Management options for acute versus chronic vertigo

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