JOURNAL ARTICLE

[An oto-neurological approach to the acutely dizzy patient]

Søren Hansen, Mirjana Ninn-Pedersen, Per Cayé-Thomasen
Ugeskrift for Laeger 2011 October 3, 173 (40): 2497-503
21975186
Benign paroxysmal positional vertigo, vestibular neuronitis and Menière's disease cause most cases of acute vertigo. However, doctors must consider central neurological reasons to vertigo. If it is determined that a patient has oto-neurological vertigo, the next task is to determine whether the patient has a peripheral or a central cause of vertigo, if the condition is potentially lethal and if there is a need for acute radiological imaging and/or medical intervention. This review highlights the oto-neurological approach to the dizzy patient with particular focus on the patient's history, clinical tests and treatment.

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