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Vertigo


Vertigo is a sensation that the environment around you is spinning in circles. It can make you feel dizzy and off-balance.

 

SYMPTOMS

 

Types of vertigo

Peripheral vertigo is the most common type. It happens when there’s an issue with your inner ear or vestibular nerve.

Subtypes

Central vertigo is less common. It occurs when you have a condition affecting your brain, like an infection, stroke or traumatic brain injury.

 

CAUSES

 

DIAGNOSIS

  1. Fukuda-Unterberger test. You will be asked to march in place for 30 seconds with your eyes closed. If you rotate or lean to one side, it could mean that you have an issue with your inner ear labyrinth.
  2. Romberg’s test. You will be asked to close your eyes while standing with your feet together and your arms to your side. If you feel unbalanced or unsteady, it could mean that you have an issue with your central nervous system.
  3. Head impulse test. Your provider will gently move your head to each side while you focus your eyes on a stationary target. As they move your head, they’ll pay close attention to your eye movements.
  4. Vestibular test battery.
  5. Imaging tests.

 

MANAGEMENT

  • Move slowly when standing up, turning your head or performing other triggering movements.
  • Sleep with your head elevated on two pillows.
  • Lie in a dark, quiet room to reduce the spinning sensation.
  • Sit down as soon as you feel dizzy.
  • Squat down instead of bending over at the waist when picking something up.
  • Turn on the lights if you get up during the night.
  • Use a cane or walking stick if you feel like you might fall.