A Case of Drastic Improvement in a 43 Year Old Male with Severe Refractory Incapacitating Vertigo
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2014, Vol 4, Issue 35
Abstract
Introduction: Vertigo is a common and distressing complaint seen in primary care. It can be due to central or peripheral causes, which should be determined right at the outset. In some cases, the vertigo is transient and easily manageable while in others it can be more troublesome and difficult to treat. Case: A 43 year old male presented with episodes of severe vertigo and vomiting progressively increasing since six months. Despite multiple consultations, complete work up and treatment with the standard therapy for suppressing vertigo, his symptoms persisted. On history and examination, it seemed to be a case of Ménière’s Disease and we started him on specific therapy. The patient showed marked improvement within a week and continued to do so at the end of three months despite stopping all treatment. Conclusion: Identification of the cause of vertigo, multidisciplinary management and specific treatment, rather than just vestibular suppressants, are paramount in managing a case of vertigo.
Authors and Affiliations
Gauri Billa, Karan Thakkar
Sapium ellipticum (Hochst.) Pax Leaf Extract: In-vitro Antioxidant Activities and Lethal Dose (LD50) Determination in Wistar Rats
Prior to this investigation, the LD50 and antioxidant activities of Sapium ellipticum leaf extract have not been reported, hence; the focus of this study. The LD50 of the extract was determined through three routes of ad...
Pre Surgical Nasoalveolar Molding (PNAM) to Reduce Cleft Severity in a Nonsyndromic Unilateral Cleft Lip and Palate (UCLP) Patient
Introduction: Pre surgical nasoalveolar molding (PNAM) is a viable option in reducing the severity of the cleft resulting in easier surgical repair and the lip and the nose heal under minimal tension and this leads to le...
Streptococcus Toxic Shock Syndrome Due to Non Haemolytic Streptococcus pyogenes
Aim: Describe the detection of an unusual pathogen associated with a common clinical presentation with abrupt worsening. Case Presentation: We present the case of a 36-year-old Peruvian male who presented to the E...
Endovascular Y-stent Graft Repair of Chronic Contained Ruptured Abdominal Aortic Aneurysm in High-Surgical Risk Patient
Abdominal aortic aneurysm is a common condition and many a times asymptomatic. The mortality rate is high when it presents with rupture. However, a chronic contained rupture may remain undiagnosed for several weeks to mo...
Protective Role of Walnut Seeds Extract and Vitamin E against Testicular Toxicity Induced by Cyclophosphamide in Male Rats
Aim: The protective role and antioxidant effect of Walnut seeds extract (WSE) and/or vitamin E (Vit. E), and their combination against testicular damage and oxidative stress induced by anticancer drug cyclophosphamide (C...