

A

minutes to hours to days

4
Q

Vestibular Migraine hearing loss

A

Rare

5
Q

Vestibular Migraine : associated s/s

A

Photophobia
Aura
Headache

6
Q

Meniere’s : timeframe

A

Minutes to hours

7
Q

Meniere’s : hearing loss

A

Low frequency
Fluctuating, progressive
Usually unilateral

8
Q

Meniere’s : associated s/s

A

aural fullness

Tinnitus

9
Q

Labrynthitis : timeframe

A

Days

10
Q

Labrynthitis : hearing loss

A

Possible (effusion)

11
Q

Labrynthitis : associated s/s

A

URI prodrome

12
Q

Acoustic neuroma : timeframe

A

Days to longer

13
Q

Acoustic Neuroma : hearing loss

A

Asymmetric

14
Q

Acoustic Neuroma : associated s/s

A

Headache

Variable disequilibrium

15
Q

Superior Semi-circular canal Dehiscence Syndrome : timeframe

A

Intermittent - after noise/air pressure changes

16
Q

Superior Semi-circular Canal Dehiscence Syndrome (SCCD) : hearing loss

A

Supra-normal hearing

17
Q

Superior Semi-circular Canal Dehiscence Syndrome (SCCD): associated s/s

A

From head injury

18
Q

Perilymphatic fistula : timeframe

A

Seconds to minutes

19
Q

Perilymphatic fistula : hearing loss

A

Possible

20
Q

BPPV : hearing loss

A

NO

21
Q

Perilymphatic Fistula : associated s/s

A

Worse w/ Valsalva or ME fluid

22
Q

Vestibular neuronitis : timeframe

A

Sudden, days to weeks

23
Q

Vestibular Neuronitis : associated s/s

A

Slow, sometimes incomplete improvement

24
Q

Proper vestibular history

A
Onset
Duration
Triggers
Associated complaints
Hearing changes
25
Q

Peripheral vertigo

A
Inner ear
Sudden onset
Horizontal nystagmus
N/V
Fixation to suppression
26
Q

Central vertigo

A

Slow onset
Vertical nystagmus
No suppression w/ fixation

27
Q

Caloric testing

A

Cows

28
Q

Electrocochleography to dx

A

Fluid pressure of inner ear

Meniere’s , endolymphatic hyrops

29
Q

Auditory brainstem response dx

A

Brainstem function

Acoustic neuroma

30
Q

Vertigo Tx

A
ANTIHISTIMINE
DOPE - BLOCKER (metoclopramide)
ANTICHOLINERGIC
BENZO
Meclinzine, scopolamine
Steroids
Salt/caffeine restrict
Vestibular rehab
Intratympanic steroid/endolymphatic shunt
31
Q

Vertigo #1 cause

A

BPPV - Peripheral
Head position, one direction
Resolves in seconds
Intact hearing

32
Q

Where do most crystals come from

A

Otoconia from utricle to

Posterior semicircular canal

33
Q

BPPV : Dx

Peripheral

A

Dix hallpike

Nystagmus towards affected side

34
Q

BPPV : Tx

Peripheral

A

Eply maneuver

35
Q

Meniere’s disease : s/s

Peripheral

A

TINNITUS, VERTIGO, HEARING LOSS
Prolonged vertigo
Fluctuating H.L - low freq tilt
Early stage fullness

36
Q

Meniere’s : Tx

Peripheral

A

Salt/caffeine restrict
Benzo (acute)
Diuretics - triamterene, HCTZ
Oral steroid (acute), intratympanic

37
Q

2nd most common vertigo cause

A

Vestibular migraine

Peripheral

38
Q

Migraine correlates w/

A

Dizziness

39
Q

Migraine / Meniere’s link

A

Vasospasm of internal auditory artery –> ischemia in labyrinth
Hearing loss, ELH

40
Q

Vestibular Neuritis/Labrynthitis: presentation

Peripheral

A
Sudden violent (continuous) vertigo
N/V
Hours to days
\+/- hearing loss
Usually preceded by viral URI
Nystagmus - away, rotary
41
Q

Vestibular Neuritis / Labrynthitis : Tx

Peripheral

A

STEROIDS
ANTIHISTIMINES (meclizine)
Benzos
Some - vestibular rehab

42
Q

Perilymphatic Fistula : where

Peripheral

A

Windows in middle/inner ear

Perilymph fluid leaks in middle ear

43
Q

Perilymphatic Fistula : s/s

Peripheral

A
Dizziness
Tinnitus
Hearing loss
HEAD TRAUMA
WORSE W/ ACTIVITY/PRESSURE/ALTITUDE
44
Q

Perilymphatic fistula :
tx

Peripheral

A

Self-heal

Surgery

45
Q

Acoustic Neuroma : present

Central

A

UNILATERAL SENSORINEURAL LOSS

Tinnitus/dizziness

46
Q

Acoustic Neuroma: Dx

Central

A

MRI = Dx

Romberg/Tandem Romberg towards affected side

47
Q

Acoustic Neuroma : Tx

Central

A

Surgery

Stereotactic radiation

48
Q

Other central vertigo causes

A
Lyme
Demyelinating disease
CVA (basilar, cerebellar)
Psychogenic
CNS infxn/tumor
Drugs
49
Q

Meniere’s

types

A
Classical
Cochlear (no dizzy)
Vestibular (no hearing loss)
Bilat (inner ear autoimmune)
Subclin Endolympatichydrops
Post trauma *years later