Vertigo : Causes, Symptoms, Diagnosis and treatment (1)

1
Vertigo
2
Vertigo

• Vertigo is a sense of rotation, rocking, or the
  world spinning, experienced even when someone is
  perfectly still. Its a sense of feeling off
  balance, or dizziness.
• Vertigo is sometimes considered as fear of
  height, must fear of height is called as
  acrophobia
• It is common with all ages, but it can be caused
  in people aged 65 years or old.
• Vertigo is costly caused by any inner ear
  problem, but certain causes such as dehydration
  or decrease in blood pressure can make any person
  dizzy.

3
Symptoms

• Symptoms for vertigo may include
• Spinning
• Tilting
• Swaying
• Unbalanced
• Pulled to one direction
• Other symptoms may also include
• Feeling nauseated
• Vomiting
• Abnormal or jerking eye movements (nystagmus)
• Headache
• Sweating
• Ringing in the ears or hearing loss

4
Diagnosis of vertigo

• Diagnosis of vertigo may start with the detailing
  of the recent illness with the doctor.
• The doctor may undergo a physical examination ,
  which may ask the patient how the dizziness makes
  them feel. Which can distinguish between
  different dizziness
• MRI or Ct scans may be done of the brain and
  inner ear to exclude any possibilities of stroke
• Nystagmus test Vertigo may provoke different eye
  movement, certain test is done to diagnose that
  which include
• Electronystagmography (ENG) can electronically
  record the nystagmus. The patient wears a headset
  that places electrodes around the eyes. The
  device measures eye movements.
• Videonystagmography (VNG) is a newer technology
  can provide a video recording of the nystagmus.

5
Diagnosis of vertigo
Continue

• Head impulse test- The patient is asked to fix
  the gaze toward the nose. If the patient can fix
  the gaze, then the test is negative, otherwise
  vertigo can be suspected.
• Rombergs test- If the person becomes unsteady
  when the close their eyes, who remains steady
  with eyes open may be suspected with vertigo.
• Unterbergers test- The patients are asked to
  march for 30 seconds, with their eyes closed. If
  they rotate sideways, then vertigo may be
  suspected.

6
Causes of vertigo

• BPPV- It means benign paroxysmal positional
  vertigo. BPPV occurs when tiny calcium particles
  (canaliths) clump up in canals of the inner ear.
  The inner ear sends signals to the brain about
  head and body movements relative to gravity. It
  helps to keep our balance.
• BPPV can occur for no known reason and may be
  associated with age.
• Meniere's disease. This is an inner ear disorder
  thought to be caused by a buildup of fluid and
  changing pressure in the ear. It can cause
  episodes of vertigo along with ringing in the
  ears (tinnitus) and hearing loss.
• Vestibular neuritis or labyrinthitis. This is an
  inner ear problem usually related to infection
  (usually viral). The infection causes
  inflammation in the inner ear around nerves that
  are important for helping the body sense balance

7
Causes of vertigo
Continue

• Other rare caused may include
• Head or neck injury
• Brain problems such as stroke or tumour
• Certain medications that cause ear damage
• Migraine headaches

8
Risk factors of vertigo

• Certain risk factors may include
• Any head injury can increase the risk
• Different medications such as ant seizures
  medications, blood pressure medications or even
  aspirin can increase the risk.
• Anything that increase the risk of stroke,
  increases the risk of vertigo
• Older age increases the risk of vertigo, and
  women have higher risk than men. Mostly older
  women.

9
Treatment

• Treatment of vertigo
• Vertigo can be resolved without ant treatment,
  but some vertigo with any bacterial infection may
  need medication
• Drugs can relieve symptoms of some kinds of
  vertigo, for example, vestibular suppressants or
  anti-emetics to reduce motion sickness and
  nausea.
• Patients with acute vestibular disorder linked to
  a middle ear infection may be prescribed steroids
  (such as prednisone), antiviral drugs (such as
  acyclovir) or antibiotics (such as amoxicillin)
• If the vertigo is caused by BPPV, a technique
  known as the Epley maneuver is used. This is also
  known as canalith repositioning. Here, the
  particles are moved from the inner part to a open
  area known as vestibular, where it can be easily
  absorbed.
• Prescription drugs, such as diazepam or lorazepam
  can be used to relieve the dizziness experienced
  with Ménière's disease
• Certain medications, correct treatment and a
  quality life style with certain restriction can
  control vertigo to much extent. Its not a
  life-threatning disease and in much cases doesnt
  have any further complications.

10
CONNECT WITH US

• Logon to
• www.lazoi.com
• Like us on Facebook
• https//www.facebook.com/LazoiTheLife
• Follow us on Twitter
• https//www.twitter.com/lazoithelife
• Follow us on Pinterest
• https//www.in.pinterest.com/lazoithelife