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Vestibular DOs
NPTE Neuromuscular
| Question | Answer |
|---|---|
| Characteristics of Vestibular Dos | Dizziness, vertigo, nystagmus, blurred vision (VOR dysfxn), disequilibrium (VSR dysfxn, ataxia, falls), anxiety, fear, depression |
| Acute infection with prolonged attacks of vestibular sx, days-weeks, viral or bacterial infection | Vestibular neuronitis, labyrinthitis |
| Recurrent & progressive vestib dz with episodic attacks for minutes-hours, severe sx, tinnitus, deafness, pressure in ears | Meniere’s Dz |
| Brief attacks of vertigo & nystagmus with certain head positions | BPPV |
| Tumors causing vestibular sx | acoustic neuroma, gliomas, brainstem or cerebellar medulloblastoma |
| Unilateral Vestibular Dos | trauma, vestibular neuronitis, labrynthitis, Meniere’s, BPPV |
| Bilateral Vestibular DO’s | ototoxic drugs, bilateral neuritis or meningitis, vestibular neuropathy, otosclerosis from Paget’s |
| VOR dysfxn | nystagmus, blurred vision with head/body mvmts |
| VSR dysfxn | posture & balance, sitting/standing instability |
| Halpike maneuver | Sitting to supine with head back 30d extension. Nyst/dizzy + for BPPV |
| Repetition of mvmts & positions that cause dizziness & vertigo | Habituation training |
| Recovery better in UL or BL? | UL |