Peripheral Vertigo

Emerg Med Clin North Am. 2019 Feb;37(1):11-28. doi: 10.1016/j.emc.2018.09.004.

Abstract

This article summarizes the systematic assessment of the dizzy patient who presents with peripheral vertigo. It demonstrates the steps and tests necessary using the Triage-Timing-Trigger-Test (Triage + TiTraTe) method to accurately diagnose the underlying most probable cause while ruling out life-threatening causes. Using video support and just-in-time infographics, it demonstrates the Dix-Hallpike, Semont, Epley, and HINTS maneuvers.

Keywords: Dix-hallpike; Epley; Head impulse test; Hints; Nystagmus; Peripheral vertigo; Test of skew.

Publication types

  • Review

MeSH terms

  • Diagnosis, Differential
  • Emergencies
  • Humans
  • Patient Positioning
  • Vertigo / diagnosis*
  • Vertigo / etiology
  • Vertigo / therapy