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Your patient presents with dizziness, lip paresthesias, nystagmus, lower extremity paresthesias, and drop attacks. This would be most indicative of ______.

a. A concussion
b. Vertebral basilar insufficiency
c. A labyrinthine syndrome
d. Carotid artery tear

1 Answer

3 votes

Final answer:

The described symptoms are highly indicative of vertebral basilar insufficiency (VBI), specifically dizziness, lip paresthesias, nystagmus, lower extremity paresthesias, and drop attacks.

Step-by-step explanation:

The symptoms described are highly indicative of vertebral basilar insufficiency, also known as VBI. VBI refers to a reduced blood flow in the vertebral and basilar arteries that supply the brainstem and cerebellum. When these vital regions do not receive enough oxygen and nutrients from the blood, various neurological symptoms can occur.

The dizziness, lip paresthesias (tingling or numbness in the lips), nystagmus (involuntary and rapid eye movements), lower extremity paresthesias (tingling or numbness in the lower limbs), and drop attacks (sudden falls without loss of consciousness) align with the characteristic presentation of VBI.

It is essential to refer the patient to a medical professional for assessment and appropriate management of their condition.

User Kevin Liu
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