Resumo
Diferenciales
Común
- Vertigem posicional paroxística benigna (VPPB)
- Doença de Ménière
- Neurite vestibular
- Labirintite
- Enxaqueca vestibular
- Pré-síncope
- Hipotensão ortostática
- Síndrome da taquicardia ortostática postural
- Diabetes mellitus
- Bebidas alcoólicas
- Medicamentos
- Doença do coronavírus 2019 (COVID-19)
Infrecuente
- Colesteatoma
- Deiscência do canal semicircular superior
- Fístula perilinfática
- Tontura postural-perceptual persistente (TPPP)
- Tumor da fossa posterior
- Esclerose múltipla
- AVC de circulação posterior
- Insuficiência vertebrobasilar
- Malformação de Arnold-Chiari tipo 1
- Síndrome de Wallenberg (infarto medular lateral)
- Trauma
- Dissecção da artéria vertebral
- Degeneração cerebelar paraneoplásica
- Hipertensão intracraniana idiopática
- Hidrocefalia de pressão normal
- Síndrome do mal do desembarque
- Tontura psicofisiológica
- Tontura psicogênica
- Lúpus eritematoso sistêmico (LES)
- Síndrome de Cogan
- Granulomatose com poliangiite (anteriormente conhecida como granulomatose de Wegener)
- Doença de Behçet
- Intoxicação por monóxido de carbono
- Pós-cirurgia
- Sífilis secundária
Colaboradores
Autores
Susan A. Douglas, MBBS (Hons) UWI, FRCSEd, FRCS (ORL-HNS)
Consultant Otolaryngologist and Otologist
Rotherham NHS Foundation Trust
Rotherham
UK
Divulgaciones
SAD declares that she has no competing interests.
Agradecimientos
Dr Susan A. Douglas would like to thank Professor William Gibson, a previous contributor to this topic.
Divulgaciones
WG is an author of a reference cited in this topic.
Revisores por pares
Joel Goebel, MD, FACS
Professor and Vice Chairman
Residency Program Director
Dizziness and Balance Center Director
Otolaryngology-Head and Neck Surgery
Washington University School of Medicine
St. Louis
MO
Divulgaciones
JG is an author of a number of references cited in this topic.
Iain Swan, MD, FRCS
Senior Lecturer in Otolaryngology
Honorary Consultant Otolaryngologist
Glasgow Royal Infirmary
Glasgow
UK
Disclosures
IS declares that he has no competing interests.
References
Key articles
Bhattacharyya N, Gubbels SP, Schwartz SR, et al. Clinical practice guideline: benign paroxysmal positional vertigo (update). Otolaryngol Head Neck Surg. 2017 Mar;156(suppl 3):S1-47. Abstract
Basura GJ, Adams ME, Monfared A, et al. Clinical practice guideline: Ménière's disease. Otolaryngol Head Neck Surg. 2020 Apr;162(2_suppl):S1-55.Full text Abstract
American College of Radiology. ACR appropriateness criteria: dizziness and ataxia. 2023 [internet publication].Full text
American College of Radiology. ACR Appropriateness Criteria: hearing loss and/or vertigo. 2018 [internet publication].Full text
Shen WK, Sheldon RS, Benditt DG, et al. 2017 ACC/AHA/HRS guideline for the evaluation and management of patients with syncope: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Circulation. 2017 Aug 1;136(5):e60-122.Full text
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
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