Intractable Vertigo—When not to Operate

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Abstract
Patients with episodic vertigo—or one severe episode of vertigo—may respond to vestibulosuppressive medications or operations on the labyrinth. In patients with constant incapacitating vertigo or disequilibrium, the clinician should suspect nonlabyrin-thine disease. A careful history and physical and neurologic examinations will provide clues to underlying disease and direct the selection of further objective tests.