Abordaje integral del vértigoalgoritmo diagnóstico, causas, tratamientos y criterios de derivación desde la perspectiva de atención primaria. Documento de consenso SEMERGEN (Pag.-e 102114)

  1. D. Martín-Enguix 1
  2. N. Pérez-Fernández 2
  3. N. Gomez-Gabaldón 3
  4. J.A. Medina-Gámez 4
  5. F.J. Morales-Escobar 5
  1. 1 Centro de Salud Albuñol, Distrito Sanitario Granada Sur, Albuñol, Granada, España
  2. 2 Clínica Universidad de Navarra, Madrid, España
  3. 3 Hospital de Hellín, Hellín, Albacete, España
  4. 4 Centro de Salud de Armilla, Distrito Sanitario Granada Metropolitano, Armilla, Granada, España
  5. 5 Centro de Salud Arucas, Arucas, Las Palmas, España
Zeitschrift:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Datum der Publikation: 2024

Nummer: 2

Seiten: 7-7

Art: Artikel

DOI: 10.1016/J.SEMERG.2023.102114 DIALNET GOOGLE SCHOLAR

Andere Publikationen in: Semergen: revista española de medicina de familia

Zusammenfassung

Vertigo is a common symptom that can have various causes and may require a comprehensive approach for its diagnosis and treatment from primary care. A diagnostic algorithm based on the classification proposed by the Otoneurology Commission of the SEORL-PCF is suggested, which facilitates the classification of the different types of vertigo and provides referral criteria for patients from primary care to other specialties. A review of the available treatments based on the underlying cause is conducted for appropriate therapeutic management. This document is expected to become a valuable tool for professionals treating patients with vertigo. The document is based on scientific evidence and on the experience of experts in the field from various medical specialties; and seeks to improve the understanding and clinical approach to acute vertigo from primary care.

Bibliographische Referenzen

  • J.M. Furman, J.S. Jacobson Evaluation of the patient with vertigo UpToDate. (2023) Disponible en: https://www.uptodate.com/contents/evaluation-of-the-patient-with-vertigo Google Scholar
  • L. Álvarez, R. Manrique, N. Pérez Guías de actuación en urgencias- Vértigo [Internet]. Clínicas Universidad de Navarra; (2018) [consultado 18 Abril 2023]. Disponible en: https://www.cun.es/dam/cun/archivos/pdf/publicaciones-cun/urgencias/guia-actuacion-vertigo.
  • A.A. Tarnutzer, A.L. Berkowitz, K.A. Robinson, Y.H. Hsieh, D.E. Newman-Toker Does my dizzy patient have a stroke? A systematic review of bedside diagnosis in acute vestibular syndrome CMAJ., 183 (2011), pp. E571-E592 View article CrossRefView in ScopusGoogle Scholar
  • A. Soto-Varela, I. Arán-González, J.A. López-Escámez, C. Morera-Pérez, M. Oliva-Domínguez, N. Pérez-Fernández, et al. Clasificación de los vértigos periféricos de la Comisión de Otoneurología de la Sociedad Española de Otorrinolaringología: concordancia diagnóstica y actualización (versión 2, año 2011) Acta Otorrinolaringol Esp., 63 (2012), pp. 125-131 View PDFView articleView in ScopusGoogle Scholar
  • E. García García, X. González Compta Actualización en el manejo del vértigo AMF., 15 (2019), pp. 184-191 Google Scholar
  • D.E. Newman-Toker, P. Sharma, I.S. Curthoys Penlight-cover test: a new bedside method to unmask nystagmus J Neurol Neurosurg Psychiatry., 80 (2009), pp. 900-903 View article CrossRefView in ScopusGoogle Scholar
  • T. Imai, H. Inohara Benign paroxysmal positional vertigo Auris Nasus Larynx., 49 (2022), pp. 737-747 View PDFView articleView in ScopusGoogle Scholar
  • T. Qiu, X. Dai, X. Xu, G. Zhang, L. Huang, Q. Gong A prospective study on the application of HINTS in distinguishing the localization of acute vestibular syndrome BMC Neurol., 22 (2022), p. 378 View PDF This article is free to access. View in ScopusGoogle Scholar
  • M.I. Vázquez Muñoz, M.P. Gómez Tapiador, M. Oliva Domínguez Síndromes vestibulares periféricos: enfermedad de Meniere, neuronitis vestibular, vértigo posicional paroxístico benigno Libro virtual de formación en ORL. Capítulo 35, Hospital Universitario Puerto Real, Cádiz (2015) Google Scholar
  • S. Martín-Aragón, P. Bermejo-Bescósa Vértigo. Tratamiento farmacológico Offarm, 29 (2010), pp. 72-73 Google Scholar
  • P.A. Merino Guía clínica sobre el diagnóstico y tratamiento del vértigo. Avalado por la SEORL International Marketing & Communication SA (2018) Google Scholar
  • F. Plescia, P. Salvago, F. Dispenza, G. Messina, E. Cannizzaro, F. Martines Efficacy and Pharmacological Appropriateness of Cinnarizine and Dimenhydrinate in the Treatment of Vertigo and Related Symptoms Int J Environ Res Public Health., 18 (2021), p. 4787 View article CrossRefView in ScopusGoogle Scholar
  • W. Heide, B. Adlung, C. Körtke, R. Hoerr Ginkgo biloba Extract EGb 761® Improves Central Vestibular Vertigo in Patients Undergoing Vestibular Exercises: A Randomised Placebo-Controlled Trial Neuroscience Medicine., 13 (2022), pp. 91-102 View article CrossRefView in ScopusGoogle Scholar
  • R. Sha, L. Tang, Y. Du, S.X. Wu, H.W. Shi, H.X. Zou Effectiveness and safety of Gingko biloba extract (GBE50) in the treatment of dizziness caused by cerebral arteriosclerosis: a multicenter, double-blind, randomized controlled trial J Tradit Chin Med., 42 (2022), pp. 83-89 View in ScopusGoogle Scholar
  • K.F. Hamann Special gingko extract in cases of vertigo: a systematic review of randomized, double-blind, placebo controlled clinical examinations HNO., 55 (2007), pp. 258-263 View PDF Your institution provides access to this article. CrossRefView in ScopusGoogle Scholar