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Vertigo - 🧠 ANSWER ✔✔Peripheral:
- BPV, labrynthtis, and meniere's disease
- Nystagmus improves w/ fixation
- Hearing loss and tinnitus are common
Central:
- Stroke, migraine, MS
- Nystagmus does NOT improve w/ fixation
- Ataxia and/or neurological deficits
, BPV: sudden change, *lasts seconds*, self-resolves
Labrynthitis: post-viral inflammatory disorder that *lasts a couple of days*
Meniere's disease: *lasts minutes to hours*
Treat peripheral w/ vestibular suppressants (meclizine (antivert))
Treat central by treating underlying cause
Migraine HAs - 🧠 ANSWER ✔✔- Unilateral, pulsating discomfort
- Lasts 4-72 hrs
- Photophobia, N/V, and aura
- Treat w/ NSAIDs or triptans
- If frequent, treat w/ BBs, TCAs, CCBs, or botox injections
Tension HAs - 🧠 ANSWER ✔✔- Bilateral, band-like, squeezing discomfort
- MC form of HA
- Treat w/ NSAIDs and acetaminophen