Related Experiment Video

Updated: Jun 21, 2025

Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction
05:02

Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction

Published on: August 30, 2019

7.2K

Vascular vertigo and dizziness: managing and treating outpatients

Arlindo Cardoso Lima Neto1, Roseli Saraiva Moreira Bittar1

  • 1Setor de Otoneurologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo - FMUSP, Brazil.

Brazilian Journal of Otorhinolaryngology
|July 11, 2024
PubMed

Insights

This study shows antiplatelet and anticoagulant therapies are safe and effective for treating vascular vertigo and dizziness, preventing new ischemic events and reducing symptoms. This approach improves posterior circulation flow and patient outcomes.

Area of Science:

  • Neurology
  • Cardiology
  • Otolaryngology

Background:

  • Limited data exists on managing vascular vertigo and dizziness.
  • Recent guidelines from the American Heart Association and Stroke Association offer a framework for treatment.

Purpose of the Study:

  • To report the management and treatment of outpatients with vascular vertigo and dizziness.
  • To apply the latest American Heart Association and Stroke Association guidelines to this patient population.

Main Methods:

  • A longitudinal case series was conducted from May 2022 to February 2023.
  • Patients meeting the Bárány Society's classification for vascular vertigo and dizziness were included.
  • Therapy followed American Heart Association and Stroke Association guidelines, considering stroke and transient attack groups.

Main Results:

  • 41 patients (median age 72) were enrolled, with 10 ischemic strokes and 30 transient ischemic attacks.
  • Treatments included dual antiplatelet (48.7%), single antiplatelet (48.7%), and anticoagulant therapy (2.4%).
  • 95.2% experienced no new crises; the transient ischemic attack group showed reduced imbalance.

Conclusions:

  • Antiplatelets and anticoagulants are safe and effective for vascular vertigo and dizziness.
  • These therapies prevent new ischemic events and enhance posterior circulation.
  • Treatment reduces vertigo/dizziness attacks and imbalance complaints.
Abstract

Keywords:
StrokeTransient ischemic attacksVascular dizzinessVertebrobasilar insufficiencyVertigo dizziness

More Related Videos

Endolymphatic Duct Blockage as a Surgical Treatment Option for Ménière's Disease04:11

Endolymphatic Duct Blockage as a Surgical Treatment Option for Ménière's Disease

Published on: April 28, 2023

1.2K
In Vivo Morphometric Analysis of Human Cranial Nerves Using Magnetic Resonance Imaging in Menière's Disease Ears and Normal Hearing Ears10:27

In Vivo Morphometric Analysis of Human Cranial Nerves Using Magnetic Resonance Imaging in Menière's Disease Ears and Normal Hearing Ears

Published on: February 21, 2018

10.6K

Related Concept Videos

Equilibrium and Balance01:15

Equilibrium and Balance

The inner ear assumes dual functionalities of auditory perception and equilibrium maintenance. The vestibule is the organ responsible for balance. This organ contains mechanoreceptors, specifically hair cells, endowed with stereocilia, which aid in deciphering information regarding the position and motion of our heads. Two intrinsic components, the utricle and saccule, help perceive head position, while the semicircular canals track head movement. Neurological messages initiated in the...
4.7K
The Vestibular System01:29

The Vestibular System

The vestibular system is a set of inner ear structures that provide a sense of balance and spatial orientation. This system is comprised of structures within the labyrinth of the inner ear, including the cochlea and two otolith organs—the utricle and saccule. The labyrinth also contains three semicircular canals—superior, posterior, and horizontal—that are oriented on different planes.
39.5K
Open Angle Glaucoma: Treatment01:27

Open Angle Glaucoma: Treatment

In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
427
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
57
Angle Closure Glaucoma: Treatment01:28

Angle Closure Glaucoma: Treatment

Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
470
Management of Insomnia01:19

Management of Insomnia

The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
243