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[An oto-neurological approach to the acutely dizzy patient]
Søren Hansen1, Mirjana Ninn-Pedersen, Per Cayé-Thomasen
1Øre-, Næse- og Halskirurgisk Afdeling, Gentofte Hospital, Denmark. sorenhansen@gmail.com
Abstract:
Benign paroxysmal positional vertigo, vestibular neuronitis and Menière's disease cause most cases of acute vertigo. However, doctors must consider central neurological reasons to vertigo. If it is determined that a patient has oto-neurological vertigo, the next task is to determine whether the patient has a peripheral or a central cause of vertigo, if the condition is potentially lethal and if there is a need for acute radiological imaging and/or medical intervention. This review highlights the oto-neurological approach to the dizzy patient with particular focus on the patient's history, clinical tests and treatment.
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