Author: Andrew Appelboam / Editor: Michael Stewart / Reviewer: Michael Stewart, Pragya Mallick / Code: A5, O9 / Published: 08/09/2022
Vertigo is a false perception, experienced by the patient, of rotation or movement of the external world (objective vertigo) or of the individual in space (subjective vertigo).
By the end of this session you will be able to:
- Identify the most likely diagnoses in patients presenting with vertigo
- Explain the difference between peripheral and central causes of vertigo
- Describe the evidence-based diagnostic and therapeutic manoeuvres which can be used in the emergency department management of patients with vertigo
- Identify appropriate investigations and follow-up options for patients with vertigo
References
- Hanley K, O’Dowd T, Considine N. A systematic review of vertigo in primary care. Br J Gen Pract. 2001 Aug;51(469):666-71.
- Searls DE, Pazdera L, et al. Symptoms and signs of posterior circulation ischemia in the new England medical center posterior circulation registry. Arch Neurol. 2012;69:34651.
- Akhtar N, Kamran SI, et al. Ischaemic posterior circulation stroke in State of Qatar. Eur J Neurol. 2009;16:10049.
- Kattah JC, Talkad AV, et al. HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. Stroke. 2009 Nov;40(11):3504-10.
- Blausen.com staff. “Medical gallery of Blausen Medical 2014“, 2014. WikiJournal of Medicine 1 (2).
- Johns P. The HINTS exam. Department of Emergency Medicine University of Ottawa. YouTube, 2017.
