Acute onset vertigo work-up

 

Clinical and lab tests

Serum glucose

HSV-1 serology (vestibular neuritis)

Caloric responses

 

Neurophysiology

Audiometry

EEG (vestibular epilepsy)

Electronystagmography

BAEP

Transtympanic electrocochleography

Blink reflex

 

Neuroimaging

High resolution temporal bone CT scan (perilymph fistula)

Brainstem MRI (specific focus if required)

Brainstem MRA

 

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