Vertigo 如何診治？

Managing patients with vertigo can be very challenging. This practical summary of the causes and management of "dizziness" is useful. Three types are described:

1. Episodic becoming chronic-migraine, Meniere's disease (hearing loss, tinnitus, vertigo), benign paroxysmal positional vertigo (BPPV, rotational vertigo lasting a few seconds related to head movements)
2. Single attack but with residual symptoms-vestibular neuritis (a single, disabling attack that lasts a few days)
3. Chronic, slowly progressive-polyneuropathies, idiopathic bilateral vestibular failure

Management includes:

1. Treatment of the specific vestibular condition
2. Symptomatic treatment of vertigo and nausea
3. Physical rehabilitation

Source: Practical Neurology 2010;10:129-139
http://pn.bmj.com/content/10/3/129.full.pdf