The Lancet | Vestibular drop attacks diagnosed with valuable insights from CCTV @TheLancetTV | Uploaded August 2024 | Updated October 2024, 3 hours ago.
Read the full Clinical Picture, published in The Lancet in August 2024, here:
thelancet.com/journals/lancet/article/PIIS0140-6736(24)01589-7/fulltext?dgcid=youtube_video_clinpic_lancet
Sudden attacks of loss of consciousness, altered levels of consciousness, dizziness and vertigo are common; episodes described as drop attacks include both falls and transient losses of consciousness. The most common causes are cardiovascular usually causing syncope or feeling lightheaded. Vertigo—the sensation of a spinning environment, often felt even when the eyes are closed—is mostly seen in patients with benign paroxysmal positional vertigo, labyrinthitis, vestibular neuritis, and less frequently Ménière's syndrome. In elderly patients both vestibular dysfunction and cardiac disorders may be present and contribute to the attacks. Epilepsy and function neurological disorder need to be considered along with rarer causes of collapse—including cataplexy.
Ménière's syndrome is characterised by recurrent vertigo, variable hearing loss, and tinnitus; Tumarkin attacks are seen in 6-7% of patients.
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Read the full Clinical Picture, published in The Lancet in August 2024, here:
thelancet.com/journals/lancet/article/PIIS0140-6736(24)01589-7/fulltext?dgcid=youtube_video_clinpic_lancet
Sudden attacks of loss of consciousness, altered levels of consciousness, dizziness and vertigo are common; episodes described as drop attacks include both falls and transient losses of consciousness. The most common causes are cardiovascular usually causing syncope or feeling lightheaded. Vertigo—the sensation of a spinning environment, often felt even when the eyes are closed—is mostly seen in patients with benign paroxysmal positional vertigo, labyrinthitis, vestibular neuritis, and less frequently Ménière's syndrome. In elderly patients both vestibular dysfunction and cardiac disorders may be present and contribute to the attacks. Epilepsy and function neurological disorder need to be considered along with rarer causes of collapse—including cataplexy.
Ménière's syndrome is characterised by recurrent vertigo, variable hearing loss, and tinnitus; Tumarkin attacks are seen in 6-7% of patients.
Visit The Lancet at thelancet.com/?dgcid=youtube_video_clinpic_lancet
* * *
Continue this conversation on social! Follow us today at…
Twitter.com/TheLancet
Facebook.com/TheLancetMedicalJournal
Instagram.com/TheLancetGroup
LinkedIn.com/company/The-Lancet
