What is the initial workup and treatment approach for a patient presenting with vertigo?

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Initial Workup and Treatment Approach for Vertigo

The initial workup for vertigo should focus on classifying the pattern based on timing and triggers, performing targeted physical examinations including HINTS testing, and using appropriate imaging only when central causes are suspected. 1

Classification and Initial Assessment

Vertigo should be classified into three main patterns:

  1. Acute Vestibular Syndrome (AVS) - Sudden onset, continuous vertigo lasting days
  2. Episodic Vestibular Syndrome - Recurrent episodes of vertigo
  3. Chronic Vestibular Syndrome - Persistent dizziness lasting months 1

Key Elements of History

  • Timing and duration of symptoms
  • Specific triggers (position changes, loud sounds)
  • Associated symptoms (hearing loss, tinnitus, neurological symptoms)
  • Medication review 1, 2

Essential Physical Examination Components

  • HINTS examination (Head-Impulse, Nystagmus, Test of Skew) - More sensitive than CT for posterior circulation stroke 1
  • Dix-Hallpike maneuver for BPPV
  • Complete neurological examination
  • Otoscopic examination
  • Cardiovascular assessment including orthostatic vital signs 1, 3

Diagnostic Testing

Imaging

  • MRI brain is preferred when central causes are suspected
  • CT head has low sensitivity (~10%) for posterior fossa strokes but can exclude hemorrhage in emergency settings
  • CT temporal bone is useful for assessing bony abnormalities in peripheral vertigo 4, 1

Laboratory Testing

  • Selective use based on clinical suspicion:
    • Complete blood count
    • Electrolytes
    • Glucose
    • Thyroid function tests
    • Vitamin B12 levels 1

Common Causes and Differentiation

Condition Clinical Presentation Key Diagnostic Features
BPPV Positional vertigo lasting seconds Positive Dix-Hallpike test
Vestibular Neuritis Sudden severe vertigo lasting days Unidirectional horizontal nystagmus
Menière's Disease Episodes with hearing loss, tinnitus, aural fullness Characteristic audiometric findings
Vestibular Migraine Variable duration, history of migraine Photophobia, mild/absent hearing loss
Stroke/TIA Sudden onset with neurological deficits Abnormal HINTS exam

Red Flags Requiring Urgent Evaluation

  • Sudden severe headache
  • New neurological symptoms
  • Inability to walk or stand
  • Persistent vomiting
  • Altered mental status 1

Treatment Approaches

BPPV

  • Canalith repositioning procedures (e.g., Epley maneuver) 3

Vestibular Neuritis

  • Short-term vestibular suppressants
  • Early vestibular rehabilitation 3, 5

Pharmacotherapy

  • Meclizine: 25-100 mg daily in divided doses for vertigo associated with vestibular system diseases 6
    • Caution: May cause drowsiness; patients should avoid driving and alcohol
    • Contraindicated in patients with hypersensitivity to meclizine
    • Use with caution in patients with asthma, glaucoma, or prostate enlargement 6

Vestibular Rehabilitation Therapy

  • First-line treatment for persistent dizziness
  • Accelerates central compensation for vestibular imbalance 1

Common Pitfalls to Avoid

  • Relying solely on symptom quality descriptions rather than timing and triggers
  • Missing posterior circulation strokes
  • Overreliance on CT imaging
  • Excessive use of vestibular suppressant medications
  • Failure to consider medication side effects as potential causes 1

Follow-up and Monitoring

  • Reassess within 1 month after initial treatment
  • Consider evaluation for persistent BPPV or underlying disorders if symptoms continue
  • Educate patients about potential recurrence (15% per year for BPPV) 1
  • Use validated assessment tools to track progress:
    • Activities-Specific Balance Confidence Scale
    • Dizziness Handicap Inventory
    • Dynamic Gait Index
    • Timed Up & Go test 1

The systematic approach to vertigo evaluation focuses on distinguishing between peripheral (usually benign) and central (potentially serious) causes through careful history-taking and targeted physical examination, with selective use of imaging and laboratory studies based on clinical suspicion.

References

Guideline

Diagnosis and Management of Dizziness

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

Initial evaluation of vertigo.

American family physician, 2006

Research

Dizziness: Approach to Evaluation and Management.

American family physician, 2017

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Otology: Vertigo.

FP essentials, 2024

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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