Balance - Vestibular disorders
9 important questions on Balance - Vestibular disorders
What are the suggested pathological mechanisms of vestibular neuronitis?
Vascular occlusion
Immunologic mechanisms
Degenerative
What are symptoms of vestibular neuronitis
Normal hearing and normal neurological exam
Postural instability
Horizontal nystagmus at the contralateral side, suppressed by fixation
What is the treatment of vestibular neuronitis?
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What is the treatment of Meniére's disease?
Antihistamines
Gentamycine ablation
Cranial nerve VIII neurectomy
What are the criteria for vestibular migraine?
- Past medical history of migraine
- >5 vertigo attacks with at least one of these symptoms:
- Migraineous headache (50%of attacks)
- Photophobia
- Phonophobia
- Visual aura
What is the treatment of vestibular migraine?
Propanolol
What is the difference between vestibular neuronitis and labyrinthitis?
What is the management of labyrinthitis
Antiemetics
Antibiotics
Oral fluids
IV fluids for severe dehydration
Surgical excision of cholesteatoma
Incision and drainage
Labyrinthectomy
What are the symptoms of bilateral vestibulopathy?
- Oscillopsia
- Imbalance
- Spatial orientation problems
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