Dizziness/Vertigo
Benign Paroxysmal Positional Vertigo (BPPV)
SX â vertigo (elicited by specific head movements), dizziness, n/v, nystagmus, ataxia.
Meniere â hearing loss, vertigo, tinnitus.
PE â
CN exam, CN 8 audiology.
Dix-Hallpike maneuver (shows classic rotatory nystagmus, positive for BPPV).
CT Scan of Head - to rule out any abnormal growth.
Next Steps
DX â ⢠CT, MRI (CN 8).
Health Tips
TX â check meds, decrease Sodium (salt) in diet. Meclizine 25-100 mg/day PO divided BID-TID. Diazepam 2-10 mg PO Q4-8 hrs PRN. Anti-emetic: Promethazine 12.5 - 25 mg PO Q4-6 hours. Scopolamine transdermal patch for motion sickness prevention q3 days PRN.