Posttraumatic dizziness and vertigo

M. Szczupak, M. E. Hoffer, S. Murphy, C. D. Balaban

Research output: Chapter in Book/Report/Conference proceedingChapter

3 Scopus citations

Abstract

Traumatic brain injury is an increasingly common public health issue, with the mild variant most clinically relevant for this chapter. Common causes of mild traumatic brain injury (mTBI) include motor vehicle accidents, athletics, and military training/deployment. Despite a range of clinically available testing platforms, diagnosis of mTBI remains challenging. Symptoms are primarily neurosensory, and include dizziness, hearing problems, headaches, cognitive, and sleep disturbances. Dizziness is nearly universally present in all mTBI patients, and is the easiest symptom to objectify for diagnosis. Aside from a thorough history and physical exam, in the near future specialized vestibular function tests will be key to mTBI diagnosis. A battery of oculomotor (antisaccade, predictive saccade) and vestibular tasks (head impulse test) has been demonstrated to sensitively and specifically identify individuals with acute mTBI. Vestibular therapy and rehabilitation have shown improvements for mTBI patients in cognitive function, ability to return to activities of daily living, and ability to return to work. Dizziness, as a contributor to short- and long-term disability following mTBI, is ultimately crucial not only for diagnosis but also for treatment.

Original languageEnglish (US)
Title of host publicationHandbook of Clinical Neurology
PublisherElsevier B.V.
Pages295-300
Number of pages6
DOIs
StatePublished - 2016

Publication series

NameHandbook of Clinical Neurology
Volume137
ISSN (Print)0072-9752
ISSN (Electronic)2212-4152

Keywords

  • antisaccade
  • head impulse test
  • mild traumatic brain injury
  • oculomotor testing
  • posttraumatic dizziness
  • posttraumatic vertigo
  • predictive saccade
  • vestibular rehab
  • vestibular testing

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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