Vertigo

Front 1

What percentage of vertigo is peripheral?

Back 1

Vertigo is peripheral in ninety-three percent of primary care patients

Front 2

What are the most common causes of peripheral vertigo?

Back 2

Peripheral -
Benign paroxysmal positional vertigo, acute vestibular neuronitis, and Ménière’s disease

Front 3

Nystagmus that does not lessen when the patient focuses.

Back 3

Central vertigo

Front 4

Has a more sudden onset. Rotatory illusions. Nausea or vomiting accompanies the vertigo. Central or peripheral vertigo?

Back 4

Peripheral vertigo

Front 5

Dix Hallpike maneuver produces horizontal and rotational nystagmus that typically wanes with repeated maneuvers or when the
patient focuses the gaze. Nystagmus is triggered
by some provoking factor. Central or peripheral vertigo?

Back 5

Peripheral vertigo

Front 6

Nystagmus is purely horizontal, vertical,
or rotational, does not lessen when the
patient focuses the gaze. persists for a longer period. Central or peripheral vertigo?

Back 6

Central vertigo

Front 7

Dix Hallpike maneuver
provokes purely vertical (usually downbeat) or
torsional nystagmus without a latent period of at least a few seconds, and does not wane
with repeated maneuvers. Central or peripheral vertigo?

Back 7

Central vertigo

Front 8

Acute vestibular neuronitis - how does the vertigo present over days?

Back 8

vertigo initial symptoms typically are
severe but lessen over the next few days.

Front 9

Ménière’s disease vertigo - how does the vertigo present over days?

Back 9

Attacks of vertigo initially
increase in severity, then lessen in severity
later on.

Front 10

BPPV vertigo characteristics

Back 10

symptoms occur only with positional changes, such as turning over in bed, bending over at the waist and
then straightening up, or hyperextending the neck

Front 11

Benign positional paroxysmal
vertigo - definition and cause

Back 11

Transient episodes of vertigo caused by stimulation of vestibular sense organs by canalith; affects middle-age and older patients;
affects twice as many women as men

Front 12

Ménière’s disease (endolymphatic hydrops) - definition and cause

Back 12

Recurrent episodes of vertigo, hearing loss, tinnitus, or aural
fullness caused by increased volume of endolymph in the
semicircular canals

Front 13

Weakness, dysarthria, vision or hearing changes, paresthesia, altered level of consciousness,
ataxia, or other changes in sensory and motor function. Central or peripheral vertigo?

Back 13

Central vertigo?

Front 14

Vertical nystagmus is 80 percent
sensitive for what causes of vertigo.

Back 14

Vestibular nuclear or cerebellar
vermis lesions.

Front 15

Spontaneous horizontal nystagmus with or without rotatory nystagmus
is consistent with?

Back 15

Acute vestibular neuronitis.

Front 16

Patients have more severe instability and often cannot walk or even stand without falling. Central or peripheral vertigo?

Back 16

Central vertigo

Front 17

How useful is the Dix-Hallpike maneuverin diagnosing BPPV?

Back 17

The positive predictive value of 83 percent and a negative predictive value of 52 percent for the
diagnosis of BPPV.