Top 5 Causes of VERTIGO and DIZZINESS. What is Vertigo?
Dr. Constantine Dr. Constantine
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 Published On Jun 4, 2024

Understanding Vertigo and Dizziness: Vertigo refers to the perception of movement or spinning when there is none, while dizziness is a broader term encompassing various sensations like vertigo, unsteadiness, and lightheadedness.

Balance Mechanism: The inner ear's vestibular system helps us maintain balance by detecting rotational, linear, and tilt movements through fluid and hair cell interactions, similar to how gyroscopes and accelerometers work in technology.

Vestibular System Components: The inner ear comprises the vestibule and cochlea, responsible for balance and hearing, respectively, protected by bone structures collectively called the labyrinth.

Benign Paroxysmal Positional Vertigo (BPPV): The most common cause of vertigo, triggered by head position changes due to dislodged calcium crystals, often affecting older individuals and more common in women.

BPPV Treatment: The Epley Maneuver, a series of head and body movements, is highly effective in repositioning the crystals, with medications like meclizine and diazepam used for symptom relief.

Meniere's Disease: Characterized by recurrent vertigo episodes, tinnitus, and fluctuating hearing loss due to endolymph accumulation in the inner ear, typically affecting middle-aged individuals.

Treatment for Meniere's Disease: No definitive cure exists, but management includes medications, diuretics, low-sodium diet, avoiding triggers, hearing aids, and surgical options in severe cases.

Vestibular Neuritis: Severe vertigo without hearing loss, often following a viral infection, with treatment involving corticosteroids, antiemetics, and vestibular suppressants, usually leading to full recovery.

Labyrinthitis: Similar to vestibular neuritis but may involve hearing loss, caused by viral or bacterial infections, with antibiotics added if bacterial.

Migraine-Associated Vertigo: Vertigo occurring with migraine headaches, more common in women, managed with medications like triptans, antiemetics, and vestibular suppressants.

Age and Gender Factors: Certain conditions like BPPV are more common in older individuals, while others like migraine-associated vertigo have gender predispositions.

Triggers and Symptoms: Recognizing triggers like head movements in BPPV and addressing symptoms like vertigo, tinnitus, and hearing loss in Meniere's disease are crucial for effective management.

Treatment Efficacy: While treatments like the Epley Maneuver have high success rates, long-term management and lifestyle modifications play key roles in controlling symptoms and preventing relapses.

Chronic vs. Acute Conditions: Differentiating between chronic conditions like Meniere's disease and acute conditions like vestibular neuritis helps tailor treatment approaches for optimal outcomes.

Interdisciplinary Approach: Managing vertigo and dizziness often requires collaboration between medical specialties such as otolaryngology, neurology, and physical therapy to address underlying causes and improve quality of life.
Disclaimer:

This information is provided for general knowledge and educational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always consult with your doctor for any questions or concerns you may have about your health.

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