How to Cite
Abstract
Vertigo is a frequent motive for consultation at primary care, and its accurate diagnosis represents a challenge for the physician. During the diagnostic process, the doctor must have the ability to distinguish between central and peripheral vertigo, according to its origin. In order to do so, a detailed clinical history and a complete physical examination are required. In addition, the physician must know the diagnostic tests and vestibular maneuvers, which will identify the correct etiology. This review complies updated information on the initial approach, diagnosis and the most frequent peripheral causes of vertigo in primary care.
Keywords
References
Breinbauer H. Evaluación Vestibular en 2016. Puesta al día. REV. MED. CLIN. 2016; 27(6): 863-871. https://doi.org/10.1016/j.rmclc.2016.09.017
García E y González X. Actualización en el manejo del paciente con vértigo. AMF 2019;15(4):184-191
Young P, Castillo M, Jalmirón C, Buetman J, Finn B, Ricardo M y Binetti A. Enfoque del paciente con vértigo. MEDICINA (Buenos Aires) 2018; 78: 410-416
Welgampola M, Bradshaw A, Lechner C y Halmagyi G. Beside Assessment of Acute Dizziness and Vertigo. Neurol Clin. 2015; 33(xx): 551-564. https://doi.org/10.1016/j.ncl.2015.04.001
Ramírez S, Sandoval G y Torres M. Diagnóstico De Vértigo Periférico Para El Médico De Atención Primaria. Rev Med. 2018; 26(1): 55-63. https://doi.org/10.18359/rmed.2893
Sorathia S, Agrawal Y y Schubert M. Dizziness and Otolaringology Point of View. Med Clin N Am. 2018; 102: 1001-1012. https://doi.org/10.1016/j.mcna.2018.06.004
Alyono J. Vertigo and Dizziness Understanding and Managing Fall Risk. Otolaryngol Clin N Am. 2018; 51: 725-740. https://doi.org/10.1016/j.otc.2018.03.003
Nieto A, Pulido N y Rivera T. Protocolo diagnóstico del vértigo. Medicine. 2015; 11(91): 5467-71. https://doi.org/10.1016/j.med.2015.11.018
Harari N y Roa F. Vértigo: revisión de los principales trastornos periféricos y centrales. An Med Mex. 2019; 64 (4): 290-296. https://doi.org/10.35366/BC194J
Edlow J y Newman-Toker D. Using the Physical Examination to Diagnose Patients with Acute Dizziness and Vertigo. The Journal of Emergency Medicine. 2016; 50 (4): 617-628. https://doi.org/10.1016/j.jemermed.2015.10.040
Omron R. Peripheral Vertigo. Emerg Med Clin N Am. 2019; 37: 11-28. https://doi.org/10.1016/j.emc.2018.09.004
Jauregui-Renaud K. Evaluación clínica básica del paciente con disfunción vestibular. An Orl Mex. 2019;64 (2): 61-66
Krager R. Assessment of vestibular function in elderly patients. Curr Opin Otolaryngol Head Neck Surg. 2018; 26 (5): 302-306. https://doi.org/10.1097/MOO.0000000000000476
Sánchez H, Marco M y Franco J. Exploración vestíbuloespinal. Rev. ORL. 2018; 9(2): 139-143. https://doi.org/10.14201/orl.17424
Creighton F y Carey J. Surgical Treatment of Superior Semicircular Canal Dehiscence Sindrome. En: Babu S, Schutt S y Bojrab D Diagnosis and Treatment of Vestibular Disorders. 1st edition. Switzerland: Editorial Springer; 2019. p. 229-254. https://doi.org/10.1007/978-3-319-97858-1_17
Albernaz P. et al. Clinical Evaluation of the Vestibular System: The Vestibular Laboratory Tests. En: The New Neurotology. 1st edition. Switzerland: Editorial Springer; 2019. p. 65-78. https://doi.org/10.1007/978-3-030-11283-7_5
Redondo J, Bécares C, Orts M, García F, Pérez T y Marco J. Relación entre el video head impulse test (vHIT) y la prueba calórica en el estudio evolutivo de pacientes con neuritis vestibular. Acta Otorrinolaringol Esp. 2016; 67(3):156-161. https://doi.org/10.1016/j.otorri.2015.07.005
Mattingly J. et al. Vestibular Evoked Myogenic Potentials. En: Babu S, Schutt S y Bojrab D Diagnosis and Treatment of Vestibular Disorders. 1st edition. Switzerland: Editorial Springer; 2019. p. 107-112. https://doi.org/10.1007/978-3-319-97858-1_8
Tsang B, Chen L y Paine M. Acute evaluation of the acute vestibular syndrome: differentiating posterior circulation stroke from acute peripheral vestibulopathies. Internal Medicine Journal. 2017; 47: 1352-1360. https://doi.org/10.1111/imj.13552
Wipperman J. Dizziness and Vertigo. En: Kellerman R. y Rakel D. Conn's Current Therapy 2020. 1st edition. Philadelphia: Elsevier; 2019. p. 9-12
Chanf T, Zee D, Kheradmand A. Technological Advances in Testing the Dizzy Patient: The Bedside Examination Is Still The Key to Successful Diagnosis. En: Gleason y Kesser. Dizziness and Vertigo Across the Lifespan. Missouri: Elsevier; 2018. p. 9-30. https://doi.org/10.1016/B978-0-323-55136-6.00002-2
Lew H, Tanaka C, Hirohata E y Goodrich G. Auditory, Vestibular, and Visual Impairments. En: Cifu D. Brassom's Physical Medicine and Rehabilitation. 5ta edición. Filadelfia: Elsevier; 2016. p. 1137-1161
Fife T y Von Brevern M. Benign Paroxysmal Positional Vertigo in the Acute Care Setting. Neurol Clin. 2015; 33: 601-617. https://doi.org/10.1016/j.ncl.2015.04.003
Von Breverna M, Bertholonb P, Brandtc T, Fifed T, Imaie T, Nutif D y Newman D. Vértigo posicional paroxístico benigno: criterios diagnósticos. Documento de consenso del Comité para la Clasificación de los Trastornos Vestibulares de la Bárány Society. Acta Otorrinolaringol Esp. 2017;68(6):349-360. https://doi.org/10.3233/VES-150553
Casabella B, Martínez C, Serra M y Gisbert J. Tratamiento del vértigo posicional benigno. FMC. 2016;23(87):480-485. https://doi.org/10.1016/j.fmc.2016.01.009
Pérez P. Et al. Guía de Práctica Clínica Para el Diagnóstico y Tratamiento del Vértigo Posicional Paroxístico Benigno. Documento de Consenso de la Comisión de Otoneurología Sociedad Española de Otorrinolaringlogía y Cirugía de Cabeza y Cuello. Acta Otorrinolaringol Esp. 2018; 69(6): 345-366. https://doi.org/10.1016/j.otorri.2017.05.001
Seemungal B, Kaski D y Lopez Jose. Early Diagnosis and Management of Acute Vertigo from Vestibular Migraine and Meniere Disease. Neurol Clin. 2015; 33:619-628. https://doi.org/10.1016/j.ncl.2015.04.008
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright (c) 2020 Array