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A case of persistent dizziness after travel
Michael P Halasy1, Christopher R Thibault
1Michael P. Halasy is an instructor in emergency medicine at the Spine Center in the College of Medicine at the Mayo Clinic in Rochester, Minn. Christopher R. Thibault is a physical therapist at Orlando (Fla.) Regional Medical Center. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Sudden vertigo after flying may signal mal de debarquement syndrome, a rare vestibular disorder. This case highlights the need to consider uncommon causes of vertigo in emergency settings.
Area of Science:
- Neurology
- Otolaryngology
Background:
- Vertigo is a frequent emergency department (ED) complaint.
- Diagnosing vertigo requires considering both common and uncommon etiologies.
Observation:
- A patient presented with sudden-onset vertigo and altered mental status post-long-distance flight.
- Symptoms were indicative of a vestibular dysfunction.
Findings:
- The patient's presentation was consistent with mal de debarquement syndrome (MdDS).
- MdDS is an uncommon cause of vestibular dysfunction, often triggered by travel.
Implications:
- This case underscores the importance of including MdDS in the differential diagnosis for vertigo, especially after travel.
- Recognizing uncommon vestibular disorders is crucial for effective patient management in emergency medicine.
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