Ear Conditions: Acute Vertigo

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Clinical Description

An acute syndrome, consisting of vertigo, nystagmus, nausea, vomiting and postural instability.

Clinical Features

SIGNS AND SYMPTOMS

• Sudden onset and intermittent symptoms, vertigo following head movement, vomiting and nystagmus

INVESTIGATIONS

• Positive Dix-Hall pike test
• Need for neuro imaging to find cause and treat appropriately  

Treatment:

Treatment will depend on the cause.

REFERRAL:

• Suspected intracranial mass lesions or cerebellar stroke.
• Suspected vestibular neuritis.
• Patients not responding to therapy for exclusion of alternative etiology.