DIZZINESS & VERTIGO
Causes of vertigo and some conditions we treat
Causes of Vertigo & Dizziness
VERTIGO is a symptom & not a diagnosis. The cause of vertigo needs to be investigated by a suitably qualified medical professional and a diagnosis made prior to treatment.
There are a huge number of medical and neurological causes of dizziness. Inner ear disorders are a major but not exclusive cause of dizziness. Some common diagnoses are outlined below. It is vital to consider all other causes of dizziness and have it appropriately investigated. Multiple causes of vertigo can co-exist and need to be treated individually.
Get your dizziness investigated today by a medical expert.
Benign Paroxsymal Positional Vertigo or BPPV is one of the commonest forms of dizziness. It can be surprisingly disabling and anxiety provoking. It is usually provoked by head movement but not always. The commonest type is posterior canal BPPV but there are other variants.
Fortunately BPPV can be easily diagnosed & treated in the hands of our experienced physicians who have performed hundreds of repositioning manouvres such as the Epley manouvre.
The underlying cause of BPPV needs to be identified and treated, or it will result in repeated attacks of vertigo in future. This maybe be related to an inner ear balance organ (vestibular) weakness, Vitamin D deficiency, migraine etc.
Migraine is a complex neurological disorder which can result in a range of different symptoms like headaches, dizziness, vertigo, visual and abdominal symptoms.
Vestibular Migraine is condition characterised by repeated attacks of dizziness and vertigo. Headaches are optional although you can get other non-specific symptoms. It can sometimes be wrongly diagnosed as Meniere's disease or other such conditions.
It is one of the biggest workloads for our expert physcians who have treated hundreds of patients with this condition. It is a diagnosis of exclusion meaning that all other potential conditions need to be investigated and excluded first such as an inner ear balance organ (vestibular) disorder.
Meniere's disease is a hugely disabling condition resulting in repeated attacks of vertigo with progressive hearing loss, tinnitus and fullness in your ear. It is a condition that can closely resemble vestibular migraine or other inner ear disorders.
Comprehensive work up is hence required to differentiate meniere's from other conditions.
If diagnosed and treated early, the condition can be well managed on the longer term before signficant damage is done to the audiovestibular system.
An acute attack of vertigo with severe vomiting is usually the result of the vestibular nerve getting inflammed.
When associated with a hearing loss, it is known as Labyrinthitis.
The main disorder to exclude in such cases is a stroke & accurate early clinical assessment has been shown to be even better than an MRI.
Central Vestibular Disorders
When faced with vertigo attacks, our physicians always examine and investigate for disorders of the brain including cerebellar strokes, tumours, Multiple Sclerosis and other such conditions.
Accurate assessment of the eyes and any nystagmus (abnormal movement of the eyes) by an experienced doctor is critical in diagnosis.
Our physicians are hugely experienced at assessing nystagmus in many different types of disorders and often provide tertiary and quaternary opinions to other doctors.
Persistent Perceptual Postural Dizziness (PPPD)
A newly coined term for chronic constant dizziness which can be hugely disabling. Our physicians have however been treating this disorder for years under many other names.
PPPD can be as a result of a variety of underlying causes which needs to be identified and treated.
A holistic approach is vital and the correct choice of medication can be life changing.