Journal of Korean Society of Geriatric Neurosurgery 2010;6(1):4-13.
Published online June 30, 2010.
Diagnosis and Management of Vertigo
Seok-Mann Yoon1 , Soo-Bin Im2
Department of Neurosurgery, Soonchunhyang University School of Medicine, 1Cheonan Hospital, 2Bucheon Hospital, Korea
현훈의 진단과 치료
윤석만1ㆍ임수빈2
순천향대학교 의과대학 천안병원1, 부천병원2 신경외과학교실
Abstract
Dizziness is one of the most frequent complaints in geriatric patients. And the vertigo is a type of dizziness, where there is a feeling of rotational motion when one is stationary, caused by imbalance of vestibular tone on ether side. Clinical history and physical examination including positional tests are important to diagnose different types of vertigo. Duration of vertigo is very short in benign paroxysmal positional vertigo (BPPV), whereas it persists several days in Meniere’s disease or vertiginous migraine. BPPV usually improves with a canalith repositioning procedure. Vertiginous migraine responds with migraine treatment. Meniere’s disease can be treated with diuretics and low salt diet. Extensive diagnostic testing is not necessary in most cases with peripheral vertigo.
Key Words: DizzinessㆍVertigoㆍBenign paroxysmal positional vertigoㆍCanalith repositioning procedure


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