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Neuromuscular Conditions II > Vestibular Presentation > Flashcards

Vestibular Presentation Flashcards

1
Q

MAV

A
  • migraine associated vertigo
  • 2nd most frequent cause of recurrent vertigo
  • misaligned vertebrae messes with blood flow to brain, surrounding nerves vasodilate other arteries which irritates brain/vestibular structures
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2
Q

MAV Causes/Risk Factors

A
  • hormonal fluctuations
  • foods
  • weather changes
  • stress
  • meds
  • sleep disturbances
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3
Q

MAV S/Sx

A
  • dizziness
  • motion intolerance
  • spontaneous vertigo attacks
  • diminished eye focus
  • photosensitivity
  • sound sensitivity/tinnitus
  • balance loss and ataxia
  • neck pain with associated muscle spasms
  • confusion, altered cognition
  • spatial disorientation
  • anxiety/panic
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4
Q

MAV Tests/measures

A
  • audiologists
  • vestibular rehab specialists
  • computerized audiological/dynamic visual acuity testing
  • horizontal canal testing
  • functional balance/gait measures
  • Jacobsen Dizziness Inventory
  • Dynamic Gait Index
  • ABC
  • TUG
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5
Q

MAV Interventions

A
  • Meds
  • Vestibular Rehab
  • Lifestyle mods
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6
Q

MAV Interventions

A
  • Meds
  • Vestibular Rehab
  • Lifestyle mods
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7
Q

PPPD

A
  • peripheral postural-persistant disorder

- comes with behavioral aspects (OCD, depression, Anxiety)

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8
Q

PPPD Cause/Risk Factors

A
  • Environments (Crowds, stores, motion)
  • medical illness
  • previous/concurrent vestib disorder
  • upright posture
  • head/body motion
  • after vertigo causing event
  • drug reactions
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9
Q

PPPD S/Sx

A

3 or more months of:

  • postural dizziness (no vertigo)
  • unsteadiness that fluctuates
  • rocking/swaying feeling
  • more symptomatic days than not
  • Sx with no particular movement
  • behavioral attributes (anxiety etc)
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10
Q

PPPD Intervention

A
  • meds
  • vestibular balance rehab therapy
  • counseling
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11
Q

Vestibular/Labyrinthitis Neuritis

A

-infection that inflames CN

VIII

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12
Q

Vestibular Neuritis S/Sx

A
  • loss of balance

- affects vestibular branch of CN VIII

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13
Q

Labyrinthitis

A
  • vestib and cochlear branches of CN VIII

- loss of hearing and balance

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14
Q

Risk Factors of labyrinthitis, vestib neuritis

A
  • all age groups
  • kids less
  • viral infection (less likely bacterial)
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15
Q

S/Sx Labyrinthitis/Vestibular Neuritis

A
  • vertigo
  • dizziness
  • disequilibrium
  • imbalance
  • nausea
  • hearing loss (vestib)
  • not painful
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16
Q

Labyrinthitis/Vestibular Neuritis:

Dizziness

A
  • Acute: constant, sudden severe

- chronic: fast movement, persistent feeling of haziness/uneasiness

17
Q

Acute Labyrinthitis/Vestibular Neuritis Treatment:

A

-meds to kill virus/bacteria

18
Q

Chronic Labyrinthitis/Vestibular Neuritis:

A
  • BPPV can develop (epley)

- vestibular rehab exercises

19
Q

Perilymphatic Fistula

A
  • membrane tear between middle ear and inner ear

- perilymph fluid from inner ear flows into middle ear

20
Q

Perilymphatic Fistula

A
  • membrane tear between middle ear and inner ear

- perilymph fluid from inner ear flows into middle ear

21
Q

Causes of Perilymphatic Fistula

A
  • head trauma
  • whiplash
  • ear trauma
  • scuba diving
  • rapid incr in ICP
22
Q

Perilymphatic Fistula S/Sx

A
  • ear feels full
  • sensitive hearing
  • dizziness (w/ or w/o vertigo)
  • sudden hearing loss
  • symptoms increase with change in altitude
  • Sx with increased CSF pressure
23
Q

Perilymphatic Fistula S/Sx

A
  • ear feels full
  • sensitive hearing
  • dizziness (w/ or w/o vertigo)
  • sudden hearing loss
  • symptoms increase with change in altitude
  • Sx with increased CSF pressure
24
Q

Perilymphatic Fistula Treatment

A
  • surgery

- post surgery: don’t perform activities that incr CSF

25
Q

Meniere’s Disease

A

-Fluctuating vestibular condition that presents with acute episodes involving a variety of inner ear S/Sx following by mostly Sx free period between attacks

26
Q

Causes of Meniere’s Disease

A

-endolymphatic hydrops

27
Q

S/Sx Meniere’s Disease

A
  • rotational vertigo attacks
  • hearing loss
  • tinnitus
  • sensation of fullness or pressure

–imbalance, nystagmus, otolithic crisis of Tumarkin (falls) during attacks

28
Q

Diagnosis of Meniere’s Disease

A
  • hearing tests
  • blood tests
  • MRI
  • Rule out other Dx
29
Q

Treatment Meniere’s Disease

A
  • no cure
  • medications
  • hydrops diet (maintain constant sodium levels)
  • no PT during attacks
30
Q

Tumors of Vestibular System

A
  • most common is: vestibular schwannoma or acoustic neuroma
  • men=women
  • age 30-60
31
Q

Causes of Vestibular Schwannoma

A

-over production of myelin from Schwann Cells of the Vestibulocochlear nerve

32
Q

S/Sx of Vestibular Schwannoma

A
  • unilateral hearing loss
  • tinnitus
  • dizziness
  • loss of balance
33
Q

S/Sx of Vestibular Schwannoma

A
  • unilateral hearing loss
  • tinnitus
  • dizziness
  • loss of balance
34
Q

Dx of Vestibular Schwannoma

A
  • audiogram
  • CT
  • MRI
35
Q

Treatment of Vestibular Schwannoma

A
  • surgical removal
  • radiation
  • careful monitoring of symptoms

Neuromuscular Conditions II (15 decks)

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