Dizziness: Approach to Evaluation and Management.
Identifieur interne : 000110 ( Main/Exploration ); précédent : 000109; suivant : 000111Dizziness: Approach to Evaluation and Management.
Auteurs : Herbert L. Muncie [États-Unis] ; Susan M. Sirmans [États-Unis] ; Ernest James [États-Unis]Source :
- American family physician [ 1532-0650 ] ; 2017.
Descripteurs français
- KwdFr :
- Diagnostic différentiel (MeSH), Examen physique (MeSH), Humains (MeSH), Insuffisance vertébrobasilaire (complications), Insuffisance vertébrobasilaire (diagnostic), Insuffisance vertébrobasilaire (thérapie), Maladie de Ménière (complications), Maladie de Ménière (diagnostic), Maladie de Ménière (thérapie), Migraines (complications), Migraines (diagnostic), Migraines (thérapie), Névrite vestibulaire (complications), Névrite vestibulaire (diagnostic), Névrite vestibulaire (thérapie), Sensation vertigineuse (diagnostic), Sensation vertigineuse (thérapie), Sensation vertigineuse (étiologie), Syncope (diagnostic), Syncope (thérapie), Syncope (étiologie), Vertige positionnel paroxystique bénin (complications), Vertige positionnel paroxystique bénin (diagnostic), Vertige positionnel paroxystique bénin (thérapie), Équilibre postural (MeSH).
- MESH :
- diagnostic : Insuffisance vertébrobasilaire, Maladie de Ménière, Migraines, Névrite vestibulaire, Sensation vertigineuse, Syncope, Vertige positionnel paroxystique bénin.
- thérapie : Insuffisance vertébrobasilaire, Maladie de Ménière, Migraines, Névrite vestibulaire, Sensation vertigineuse, Syncope, Vertige positionnel paroxystique bénin.
- étiologie : Sensation vertigineuse, Syncope.
- complications : Diagnostic différentiel, Examen physique, Humains, Insuffisance vertébrobasilaire, Maladie de Ménière, Migraines, Névrite vestibulaire, Vertige positionnel paroxystique bénin, Équilibre postural.
English descriptors
- KwdEn :
- Benign Paroxysmal Positional Vertigo (complications), Benign Paroxysmal Positional Vertigo (diagnosis), Benign Paroxysmal Positional Vertigo (therapy), Diagnosis, Differential (MeSH), Dizziness (diagnosis), Dizziness (etiology), Dizziness (therapy), Humans (MeSH), Meniere Disease (complications), Meniere Disease (diagnosis), Meniere Disease (therapy), Migraine Disorders (complications), Migraine Disorders (diagnosis), Migraine Disorders (therapy), Physical Examination (MeSH), Postural Balance (MeSH), Syncope (diagnosis), Syncope (etiology), Syncope (therapy), Vertebrobasilar Insufficiency (complications), Vertebrobasilar Insufficiency (diagnosis), Vertebrobasilar Insufficiency (therapy), Vestibular Neuronitis (complications), Vestibular Neuronitis (diagnosis), Vestibular Neuronitis (therapy).
- MESH :
- complications : Benign Paroxysmal Positional Vertigo, Meniere Disease, Migraine Disorders, Vertebrobasilar Insufficiency, Vestibular Neuronitis.
- diagnosis : Benign Paroxysmal Positional Vertigo, Dizziness, Meniere Disease, Migraine Disorders, Syncope, Vertebrobasilar Insufficiency, Vestibular Neuronitis.
- etiology : Dizziness, Syncope.
- therapy : Benign Paroxysmal Positional Vertigo, Dizziness, Meniere Disease, Migraine Disorders, Syncope, Vertebrobasilar Insufficiency, Vestibular Neuronitis.
- Diagnosis, Differential, Humans, Physical Examination, Postural Balance.
Abstract
Dizziness is a common yet imprecise symptom. It was traditionally divided into four categories based on the patient's history: vertigo, presyncope, disequilibrium, and light-headedness. However, the distinction between these symptoms is of limited clinical usefulness. Patients have difficulty describing the quality of their symptoms but can more consistently identify the timing and triggers. Episodic vertigo triggered by head motion may be due to benign paroxysmal positional vertigo. Vertigo with unilateral hearing loss suggests Meniere disease. Episodic vertigo not associated with any trigger may be a symptom of vestibular neuritis. Evaluation focuses on determining whether the etiology is peripheral or central. Peripheral etiologies are usually benign. Central etiologies often require urgent treatment. The HINTS (head-impulse, nystagmus, test of skew) examination can help distinguish peripheral from central etiologies. The physical examination includes orthostatic blood pressure measurement, a full cardiac and neurologic examination, assessment for nystagmus, and the Dix-Hallpike maneuver. Laboratory testing and imaging are not required and are usually not helpful. Benign paroxysmal positional vertigo can be treated with a canalith repositioning procedure (e.g., Epley maneuver). Treatment of Meniere disease includes salt restriction and diuretics. Symptoms of vestibular neuritis are relieved with vestibular suppressant medications and vestibular rehabilitation.
PubMed: 28145669
Affiliations:
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type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo (complications)</term><term>Benign Paroxysmal Positional Vertigo (diagnosis)</term><term>Benign Paroxysmal Positional Vertigo (therapy)</term><term>Diagnosis, Differential (MeSH)</term><term>Dizziness (diagnosis)</term><term>Dizziness (etiology)</term><term>Dizziness (therapy)</term><term>Humans (MeSH)</term><term>Meniere Disease (complications)</term><term>Meniere Disease (diagnosis)</term><term>Meniere Disease (therapy)</term><term>Migraine Disorders (complications)</term><term>Migraine Disorders (diagnosis)</term><term>Migraine Disorders (therapy)</term><term>Physical Examination (MeSH)</term><term>Postural Balance (MeSH)</term><term>Syncope (diagnosis)</term><term>Syncope (etiology)</term><term>Syncope (therapy)</term><term>Vertebrobasilar Insufficiency (complications)</term><term>Vertebrobasilar Insufficiency (diagnosis)</term><term>Vertebrobasilar Insufficiency (therapy)</term><term>Vestibular Neuronitis (complications)</term><term>Vestibular Neuronitis (diagnosis)</term><term>Vestibular Neuronitis (therapy)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Diagnostic différentiel (MeSH)</term><term>Examen physique (MeSH)</term><term>Humains (MeSH)</term><term>Insuffisance vertébrobasilaire (complications)</term><term>Insuffisance vertébrobasilaire (diagnostic)</term><term>Insuffisance vertébrobasilaire (thérapie)</term><term>Maladie de Ménière (complications)</term><term>Maladie de Ménière (diagnostic)</term><term>Maladie de Ménière (thérapie)</term><term>Migraines (complications)</term><term>Migraines (diagnostic)</term><term>Migraines (thérapie)</term><term>Névrite vestibulaire (complications)</term><term>Névrite vestibulaire (diagnostic)</term><term>Névrite vestibulaire (thérapie)</term><term>Sensation vertigineuse (diagnostic)</term><term>Sensation vertigineuse (thérapie)</term><term>Sensation vertigineuse (étiologie)</term><term>Syncope (diagnostic)</term><term>Syncope (thérapie)</term><term>Syncope (étiologie)</term><term>Vertige positionnel paroxystique bénin (complications)</term><term>Vertige positionnel paroxystique bénin (diagnostic)</term><term>Vertige positionnel paroxystique bénin (thérapie)</term><term>Équilibre postural (MeSH)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term><term>Meniere Disease</term><term>Migraine Disorders</term><term>Vertebrobasilar Insufficiency</term><term>Vestibular Neuronitis</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term><term>Dizziness</term><term>Meniere Disease</term><term>Migraine Disorders</term><term>Syncope</term><term>Vertebrobasilar Insufficiency</term><term>Vestibular Neuronitis</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Insuffisance vertébrobasilaire</term><term>Maladie de Ménière</term><term>Migraines</term><term>Névrite vestibulaire</term><term>Sensation vertigineuse</term><term>Syncope</term><term>Vertige positionnel paroxystique bénin</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dizziness</term><term>Syncope</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term><term>Dizziness</term><term>Meniere Disease</term><term>Migraine Disorders</term><term>Syncope</term><term>Vertebrobasilar Insufficiency</term><term>Vestibular Neuronitis</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Insuffisance vertébrobasilaire</term><term>Maladie de Ménière</term><term>Migraines</term><term>Névrite vestibulaire</term><term>Sensation vertigineuse</term><term>Syncope</term><term>Vertige positionnel paroxystique bénin</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Sensation vertigineuse</term><term>Syncope</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Diagnosis, Differential</term><term>Humans</term><term>Physical Examination</term><term>Postural Balance</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Diagnostic différentiel</term><term>Examen physique</term><term>Humains</term><term>Insuffisance vertébrobasilaire</term><term>Maladie de Ménière</term><term>Migraines</term><term>Névrite vestibulaire</term><term>Vertige positionnel paroxystique bénin</term><term>Équilibre postural</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Dizziness is a common yet imprecise symptom. It was traditionally divided into four categories based on the patient's history: vertigo, presyncope, disequilibrium, and light-headedness. However, the distinction between these symptoms is of limited clinical usefulness. Patients have difficulty describing the quality of their symptoms but can more consistently identify the timing and triggers. Episodic vertigo triggered by head motion may be due to benign paroxysmal positional vertigo. Vertigo with unilateral hearing loss suggests Meniere disease. Episodic vertigo not associated with any trigger may be a symptom of vestibular neuritis. Evaluation focuses on determining whether the etiology is peripheral or central. Peripheral etiologies are usually benign. Central etiologies often require urgent treatment. The HINTS (head-impulse, nystagmus, test of skew) examination can help distinguish peripheral from central etiologies. The physical examination includes orthostatic blood pressure measurement, a full cardiac and neurologic examination, assessment for nystagmus, and the Dix-Hallpike maneuver. Laboratory testing and imaging are not required and are usually not helpful. Benign paroxysmal positional vertigo can be treated with a canalith repositioning procedure (e.g., Epley maneuver). Treatment of Meniere disease includes salt restriction and diuretics. Symptoms of vestibular neuritis are relieved with vestibular suppressant medications and vestibular rehabilitation.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28145669</PMID><DateCompleted><Year>2017</Year><Month>07</Month><Day>24</Day></DateCompleted><DateRevised><Year>2017</Year><Month>08</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1532-0650</ISSN><JournalIssue CitedMedium="Internet"><Volume>95</Volume><Issue>3</Issue><PubDate><Year>2017</Year><Month>Feb</Month><Day>01</Day></PubDate></JournalIssue><Title>American family physician</Title><ISOAbbreviation>Am Fam Physician</ISOAbbreviation></Journal><ArticleTitle>Dizziness: Approach to Evaluation and Management.</ArticleTitle><Pagination><MedlinePgn>154-162</MedlinePgn></Pagination><Abstract><AbstractText>Dizziness is a common yet imprecise symptom. It was traditionally divided into four categories based on the patient's history: vertigo, presyncope, disequilibrium, and light-headedness. However, the distinction between these symptoms is of limited clinical usefulness. Patients have difficulty describing the quality of their symptoms but can more consistently identify the timing and triggers. Episodic vertigo triggered by head motion may be due to benign paroxysmal positional vertigo. Vertigo with unilateral hearing loss suggests Meniere disease. Episodic vertigo not associated with any trigger may be a symptom of vestibular neuritis. Evaluation focuses on determining whether the etiology is peripheral or central. Peripheral etiologies are usually benign. Central etiologies often require urgent treatment. The HINTS (head-impulse, nystagmus, test of skew) examination can help distinguish peripheral from central etiologies. The physical examination includes orthostatic blood pressure measurement, a full cardiac and neurologic examination, assessment for nystagmus, and the Dix-Hallpike maneuver. Laboratory testing and imaging are not required and are usually not helpful. Benign paroxysmal positional vertigo can be treated with a canalith repositioning procedure (e.g., Epley maneuver). Treatment of Meniere disease includes salt restriction and diuretics. Symptoms of vestibular neuritis are relieved with vestibular suppressant medications and vestibular rehabilitation.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Muncie</LastName><ForeName>Herbert L</ForeName><Initials>HL</Initials><AffiliationInfo><Affiliation>Louisiana State University School of Medicine, New Orleans, LA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sirmans</LastName><ForeName>Susan M</ForeName><Initials>SM</Initials><AffiliationInfo><Affiliation>University of Louisiana at Monroe School of Pharmacy, Monroe, LA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>James</LastName><ForeName>Ernest</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Louisiana State University School of Medicine, New Orleans, LA, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Am Fam Physician</MedlineTA><NlmUniqueID>1272646</NlmUniqueID><ISSNLinking>0002-838X</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Am Fam Physician. 2018 Jun 1;97(11):703</RefSource><PMID Version="1">30215944</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D065635" MajorTopicYN="N">Benign Paroxysmal Positional Vertigo</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003937" MajorTopicYN="N">Diagnosis, Differential</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004244" MajorTopicYN="N">Dizziness</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008575" MajorTopicYN="N">Meniere Disease</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008881" MajorTopicYN="N">Migraine Disorders</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010808" MajorTopicYN="N">Physical Examination</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="N">Postural Balance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013575" MajorTopicYN="N">Syncope</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014715" MajorTopicYN="N">Vertebrobasilar Insufficiency</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D020338" MajorTopicYN="N">Vestibular Neuronitis</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>2</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>2</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>7</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28145669</ArticleId><ArticleId IdType="pii">d12882</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Louisiane</li></region></list><tree><country name="États-Unis"><region name="Louisiane"><name sortKey="Muncie, Herbert L" sort="Muncie, Herbert L" uniqKey="Muncie H" first="Herbert L" last="Muncie">Herbert L. Muncie</name></region><name sortKey="James, Ernest" sort="James, Ernest" uniqKey="James E" first="Ernest" last="James">Ernest James</name><name sortKey="Sirmans, Susan M" sort="Sirmans, Susan M" uniqKey="Sirmans S" first="Susan M" last="Sirmans">Susan M. Sirmans</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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