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Persistent vertigo and dizziness after mild traumatic brain injury
1Barrow Neurological Institute, Phoenix, Arizona; Department of Neurology, University of Arizona College of Medicine, Phoenix, Arizona.
Annals of the New York Academy of Sciences
|March 3, 2015
Summary
Persistent dizziness after mild traumatic brain injury (mTBI) can stem from various causes, including vestibular migraine. Understanding these non-otogenic origins is key for effective patient management and future research.
Area of Science:
- Neurology
- Otolaryngology
- Psychiatry
Background:
- Vertigo, dizziness, and disequilibrium are frequent post-concussion symptoms.
- These symptoms may arise from peripheral or central nervous system trauma, or psychological factors like anxiety or PTSD.
- Non-inner ear causes of persistent dizziness present diagnostic and management challenges.
Purpose of the Study:
- To review non-otogenic causes of persistent dizziness after mTBI.
- To explore potential mechanisms and pathophysiology.
- To provide a framework for patient management and future research.
Main Methods:
- Literature review of non-otogenic dizziness following mTBI.
- Analysis of potential pathophysiological mechanisms.
- Discussion of diagnostic and therapeutic approaches.
Main Results:
- Some patients with persistent dizziness after mTBI may have vestibular migraine.
- Vestibular migraine can be effectively treated with migraine-preventative medications.
- Non-otogenic causes require a comprehensive understanding beyond peripheral vestibular assessment.
Conclusions:
- Persistent dizziness post-mTBI has complex, non-otogenic origins.
- Identifying vestibular migraine is crucial for successful treatment.
- Further research into these mechanisms is needed for improved patient outcomes.
