Episode 290 – Neurology VMR – Vertigo
The Clinical Problem Solvers
The Clinical Problem Solvers
4.7 • 528 Ratings
🗓️ 15 June 2023
⏱️ 55 minutes
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| 0:00.0 | Hey folks, just a quick reminder that this episode is now meant to be used for medical advice, just good old-fashioned education. |
| 0:08.5 | All patient information has been modified to protect their identity and the views expressed in our podcast do not necessarily reflect the opinion of our employers. |
| 0:25.4 | Today's chief concern is vertigo. |
| 0:29.2 | Vertigo, a one word chief concern and a very good one at that. |
| 0:31.6 | Bromis, what comes to mind when you hear vertigo? |
| 0:35.3 | Honestly, the first thing I think is like, is it a cranial nerve damage? |
| 0:38.8 | I think I remember you taught me that it's really important when it comes to neuro chief complaint to think about the time course and the localization. |
| 0:44.4 | So I definitely want to know when this happened and well for vertical you wouldn't really think |
| 0:49.5 | about the localization but I think just hearing more about how it happened and then if there's any trigger |
| 0:55.6 | and then also trying to see if there are any other associated symptoms. But I think right now I'm |
| 1:00.3 | really thinking about the cranial nerve at this stage. Okay, great. And which cranial nerve are you |
| 1:05.0 | thinking of? Eight. Craneal nerve eight. Yeah. So that's one part of the potential localization. We'll talk about that. Could it be a problem with cranial nerve eight? so that's one part of the potential localization we'll talk about that could |
| 1:12.7 | it be a problem with cranial nerve eight so as you said our framework always in these morning reports as |
| 1:17.5 | in real life when we discuss a neurology case right is to think about the localization and the time course |
| 1:21.7 | so we'll have to think a little bit about what system is impaired if the patient is experiencing |
| 1:26.0 | vertigo and cranial nerve 8 is part of that |
| 1:28.5 | system. And then the time course, as you said, did this happen suddenly or as I've been going on for a |
| 1:32.8 | long time? Is it provoked by anything or does it happen spontaneously? We'll get into some details of that |
| 1:37.8 | framework in a moment because this is one of my favorite topics. So I'm excited to talk about it, but I want to hear your perspectives first. |
| 1:46.5 | Rabia, what's coming to mind for you when you hear vertigo? |
| 1:49.7 | Yeah, what's coming to my mind? |
| 1:51.0 | When I hear vertical, the definition of vertical is like spinning, sensation, especially when they |
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