Vertigo

Question 1

benign paroxysmal positional vertigo

• presentation
• investigation
• treatment

Answer 1

acute and position provoked

hallpike - nystagmus

Question 2

Labrynthitis

• presentation
• investigation
• treatment

Answer 2

Inner ear affected by virus
acute vertigo, tinnitus and hearing loss
wait - vestibular suppressants, anti-emetics, teat if bacterial

Question 3

Acoustic neuroma

• presentation
• investigation
• treatment

Answer 3

Tumour on the vestibular nerve - benign (destroys nerves)

• progressive symptoms - vertigo and tinnitus, facial/trigeminal dysfunction
• MRI
• removal

Question 4

Meniere’s disease

• presentation
• investigation
• treatment

Answer 4

Idiopathic, inner ear membrane rupture

• progressive tinnitus, hearing loss - fullness of ear
• periods of better but gets worse generally
• hearing tests
• conservative management

Question 5

Ramsay hunt

• presentation
• investigation
• treatment

Answer 5

reactivation of chicken pox in older people - vestibular nerve

• acute, vesicles along the canal + vertigo, tinnitus, hearing loss
• clinical
• corticosteroids and acyclovir

Question 6

What is the classic history of benign paroxysmal positional vertigo?

Answer 6

in bed, wakes up, turns head and everything spins