Vertigo - Melanie Collins

Date Published: 
Monday, May 8, 2017

Melanie Collins talks about the management of vertigo in general practice. Melanie is an ENT surgeon at North Shore Hospital and at the ENT group at Mercy Hospital in Auckland.



  • How does the sensation of vertigo differ from dizziness and disequilibrium?
  • Patient friendly way of explaining vertigo.
  • What are the potential underlying causes for vertigo?
  • Key questions to ask patients
  • Duration of symptoms
  • Essentials to cover when examining a patient with vertigo
  • Red flags to look out for
  • Diagnosis and management:
    • Benign paroxysmal positional vertigo (BPPV)
    • Meniere's disease
    • Is Vestibular Neuritis the same as Labyrinthitis?
    • Key points on acoustic neuroma and cholesteatoma
    • Vestibular migraine


Take home messages

  • Time is required to do a careful history
  • BPPV is a common condition so don’t be anxious about doing a dix-hallpike test or learning how to do an epley manoeuvre
  • Vertigo can be managed in general practice and can also benefit from a specialist opinion to fine tune.


Clinician Resources

Patient Resources



Dr Melanie Collins
ENT Surgeon

To contact Melanie Click here.



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This presentation is intended for qualified health practitioners professional development and should not be relied upon for any other purpose. Any opinions offered are those of the presenter or other speaker and do not necessarily represent the views of Goodfellow Unit.