Learning objectives
Assessment of the radiological contribution in the investigation of vertigo in an appropriate clinico-anamnestic context.
Author's note -
The poster was originally presented at the DRG 2012 in Hamburg.
It is being re-presented at ECR 2013 by request.
Unfortunately,
the format afforded by EPOS is inadequate to show the poster in its original form,
as is indicated in figure 4.
Any reader interested in a copy of the original presentation can contact me:
[email protected].
Background
Vertigo is the third most common presenting symptom in neurological practice.
As a symptom it has a wide spectrum of etiologies,
and is often misintrepreted,
leading to unnecessary (radiological) inverstigations.
This poster serves as an aid for the radiologist in that it presents pertinent clinical,
anamnestic and differential diagnostic information which will help in choosing a proper diagnostic pathway.
illusion of movement
• self in space
• space around self:
• „in an elevator“ / vertical
• „on a carrousel“ / rotatory
• „seesaw “...
Imaging findings OR Procedure details
differential diagnostic list of vertigo-
• VITAMINS
• vascular (brain stem-/ cerebellar stroke,
dAVF,
arterial dissection)
• infectious (meningitis,
labyrinthitis,
viral cerebellitis,
Lyme disease)
• traumatic (petrous bone fracture,
labyrinthine haemorrhage)
• autoimmune (MS)
• metabolic-toxic (hypoglycaemia,
dehydration,
medication/drugs)
• idiopathic / iatrogenic (BPPV,
Menière’s disease,
medication)
• neoplastic (neurofibroma/schwannoma,
meningioma,
pontine glioma,
mets)
• Seizures / pSychiatric
Author's note -
The poster was originally presented at the DRG 2012 in Hamburg.
It is being re-presented at ECR 2013 by request.
Unfortunately,
the format afforded...
Conclusion
Knowledge of the history and presentation of vertigo syndromes will help channel patients to appropriate diagnostic pathways and eliminate unnecessary investigations.
Author's note -
The poster was originally presented at the DRG 2012 in Hamburg.
It is being re-presented at ECR 2013 by request.
Unfortunately,
the format afforded by EPOS is inadequate to show the poster in its original form,
as is indicated in figure 4.
Any reader interested in a copy of the original presentation can contact me:
[email protected].
References
Kretschmann,
Weinrich; Klinische Neuroanatomie
und kranielle Bilddiagnostik.
Thieme,
Stuttgart
Govt.
of Western Australia / Dept.
Of Health
Personal Information
Dr.
med.
Sören Peters
Department of Radiology and Nuclear Medicine
BG-Universitätsklinikum Bergmannsheil
Bochum,
Germany
[email protected]
