Case No. 60

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Case No. 60

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Chief Complaint:

Central vs. Peripheral Vertigo

Published: July 20, 2017
Author: Medzcool
CASE SCENARIO

A 55 year old man with with no medical history presents with a complaint of dizziness which he describes as “the room is spinning”.

QUESTION

Which history and physical examination findings suggest a central rather than a peripheral cause include?

  • Repeated Dix-Hallpike testing shows decreasing symptoms
  • Tinnitus
  • Hearing loss in one ear
  • Vertigo that is sudden in onset with vomiting
  • Difficulty with rapid alternating movements
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