NMBE
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NMBE 6
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Patients with central vertigo should be evaluated for cerebellar stroke or hemorrhage 
○ Next step in management: noncontrast CT of head 
● Epley: otolith repositioning maneuver → treats 
BPPV 
Radiculopathy 
● Multiple nerve roots compressed → radiating pain 
○ Peripheral neuropathy: 1 nerve root affected, 
stocking glove distribution 
● Common cause is herniated disc: annulus fibrosus, 
nucleus pulposus, pain exacerbated by 
coughing/sneezing 
○ Straight leg raise: highly sensi...
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