Epley's maneuver for vertigo4/9/2024 Treatment with a low-salt diet and diuretics is recommended for patients with Ménière’s disease and vertigo.Įffective treatments for vertiginous migraine include migraine prophylaxis (e.g., tricyclic antidepressants, beta blockers, calcium channel blockers), migraine-abortive medications (e.g., sumatriptan ), and vestibular rehabilitation exercises. Vestibular exercises are recommended for more rapid and complete vestibular compensation in patients with acute vestibular neuronitis. Vestibular suppressant medication is recommended for symptom relief in patients with acute vestibular neuronitis. The modified Epley maneuver also is effective in patients with benign paroxysmal positional vertigo. The canalith repositioning procedure (Epley maneuver) is recommended in patients with benign paroxysmal positional vertigo. Vertigo associated with anxiety usually responds to a selective serotonin reuptake inhibitor. Vertiginous migraine headaches generally improve with dietary changes, a tricyclic antidepressant, and a beta blocker or calcium channel blocker. Ménière’s disease often responds to the combination of a low-salt diet and diuretics. Acute vestibular neuronitis or labyrinthitis improves with initial stabilizing measures and a vestibular suppressant medication, followed by vestibular rehabilitation exercises. ![]() Benign paroxysmal positional vertigo usually improves with a canalith repositioning procedure. Most patients with vertigo do not require extensive diagnostic testing and can be treated in the primary care setting. ![]() The distinction between peripheral and central vertigo usually can be made clinically and guides management decisions. Less common causes include vertebrobasilar ischemia and retrocochlear tumors. The most common causes of this condition are benign paroxysmal positional vertigo, acute vestibular neuronitis or labyrinthitis, Ménière’s disease, migraine, and anxiety disorders. As patients age, vertigo becomes an increasingly common presenting complaint. Vertigo is the illusion of motion, usually rotational motion.
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