Resumo
Diagnósticos diferenciais
comuns
- Neurite vestibular/labirintite
- Doença de Ménière
- Deficiência de vitamina B1 (tiamina)
- Vestibulopatia ototóxica
- Vertigem posicional paroxística benigna (canalitíase)
- AVC hemorrágico
- Acidente vascular cerebral (AVC) isquêmico
- Degeneração cerebelar relacionada ao álcool
- Enxaqueca vestibular
- Doença de Parkinson idiopática
- Neuropatia periférica
Incomuns
- Schwannoma vestibular (neuroma acústico)
- Neurite vestibular sequencial bilateral
- Hipofunção vestibular bilateral idiopática
- Hipofunção vestibular bilateral congênita
- Doença degenerativa (relacionada à idade) da orelha interna
- Doença autoimune da orelha interna
- Deiscência do canal superior (DCS)
- Meningite
- Síndrome do mal do desembarque
- Ataxia espinocerebelar
- Esclerose múltipla (EM)
- Cerebelite/encefalite do tronco encefálico
- Encefalopatia de Wernicke
- Tumor da fossa posterior
- Malformação de Chiari
- Mielinólise pontina central
- Síndrome paraneoplásica
- Deficiência de vitamina E
- Doença celíaca
- Degeneração cerebelar primária
- Parkinsonismo secundário
- Hidrocefalia de pressão normal
- Degeneração corticobasal
- Paralisia supranuclear progressiva
- Atrofia de múltiplos sistemas (AMS; degeneração nigroestriatal, síndrome de Shy-Drager)
- Trauma da medula espinhal
- Síndrome de Guillain-Barré (GBS)
- Espondilose espinhal
- Tumor da medula espinhal
- Neuromielite óptica (NMO)
- Degeneração combinada subaguda da medula
- Sífilis, tabes dorsalis
- Tuberculose da coluna vertebral (doença de Pott)
- Mielopatia infecciosa associada ao vírus da imunodeficiência humana (HIV)
- Mielopatia infecciosa pelo vírus linfotrópico de células T humanas (HTLV) tipo 1
- mielopatia inflamatória no lúpus eritematoso sistêmico (LES)
- Transtorno de ansiedade
- Toxicidade medicamentosa
Colaboradores
Autores
Adrian Priesol, MD, FRCPC
Assistant Professor of Laryngology
Harvard Medical School
Medical Director of Auditory Evoked Testing
Massachusetts Eye and Ear Infirmary
Boston
MA
Declarações
AP declares that he has no competing interests.
Nurhan Torun, MD, FRCSC
Assistant Professor in Ophthalmology
Director of Neuro-ophthalmology
Beth Israel Deaconess Medical Center
Harvard Medical School
Boston
MA
Disclosures
NT declares that she has no competing interests.
Peer reviewers
Joel A. Goebel, MD, FACS
Professor and Vice-Chairman
Department of Otolaryngology-Head and Neck Surgery
Director
Dizziness and Balance Center
Washington University School of Medicine
Saint Louis
MO
Disclosures
JAG has been reimbursed for conference speaking and clinical research support by NeuroCom Intl, Inc. and for conference speaking by MicroMedical Technologies, Inc.
Stephen P. Cass, MD
Associate Professor
Department of Otolaryngology
University of Colorado
Aurora
CO
Disclosures
SPC declares that he has no competing interests.
Daniel J. Costello, MD
Instructor in Neurology
Department of Neurology
Massachusetts General Hospital
Boston
MA
Disclosures
DJC declares that he has no competing interests.
Doris Bamiou, MD, MSc, PhD
Clinical Senior Lecturer & Consultant in Audiovestibular Medicine
UCL Ear Institute
UCL
London
UK
Disclosures
DB declares that she has no competing interests.
References
Key articles
Goebel JA. 2015 Equilibrium Committee Amendment to the 1995 AAO-HNS guidelines for the definition of Ménière's disease. Otolaryngol Head Neck Surg. 2016 Mar;154(3):403-4. Abstract
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.Full text Abstract
Expert Panel on Neurologic Imaging:, Sharma A, Kirsch CFE, et al. ACR appropriateness criteria(®) hearing loss and/or vertigo. J Am Coll Radiol. 2018 Nov;15(11s):S321-31.Full text Abstract
Expert Panel on Neurologic Imaging:, Salmela MB, Mortazavi S, et al. ACR appropriateness criteria(®) cerebrovascular disease. J Am Coll Radiol. 2017 May;14(5s):S34-61.Full text Abstract
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Guidelines
- The international classification of headache disorders: 3rd edition
More GuidelinesPatient information
Doença de Ménière
AVC: tratamento
More Patient information
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