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vestibular - Coggle Diagram
vestibular
current knowledge
own experience with BBPV
Senior vestibular physio
basic understanding of subjective questions
vesticam goggles
vertigo
central
stroke
vestibular migraine
sec-hours
visual sensitivity/noise
giddy/dizzy
no eye signs
pressure in head
headache pr or post
peripheral /otological
BBPV
risk
65y.o
hereditory
head bumb
neuritis previously
bed rest
symptoms
vertigo<60sec
head position cahnges
mornings
nystagmus
hypofunction
menierres disease
peripheral lesion
perilymphatic fistula
unilateral vesibuloneuritis (UPVD)
inflammatory acute peripheral nerve
symptoms gradually resolve 24hours-3/4 days
vertigo
hearing loss
involves CN8
no other neurological signs
sensitive to head movement
unsteady
difficulty in dark or busy environment
month to year for rehab if system does not compensate
other
anxiety
panic
cervicogenic
postural hypotension
medication
treatments
brandt-daroff exercises
epleys
semont
rehabilitation
visual
balance
medication
stemitol
steroids
feelings
rewarding domain
instantaneous results in certain presentations
organised
clear rules
supportive network to ask questions
assessment
objective
dix hallpike
alexanders rule ?
HINTs exam
nystagmus
torsional
vertical
central cause
horizontal
test of skew
head impulse
VOR (HIT)
occulomotor ax
head stays still
spontaneous nystagmus
at rest in neutral look at nystagmus
tracking an object
saccadic movement
quick eye movement from object to object
horizontal alignment side to side
neurological
coordination
looking at cerebellum
f2N
heel to shin
dysdiadochokinesia
MSK
neck
VBI
subjective
symtoms on set
duration
migarines
ear
tinnitis
infections
hearing loss
positions aggs/ease
anatomy
central nervous system
input
proprioception
tactile
visual
output
orientation
postural control
eye movements
peripheral
semi-circular canals
posterior
horizontal
anterior
hair cells on ampullae
covered by gel cupula
CN8
medulla pontine
vestibular nuclei complex
cerebellum
thalamus
into the cortex at multisystems
orthogonal (90deg to each other)
otolith organs
saccule
maculae (hair cells)
gel layer
otoconia (carbonate crystals)
vertical mvt
uricle
horizontal mvt
linear acc and head tilt
cochlear
in petrous bone
main reflexes
vesibular-occular
eyes movment at the same speed but opposite direction to head
see clearly
vestibular spinal
extensor tone reflex to keen COG over BOS
stay upright
creativity
linked in with Dial a dizzy project
link in with ED