Vertigo is a symptom of a balance disorder occurring due to disturbances in the inner ear balance, it affects the vestibular division of the auditory nerve – the eighth cranial nerve
Vertigo refers to sensation of spinning or whirling occurring as a result of a disturbance in balance.
Vertigo is also used to describe feelings of dizziness, lightheadedness, and faintness.
Vertigo is the feeling that you or your environment is moving or spinning.Age / Sex groups affected by vertigo
Females are at a slight great risk than males.
Individuals of any race can be affected by vertigo.
Subjective vertigo– feeling as if one is moving.
Objective vertigo -the perception that surroundings are moving.
Pathologic vertigo is classified as –
Labyrinthine dysfunction occurring as a result of any disease/ condition affecting the ability of the vestibular organs (the labyrinths) to communicate with the brain.
Diseases of the eighth (vestibular) cranial nervecause vertigo of the vestibular nerve.
Lesions on the brainstem or cerebellum can cause central vertigo.
Psychogenic vertigo usually occurs with panic attacks or agoraphobia (fear of open spaces).
• Benign Paroxysmal positional vertigo -there is sensation of motion initiated by sudden head movements or moving the head in a certain direction.
• Labyrinthitis -sudden onset of vertigo and may be associated with hearing loss.
• Meniere’s disease is composed of symptoms including: episodes of vertigo, ringing in the ears (tinnitis), and hearing loss. Meniere’s disease patients have a abrupt onset of vertigo.
• Acoustic neuroma( it is a tumor of nerve tissue )
• Vertigo can be caused by decreased blood flow to the base of the brain
• Multiple sclerosis.
• Head trauma and neck injury
• Migraine which is a severe form of headache also causes vertigo
• Chronic otitis media (inflammation or infection in ear)
• Airplane / car travel
Vertigo may last for a few moments, several hours, or even days.
• Nausea and vomiting
• Loss of balance
• Blurred vision
• Problems in walking and standing properly
• Difficulty in reading
• Tinnitus ( ringing in ears )
• Abnormal rhythmic eye movements (nystagmus) usually accompany the symptoms of benign paroxysmal positional vertigo.
• Motion sickness is one of great symptoms of vertigo and it develops most often in persons with inner ear problems.
• Diagnosis is based on medical history and physical exam.
• Detailed questioning – about sensation of motion, any nausea, vomiting, sweating, and abnormal eye movements.
• CT scan/MRI
• Blood tests to check blood sugar levels
• ECG to look at heart rhythm may also be helpful.
Treatment depends on the underlying cause
• Bacterial infection of the middle ear requires antibiotics.
• Low salt diet
• A hole in the inner ear causing recurrent infection may require surgery.
• Vestibular rehabilitation exercises
• Massage therapy
Prognosis of patients of vertigo depends upon the underlying cause or disease.
•Carbon monoxide toxicity
•Vertebrobasilar atherothrombotic disease.
•Benign postitional vertigo
• Headache relieved by cold
• Great restlessness
• Head sensitive in open air
• Vertigo on closing eyes and as if one would fall
• Vertigo with falling to left side
• Severe throbbing and heat
• Pain and fullness in forehead
• Pain worse in light, noise and in afternoon
• Dilated pupils
• Face red ,bluish and swollen
• Vertigo with gastralgia
• Sudden, violent shock
• Vertigo on rising from bed
• Vertigo, nausea on sitting up
• Sick headache from riding in a carriage
• Contracted pupils
• Pain in eyes
• Hot face and flushed
• Nausea and dizziness
• Vertigo with heaviness of head
• Dull headache
• Pain in temples extending to ear
• Dim sight and vision
• Effects of sunstroke
• Confusion with dizziness
• Head heavy
• Great irritability
• Vertigo on shaking head
• Vertigo with nausea
• Pain in head with great prostration
• Vertigo when walking in open air
• Pulsations in head
• Bursting headache, better by hard pressure
• Using ginger
• Making a mixture of salt, black pepper and lemon juice
• Avoiding alcohol , coffee
• Low salt diet
• Increased intake of vitamin C, by including strawberries and oranges in your diet.
• Protein rich food. The peels of tangerines, lime and oranges are great home remedies for vertigo.
• Drinking lots of water
• Food rich in zinc, vitamin A , C, E
• Avoiding fried food
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