1 / 5

Management of Dizziness in Ataxia

Management of Dizziness in Ataxia. Joanna C. Jen, M.D., Ph.D. UCLA Neurology jjen@ucla.edu. Dizziness. Light-headed near-faint dizziness Floating, swimming, rocking sensation Medication-related dizziness Vertigo Disequilibrium Onset? Intermittent vs. continuous? Triggers?.

adanna
Download Presentation

Management of Dizziness in Ataxia

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Management of Dizziness in Ataxia Joanna C. Jen, M.D., Ph.D. UCLA Neurology jjen@ucla.edu

  2. Dizziness • Light-headed near-faint dizziness • Floating, swimming, rocking sensation • Medication-related dizziness • Vertigo • Disequilibrium Onset? Intermittent vs. continuous? Triggers?

  3. Causes of Dizziness in Ataxia • Cerebellar • Peripheral vestibular • Sensory • Autonomic -Abnormal eye movement -Gait instability with risk for falls • Vascular • Neoplastic • Infectious • Metabolic/nutritional • Degenerative • Congenital/hereditary

  4. Management of Dizziness in Ataxia • Correct diagnosis • Correct drug with appropriate dosage and duration and minimize side effects • Gait training- PT • Fall prevention- PT/OT

  5. Associated Sxs & Rxs Memantine Gabapentin Baclofen 4-aminopyridine • Oscillopsia- involuntary jerky eye movement (nystagmus: vertical, gaze-evoked) making everything jump up and down or from side to side • Nausea/vomiting • Vague feeling of unsteadiness Short-term antiemetics; Avoid long-term benzodiazepines Tricyclic antidepressants SSRIs

More Related