Vertigo

Benign postural vertigo, cervical vertigo, orthostatic hypotension and vestibular neuronitis should be recognized without extensive further examinations. If the symptoms suggest TIA, the patient is referred to hospital examinations. Further examinations are indicated in recurring or prolonged rotatory vertigo as well as in cases involving impairment of hearing or other neurological findings possibly combined with nystagmus. Keep the possibility of Ménière's disease, acoustic neurinoma, temporal epilepsy and multiple sclerosis in mind. The use of vertigo-inducing medication is either stopped or the dose is reduced. Usually it is not worthwhile to treat symptomatic vertigo with drugs.