The Clinical Problem Solvers

Episode 160: Neurology VMR: Hiccups + vertigo

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Feb 16, 2021
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INSIGHT

Clarifying Types of Vertigo

  • Vertigo is best categorized into central versus peripheral causes for clinical clarity.
  • Differentiating types of dizziness (true vertigo, lightheadedness, imbalance, psychogenic) aids diagnosis.
ADVICE

Use Timing and Triggers in Vertigo

  • Use timing and triggers to classify vertigo as acute or chronic, continuous or episodic.
  • This approach narrows differential diagnosis and guides urgent management, especially distinguishing stroke from benign causes.
ADVICE

Morning Headache Indicates ICP

  • Ask about headache timing and characteristics, especially morning headaches.
  • Morning headaches with nausea can indicate increased intracranial pressure, a neurological red flag.
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