TY - JOUR
T1 - Medical and Nonstroke Neurologic Causes of Acute, Continuous Vestibular Symptoms
AU - Edlow, Jonathan A.
AU - Newman-Toker, David E.
N1 - Funding Information:
Dr. Newman-Toker's effort was supported, in part, by a grant from the National Institutes of Health, National Institute on Deafness and Other Communication Disorders (1U01DC013778-01A1).
Publisher Copyright:
© 2015 Elsevier Inc..
PY - 2015/8/1
Y1 - 2015/8/1
N2 - Most patients with the acute vestibular syndrome (AVS) have vestibular neuritis or stroke or, in the setting of trauma, a posttraumatic vestibular cause. Some medical and nonstroke causes of the AVS must also be considered. Multiple sclerosis is the most common diagnosis in this group. Other less common causes include cerebellar masses, inflammation and infection, mal de debarquement, various toxins, Wernicke disease, celiac-related dizziness, and bilateral vestibulopathy. Finally, there may be unmasking of prior posterior circulation events by various physiologic alterations such as alterations of temperature, blood pressure, electrolytes, or various medications, especially sedating agents.
AB - Most patients with the acute vestibular syndrome (AVS) have vestibular neuritis or stroke or, in the setting of trauma, a posttraumatic vestibular cause. Some medical and nonstroke causes of the AVS must also be considered. Multiple sclerosis is the most common diagnosis in this group. Other less common causes include cerebellar masses, inflammation and infection, mal de debarquement, various toxins, Wernicke disease, celiac-related dizziness, and bilateral vestibulopathy. Finally, there may be unmasking of prior posterior circulation events by various physiologic alterations such as alterations of temperature, blood pressure, electrolytes, or various medications, especially sedating agents.
KW - Acute vestibular syndrome
KW - Dizziness
KW - Multiple sclerosis
KW - Neurologic disease
KW - Stroke
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U2 - 10.1016/j.ncl.2015.04.002
DO - 10.1016/j.ncl.2015.04.002
M3 - Review article
C2 - 26231281
AN - SCOPUS:84938224355
SN - 0733-8619
VL - 33
SP - 699
EP - 716
JO - Neurologic clinics
JF - Neurologic clinics
IS - 3
ER -