Vertigo

Features

Features:

• Either a sensation of motion when there is no motion or an exaggerated sense of motion in response to movement.
• Duration of vertigo episodes and association with hearing loss are the keys to diagnosis.
• Must differentiate peripheral from central etiologies of vestibular dysfunction. Peripheral Vertigo: Onset is sudden; often associated with tinnitus and hearing loss;

horizontal nystagmus may be present.

• Central Vertigo: Onset is gradual; no associated auditory symptoms.
• Evaluation includes audiogram and electronystagmography (ENG) or videonystagnnography(VNG) and head MR1.

Management

• Treat the underlying cause.
• Supportive care with a single drug or any combination of the following for a month

1. Tab- Serc (betahistine) 16-24mg 1 tablet PO x TDS.
2. Tab- Stematil (prochlorperazine) 5-10mg, 1 tablet PO x TDS with meals.
3. Tab- Novertigo/ Stugeron cerebrin (cinnarizine) 25-75mg 1 tablet PO x TDS with meals.