Causes of Dizziness - Vertigo

Dizziness and Vertigo

Causes of dizziness - Causes of vertigo - Rare causes of dizziness - Crystal (otoconia) rise (migration) or dislodging in the inner ear - BPPV - Meniere's Disease

Dizziness or vertigo definition

Dizziness or vertigo  is a condition that many people complain at some time in their lives, which is quite common and may originate from many systems in the body. The person thinks that he or his circle is turning and is uncomfortable by experiencing an illusion of motion. Vertigo" was first used to describe the ear-related dizziness, and "Dizziness" or "swimming of the head / giddiness" was used to describe out-of-ear dizziness. Today, "Vertigo" has become the word used to describe all dizziness.

Dizziness may adversely affect one's daily life

Swimming of the head may occasionally bring a person's everyday life to a standstill and disrupt his / her work and social life. Here, determining the source of the problem and planning the correct treatment will improve the quality of life of the person.

Causes of vertigo

Vertigo is generally understood as vertigo, but vertigo is the cause of dizziness. Vertigo alone does not mean dizziness and also refers to balance problems. There are many reasons for dizziness.

The most common causes of the vertigo

Dizziness is the illusion of a movement that many people may encounter. It can be defined as the fact that the patient or his surroundings are returning even though the patient has not acted. "As the ear nose throat specialist, the most common cause of dizziness is the loss of balance crystal in the inner ear (Bening Paroxysmal Positional Vertigo (BPPV)), Meniere's Disease and Vestibular Neurinitis.
Peripheral vertigo
Dizziness due to balance problems of the inner ear is common. Dizziness other than brain-induced dizziness are very acute conditions that do not allow sudden head movements. Nausea and vomiting may accompany this condition.

Patients may not even open eyes. The most common type of such vertigo is formed by the crystalline displacement which receives the balance signal in the inner ear. Air changes, small traumas may cause these crystals (otoconia) to move out. When the crystals are locked into place, they can be recovered immediately, some treatment meuvers (Epley Maneuver) can be done or controlled by drugs.

Here are some of the most common causes of dizziness. A highly detailed diagnosis and treatment article may be required for BPPV and other diseases. In a patient with dizziness, it is necessary to understand whether there is a serious disease related to the brain and cardiovascular system, and then a diagnostic study should be done.
Vascular Causes
Atherosclerosis in the brain, ie, hardening of the arteries may cause dizziness. Cholesterol plaques cause deterioration of the cerebral vessels and imbalance with dizziness may occur. Vertebral base called the defect of the vessel's deficiency in the flow of blood flow through the VBY so that the loss of dizziness can make. In this case, a neurologist should be consulted. Drug therapy can quickly control the dizziness.

Brain-related and cardiovascular-related diseases are among the more serious causes of dizziness. Panic attack, anxiety disorders, depression and migraine may also cause dizziness.
Infections
Many infections, from a simple influenza infection to chronic infections such as tuberculosis, may manifest as dizziness. The level of infection and the nature of the infection should be determined and the treatment should be carried out accordingly.
Hypertension
Brain blood vessels are narrow diameter through the pressure rises suddenly spasm to protect itself against bleeding. In the meantime, the rate of blood flow is lower and the regions that need blood most of the time object some kind of objection. This is the way dizziness occurs.
Psychological factors and stress
Factors such as mood disorders, dizziness, stress and stress may cause dizziness and balance problems. Many people may experience dizziness, even though there are no physical causes. In this case, psychological support should be taken.

Other causes of vertigo

There are several rare or little-known causes of dizziness. These:

- MS (Multiple Sclerosis) disease
- Drug-related (aspirin, aminoglycoside group antibiotics, some diuretic drugs)
- Heart valve diseases
- Heart failure
- Low blood pressure (hypotension)
- Hormonal changes (pregnancy, menstruation, thyroid diseases)
- Iron deficiency and anemia
- Hypoglycemia
- Ramsay Hunt Syndrome
- Allergy (food allergy and allergies of the respiratory tract)
- Vitamin deficiencies
- Servical disc hernia

The list above can be expanded. Dizziness can occur due to quite different disease and condition. Sometimes, there is more than one cause.
Brain tumors
Benign or malignant tumors in the brain can cause dizziness. Especially the formation in the cerebellum region triggers this more. Brain tumors can occur at any age. It is important not to skip this option when doing the necessary examinations for dizziness. There is an accurate treatment planning and dizziness with the removal of the tumor.
Multiple scelosis (MS)
Multiple scelosis (MS)is a repetitive disease affecting the myelinated sheaths of nerves in the brain and spinal cord. It is common in young and women. Sudden dizziness may occur in MS. Patients may experience dizziness more easily while sitting, and they may experience unbalance when they stand up. Follow-up of MS should be carried out by an experienced specialist and treatment should not be hampered.
Traumas
Conditions such as an accident, head strikes may be dizzying. These traumas do not have to be in the near future. If the person hit his head sharply in the last year, this situation may be seen and it may appear 1 year later. Post-traumatic vertigo are highly resistant and the treatment process requires patience.
Diabetes 
Diabetes is impaired by the use of sugar in brain cells and cannot get energy. In this case, dizziness and balance problems may occur.
Metabolic diseases
Liver diseases, chronic liver diseases, thyroid problems and some drugs may cause dizziness. Liquid electrolyte balance, blood sugar level and imbalances in blood pressure cause dizziness. First of all they should be taken under control. During pregnancy, dizziness may occur due to metabolic changes. In this case, metabolic monitoring is very important.

Multidisciplinary approach is required for diagnosis and treatment of vertigo

Neurological and cardiology examinations, serious cardiovascular and other systemic diseases should be excluded especially in elderly  patients. Multidisciplinary approaches in imbalance and dizziness are important in accurate diagnosis and treatment. When the person goes to the doctor, blood tests, blood pressure, liver kidney function and hormones are examined. In addition to the ear nose throat examination, hearing tests, balance tests and various tests for the inner ear may be required. If these are normal neurological examination is important. The neurologist can diagnose the brain MRI. It should also be looked at whether there is an ear condition. When all problems are excluded, there may be psychological factors. In this case, psychological support can be obtained.

What should you do if you get dizzy?

When dizziness occur, the person should try to make sense of this situation. The person should think of dizziness when he or she doesn't do it. If dizziness occur when he turns his head from left to right, it is usually more optimistic. Wait a few hours calmly and seek medical advice. The inner ear should not perform the maneuver performed on its own when playing crystals. This can cause more serious problems.

Similar article links >> Treatment of Benign Paroxysmal Positional Vertigo - Epley Maneuver / Why Vertigo Is Not Seen In Whirling Dervishes?

Websites with very nice and detailed information are available:

- Dizziness and Vertigo
- Dizziness Definition - Diseases and Conditions - Mayo Clinic
- Dizziness and Vertigo: MedlinePlus
- Dizziness: Lightheadedness & Vertigo Causes, Symptoms ... - WebMD
- Dizziness (Lightheadedness) - NHS Choices
- Dizziness and Motion Sickness
- Dizziness, vertigo, light-headedness and disequilibrium: Symptoms ...

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

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