Management of Positional Vertigo

Authors: David Eibling, M.D. and Members of the Core Education Faculty of the AAO-HNS Foundation

Dizziness is a common problem experienced occasionally by almost everyone. The diagnosis and management of dizziness can be a conundrum leading to continued patient disability and frustration for patient and physician alike. Not all dizziness is labyrinthine in origin, nor does all dizziness represent true vertigo. Although some forms of vertigo are difficult to diagnose and manage, in most cases treatment is possible and often efficacious. The most important component in the diagnosis of dizziness is to be found in the history and physical. Making the correct diagnosis is critical, as some forms of dizziness can even be cured.

Objectives of this Program

After completing the program, the participant will be able to:

• Know how true vertigo differs from other forms of dizziness.
• Recognize a number of common vertiginous syndromes and know treatment algorithms for each.
• Recognize and treat episodes of benign paroxysmal positional vertigo.
• Know which patients with incapacitating vertigo may benefit from invasive therapy.
• Recognize the benefits as well as shortcomings in the use of vestibular stimulants.

© 2000 American Academy of Otolaryngology - Head and Neck Surgery Foundation