Management options for acute versus chronic vertigo

Optimal management of the dizzy patient depends on an accurate diagnosis and knowledge of medical, surgical, and rehabilitative options. Acute vertigo may represent labyrinthine dysfunction treated with medication or a more serious central nervous system process requiring prompt intervention to avoid long-term disability. Chronic vertigo, however, may require surgical or rehabilitative measures for lasting relief. This article outlines the rationale for treating both groups with a variety of therapeutic options.