Benign positional vertigo

Benign positional vertigo is the most common cause of vertigo. Patients have brief episodes with positional change, typically when turning over in bed, getting out of bed, or bending over and straightening up. It is most common in older people. B. Diagnosis is by the Dix-Hallpike maneuver fatigable, torsional, vertical, paroxysmal positional nystagmus resulting from a rapid change from the sitting to the head-hanging position. Benign positional vertigo is caused by calcium within the...

Headache

Migraine affects 15 to 17 of women and 6 of men. Headaches can generally be grouped into three major categories vascular, tension-type, and organic. I. Clinical evaluation A. Migraine headaches are usually unilateral, and the acute attack typically lasts from 4 to 24 hours. Migraine headaches can occur with an aura or without an aura. Usually, the aura consists of focal neurologic symptoms starting 5 to 30 minutes before onset of an acute headache attack. Aura symptoms may continue for 15 to 30...

Contraindications and side effects

Breakthrough bleeding is common during the first few months of use. Most women experience regular bleeding or amenorrhea within six months after the first injection. If breakthrough bleeding persists beyond this period, nonsteroidal anti-inflammatory agents, combination oral contraceptives or a 10- to 21-day course of oral estrogen may eliminate the problem. About 50 of women who have received the injections for one year experience amenorrhea. 2. Side effects include weight gain, headache and...

Treatment of vertigo

A vestibular exercise program should be instituted as soon as possible. While nystagmus is present, patients should attempt to focus the eyes and should move and hold them in the direction that provokes the most dizziness. When nystagmus has diminished to the point that the patient can clearly focus on a target in all directions, eye-head coordination exercises should be started. A useful exercise is to stare at a target while oscillating the head from side to side and up and down. Maneuver...