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The Curbsiders Internal Medicine Podcast

#49: Vertigo and Dizziness: How to Treat, Who to Send Home and Who Might Have a Stroke

Jul 24, 2017
Joining the discussion are Dr. David Newman-Toker, an esteemed international expert in neurology, ophthalmology, and otolaryngology, and Dr. Cyrus Askin, a recognized contributor to the medical field. They unravel the complexities of diagnosing dizziness and vertigo, exploring critical tests like the Dix-Hallpike and HINTS exam. The conversation highlights how to distinguish strokes from other causes of dizziness and the roles of medical therapy and vestibular rehab. Listeners will gain practical insights for improving patient assessments and treatment strategies.
01:22:39

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Quick takeaways

  • Differentiating dizziness types, such as episodic and acute vestibular syndrome, is crucial for accurate diagnosis and treatment.
  • The HINTS examination is a vital tool in the emergency setting, providing more accuracy than early MRI scans to detect stroke.

Deep dives

Understanding Dizziness and Its Classifications

Dizziness is a complex symptom that can arise from various underlying conditions. It is critical to categorize dizziness into specific types such as episodic, acute vestibular syndrome, and chronic vestibular syndrome based on the duration and triggers of symptoms. Episodic dizziness typically presents as brief episodes triggered by specific head movements, while acute vestibular syndrome is characterized by persistent symptoms lasting more than 24 hours. Chronic vestibular syndrome involves continuous symptoms that may have fluctuating intensity over a longer duration, and understanding these distinctions aids in accurate diagnosis and treatment.

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