Overview
Viral epidemics can indirectly impact individuals with vertigo symptoms, exacerbating existing vestibular disorders through stress, lifestyle changes, and disruptions in healthcare access 2.Diagnosis
Clinical history focusing on recent viral exposure and onset of vertigo 2.
Vestibular function tests (e.g., electronystagmography, vestibular evoked myogenic potentials) to assess for peripheral vestibular dysfunction 2.
MRI or CT scans to rule out central causes if indicated 2.Management
Symptomatic treatment with antihistamines (e.g., dimenhydrinate) or vestibular suppressants (e.g., benzodiazepines) for acute vertigo 2.
Vestibular rehabilitation therapy (VRT) to improve balance and reduce dizziness 2.
Stress management and lifestyle modifications to mitigate exacerbation factors 2.Special Populations
Pediatrics: Increased risk of sedentary behavior and psychological impacts; monitor for developmental delays and mental health issues 2.
Elderly: Higher vulnerability to complications; ensure continuity of care and support for mobility and cognitive function 2.
Comorbidities: Focus on managing underlying conditions to prevent exacerbation of vertigo symptoms 2.Key Recommendations
Monitor and address psychological impacts, particularly in children and vulnerable adults, to mitigate long-term effects on mental health and development (Evidence: Moderate 2).
Prioritize vestibular rehabilitation therapy for patients with persistent vertigo symptoms to improve functional outcomes (Evidence: Moderate 2).
Ensure continuity of care and access to necessary diagnostic evaluations despite healthcare disruptions caused by viral epidemics (Evidence: Expert opinion 2).References
1 Carr E. Tackling the Next Pandemic: An Infodemic in Clinical Oncology Care. Clinical journal of oncology nursing 2023. link
2 Saurel-Cubizolles MJ, Aujard Y, Claudet I, Desbiolles A, Com-Ruelle L, Tilly AL et al.. [Not Available]. Sante publique (Vandoeuvre-les-Nancy, France) 2022. link