Peripheral Vertigo

Rodney Omron

doi:10.1016/j.emc.2018.09.004

Peripheral Vertigo

Emerg Med Clin North Am. 2019 Feb;37(1):11-28. doi: 10.1016/j.emc.2018.09.004.

Author

Rodney Omron¹

Affiliation

¹ Department of Emergency Medicine, Johns Hopkins Medical School, Johns Hopkins University School of Medicine, 733 North Broadway, Baltimore, MD 21205, USA. Electronic address: [email protected].

PMID: 30454774
DOI: 10.1016/j.emc.2018.09.004

Abstract

This article summarizes the systematic assessment of the dizzy patient who presents with peripheral vertigo. It demonstrates the steps and tests necessary using the Triage-Timing-Trigger-Test (Triage + TiTraTe) method to accurately diagnose the underlying most probable cause while ruling out life-threatening causes. Using video support and just-in-time infographics, it demonstrates the Dix-Hallpike, Semont, Epley, and HINTS maneuvers.

Keywords: Dix-hallpike; Epley; Head impulse test; Hints; Nystagmus; Peripheral vertigo; Test of skew.

Publication types

Review

MeSH terms

Diagnosis, Differential
Emergencies
Humans
Patient Positioning
Vertigo / diagnosis*
Vertigo / etiology
Vertigo / therapy