Approach to the Patient with Dizziness and Vertigo

A.  Otologic vertigo is caused by dysfunction of the inner ear. Table 16.1 lists entities that account for about 95% of all cases of otologic vertigo. The distribution of diagnoses varies greatly according to the referral base (e.g., neurology, otolaryngology, general medicine, emergency room), but in all settings otologic vertigo comprises a substantial component. 1.  Benign paroxysmal…

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