THE MOST COMMON BALANCE DISEASES

VERTIGO

What is Vertigo?

 Vertigo, often referred to as dizziness; is a feeling of illusion of movement that occurs when a person perceives a movement that does not exist in reality. The person thinks that he and/or his environment is moving. The sensation of movement is in the form of dizziness or a feeling of being upside down. When severe, it is accompanied by nausea, vomiting, fullness in the ears, pressure, tinnitus, or difficulty in walking.

WHEN SHOULD YOU APPLY TO THE DOCTOR?

  • Double vision
  • Difficulty  in speaking
  • Headache
  • Weakness in arms and legs
  • Loss of balance
  • Nausea, vomiting
  • Sweating
  • Hearing loss
  • Feeling of fullness and pressure in the ear
  • Tinnitus

HOW DO YOU KNOW YOU HAVE VERTIGO?

Vertigo is a feeling of illusion of movement that occurs when a person perceives a movement that does not exist in reality. The person thinks that he and/or his environment are moving. 

to vertigo;

Nausea, vomiting, abnormal eye movements, drowsiness and sweating,

Hearing loss, fullness and pressure in the ear and tinnitus,

Loss of balance, visual impairment, difficulty in walking and changes in consciousness may accompany. 

The problems accompanying vertigo vary according to the main disease causing the vertigo. 

CAUSES OF VERTIGO

Vertigo is mainly caused by diseases of the central nervous system and inner ear.

Most common balance disorders associated with vertigo

Benign paroxysmal positional vertigo (BPPV) 

 It is the most common ear-related cause of vertigo. Although it can be seen at any age, it is most commonly observed in adults. It is observed 2-3 times more in women than in men. Patients complain of short-term attacks of dizziness, which can be severe, triggered by angular movements of the head. The treatment of BPPV is carried out by determining which channel it affects with diagnostic tests and with the appropriate treatment maneuver for the affected channel. Maneuvers are the most commonly used forms of therapy. Other treatment options are; balance physical therapy exercises (vestibular rehabilitation) and pharmacotherapy.

Meniere’s disease

Meniere’s disease also  known as endolymphatic hydrops( high pressure in middle ear fluid) is an other  common cause of vertigo. For diagnosis of Menieres disease there must be  2 or more spontaneous episodes of dizziness lasting 20 minutes – 12 hours. Audiologically, low and medium-frequency sensorineural hearing loss may be observed in the affected ear before or during at least one of the attacks. In addition, a feeling of fullness, pressure and tinnitus are seen in the affected ear. It is treated medically.

VESTIBULAR NEURINITIS

 It is an inflammation of vestibular nerve thought to be caused by viruses, that starts suddenly, lasts for days (1-7 days), it is accompanied by severe dizziness, nausea, vomiting with no hearing loss . It is the third most common type of peripheral vertigo after BPPV and Meniere’s disease. It is most common between the ages of 35-50. In the treatment of vestibular neuronitis,  vestibular rehabilitation following a short term medical therapy should be applied.

 VESTIBULAR MIGRAINE

 It is a disease that causes vertigo, accompanied by occasional headaches that occur in periodic attacks similar to normal migraine. There are also features such as  seeing various shapes, bright spots or flashes of light, intensification of pain accompanied by increased physical activity and triggered by consumption of coffee, chocolate, milk and dairy products.

VERTIGO TREATMENT

 The treatment of vertigo varies according to the underlying disease. It is treated medically (with medication), by+++ maneuvers (by giving the head different positions) or balance physical therapy (vestibular rehabilitation).