Whom to Work-Up for Recent Hx of Vertigo (which has resolved)
- Cranial Nerves
- Cerebellar function
- diplopia, dysarthria, dysphagia
- ataxia, dyscoordination
- Age >60, HT, Diabetes
- Connective tissue disorder
Work-Up
** MRI Brain- To R/O a completed Stroke
- Head and Neck
- r/o Vertebral Artery insufficiency
- Vertigo is posterior circulation Sx
Management of Vertebro-Basilar TIAs
** Risk Factor reduction
** Patient Education- Call 911 at first sign of Sx
- If patient collapses, 911 to take to nearest Stroke Center [not a mere ER]
See posting Vertigo – 1.