Gordon H. Sun, MD, MS

Disclosures

April 20, 2017

First Case: Waking Up With Dizziness

A 28-year-old communications director presented to her family physician with a 2-month history of dizziness, nearly always upon awakening from bed. The dizziness occurred almost every day, but lasted no more than a minute each time.

The patient denied fever, chills, or nausea, as well as hearing loss, ear pain, or tinnitus. She was otherwise healthy, with no history of surgery, trauma, or allergies.

Physical examination demonstrated an alert and well-nourished woman with normal vital signs. Head and neck examination was unremarkable, and motor and sensory neurologic exam was grossly normal. However, during the Dix-Hallpike maneuver, the patient demonstrated rotatory up-beating nystagmus with the right ear facing downward, as well as mild nausea and dizziness. The symptoms abated when the patient sat upright.

The patient was ultimately diagnosed with benign paroxysmal positional vertigo (BPPV).

Comments

3090D553-9492-4563-8681-AD288FA52ACE
Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.
Post as:

processing....