eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Vertigo & Dizziness

CNS Causes of Vertigo: Follow-up

Author: Marcelo B Antunes, MD, Resident Physician, Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania Health System
Coauthor(s): Michael J Ruckenstein, MD, MSc, FACS, FRCSC, Professor, Residency Program Director, Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania Health System
Contributor Information and Disclosures

Updated: Sep 10, 2009

Follow-up

Further Outpatient Care

After the underlying cause of vertigo has been identified and treated, supportive care with vestibular suppressants and antiemetics are indicated to relieve the vertigo. Early initiation of vestibular rehabilitation is an important and effective intervention.

Patient Education

For excellent patient education resources, visit eMedicine's Brain and Nervous System Center. Also, see eMedicine's patient education articles Vertigo and Dizziness.

 


More on CNS Causes of Vertigo

Overview: CNS Causes of Vertigo
Differential Diagnoses & Workup: CNS Causes of Vertigo
Treatment & Medication: CNS Causes of Vertigo
Follow-up: CNS Causes of Vertigo
Multimedia: CNS Causes of Vertigo
References
Further Reading

References

  1. Solomon D. Distinguishing and treating causes of central vertigo. Otolaryngol Clin North Am. Jun 2000;33(3):579-601. [Medline].

  2. Rubin AM, Zafar SS. The assessment and management of the dizzy patient. Otolaryngol Clin North Am. Apr 2002;35(2):255-73. [Medline].

  3. Baloh RW, Harker LA. Central vestibular system disorders. In: Cummings CW, ed. Otolaryngology-Head and Neck Surgery,. 2nd ed. St. Louis, MO: Mosby; 1993:3177-3198.

  4. Chang CYJ, Gadre AK. Central Vestibulopathy. In: Bailey BJ, ed. Head and Neck Surgery- Otolaryngology. 4th ed. Philadelphia, PA: Lippincont; 2006:2303-2316.

  5. Serra A, Leigh RJ. Diagnostic value of nystagmus: spontaneous and induced ocular oscillations. J Neurol Neurosurg Psychiatry. Dec 2002;73(6):615-8. [Medline].

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  11. Neuhauser H, Leopold M, von Brevern M, Arnold G, Lempert T. The interrelations of migraine, vertigo, and migrainous vertigo. Neurology. Feb 27 2001;56(4):436-41. [Medline].

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  13. Lempert T, Neuhauser H, Daroff RB. Vertigo as a symptom of migraine. Ann N Y Acad Sci. May 2009;1164:242-51. [Medline].

  14. Savitz SI, Caplan LR. Vertebrobasilar disease. N Engl J Med. Jun 23 2005;352(25):2618-26. [Medline].

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  21. [Guideline] Fife TD, Iverson DJ, Lempert T, Furman JM, Baloh RW, Tusa RJ, et al. Practice parameter: therapies for benign paroxysmal positional vertigo (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology. May 27 2008;70(22):2067-74. [Medline].

  22. [Guideline] Bhattacharyya N, Baugh RF, Orvidas L, Barrs D, Bronston LJ, Cass S, et al. Clinical practice guideline: benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg. Nov 2008;139(5 Suppl 4):S47-81. [Medline].

Further Reading

Clinical guidelines

Fife TD, Iverson DJ, Lempert T, Furman JM, Baloh RW, Tusa RJ, Hain TC, Herdman S, Morrow MJ, Gronseth GS, Quality Standards Subcommittee, American Academy of Neurology. Practice parameter: therapies for benign paroxysmal positional vertigo (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology 2008 May 27;70(22):2067-74. 21

Bhattacharyya N, Baugh RF, Orvidas L, Barrs D, Bronston LJ, Cass S, Chalian AA, Desmond AL, Earll JM, Fife TD, Fuller DC, Judge JO, Mann NR, Rosenfeld RM, Schuring LT, Steiner RW, Whitney SL, Haidari J, American Academy of Otolaryngology-Head and Neck Surgery Foundation. Clinical practice guideline: benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2008 Nov;139(5 Suppl 4):S47-81. 22

Turski PA, Seidenwurm DJ, Davis PC, Brunberg JA, De La Paz RL, Dormont PD, Hackney DB, Jordan JE, Karis JP, Mukherji SK, Wippold FJ II, Zimmerman RD, McDermott MW, Sloan MA, Expert Panel on Neurologic Imaging. Vertigo and hearing loss. [online publication]. Reston (VA): American College of Radiology (ACR); 2006. 8 p.

Keywords

CNS causes of vertigo, vertigo, dizziness, imbalance, disequilibrium, migraine-associated vertigo, presyncopal, vertebrobasilar artery insufficiency, vestibular function, VBA insufficiency, posterior fossa cerebrovascular disease, cerebellar tumors, temporal lobe tumors, brainstem lesions, cerebellopontine angle tumors, CPA tumors, multiple sclerosis, posttraumatic vertigo, familial periodic ataxia syndromes, Lyme neuroborreliosis, psychogenic vertigo, migraine-associated vertigo, migraine, migraine headache, nystagmus

Contributor Information and Disclosures

Author

Marcelo B Antunes, MD, Resident Physician, Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania Health System
Disclosure: Nothing to disclose.

Coauthor(s)

Michael J Ruckenstein, MD, MSc, FACS, FRCSC, Professor, Residency Program Director, Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania Health System
Michael J Ruckenstein, MD, MSc, FACS, FRCSC is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery and Royal College of Physicians and Surgeons of Canada
Disclosure: Nothing to disclose.

Medical Editor

B Viswanatha, MBBS, MS, DLO, Professor of ENT, Sri Venkateshwara ENT Institute, Victoria Hospital, Bangalore Medical College and Research Institute, India
B Viswanatha, MBBS, MS, DLO is a member of the following medical societies: Association of Otolaryngologists of India, Indian Medical Association, and Indian Society of Otology
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Peter S Roland, MD, Professor, Department of Neurological Surgery, Professor and Chairman, Department of Otolaryngology-Head and Neck Surgery, Director of Clinical Center for Auditory, Vestibular and Facial Nerve Disorders, Chief of Pediatric Otology, University of Texas Southwestern Medical Center; Adjunct Professor of Communicative Disorders, University of Texas School of Human Development
Peter S Roland, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Otolaryngic Allergy, American Academy of Otolaryngology-Head and Neck Surgery, American Auditory Society, American Laryngological Rhinological and Otological Society, American Neurotology Society, American Otological Society, North American Skull Base Society, and Society of University Otolaryngologists-Head and Neck Surgeons
Disclosure: Alcon labs Honoraria Speaking and teaching; GSK Honoraria Speaking and teaching; Advanced Bionics Honoraria Board membership; Cochlear corp Honoraria Board membership; Med El corp travel grants Consulting

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation unstricted gift unknown; Axis Three Corporation Ownership interest Consulting; Omni Biosciences Ownership interest Consulting; Sentegra Ownership interest Board membership; Syndicom Ownership interest Consulting; Oxlo  Consulting; Medvoy Ownership interest Management position

 
 
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