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Causes and Treatment

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Balance, Dizziness and Vertigo
Introduction:
What is Vertigo?
Vertigo is used to describe spinning sensation
Vertigois a medical condition where a person feels as if they or the objects
around them are moving when they are not. Often it feels like a spinning or
swaying movement. This may be associated withnausea,vomiting, sweating, or
difficulties walking. It is typically worsened when the head is moved. Vertigo is the
most common type ofdizziness.

What is dizziness?
Dizziness is a general term used to describe a feeling when something is wrong
with ones sense of balance.
Dizzinessis an impairment in spatial perception and stability.Because the
termdizzinessis imprecise, it can refer tovertigo,presyncope,disequilibrium or a
non-specific feeling such as giddiness or foolishness.

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What are the causes of vertigo?
Dizziness or vertigo is a very complex symptom that can be
arising from variety of conditions. Some medications can
have dizziness as a side effect. But in majority of the cases
vertigo or spinning arises because of problems in the inner ear.
The sensation of being off balance can also be due to vision
problems or problems in movement and position detectors
(proprioception) in our joints and muscles. In rare cases
dizziness can also be caused by anxiety, low blood pressure,
neck spasm, migraine, reduced blood supply to balance center
in the brain, after head trauma.
It can also occur in some central neurological disorders like
parkinsonism, multiple sclerosis or after stroke.

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Treatment for Vertigo
Treatment for vertigo depends on what's causing it. In many
cases, vertigo goes away without any treatment. This is because
yourbrainis able to adapt, at least in part, to the inner ear
changes, relying on other mechanisms to maintain balance.

Vestibular rehabilitation
Benign Paroxysmal Positional vertigo is the most common
ii) Vestibular neuronitis, labyrinthitis, inactive Menieres disease,
post surgical ablation
iii) Ototoxicity, Diabetes, Aging
iv) Central balance disorders- After/Post, CVA, head injury, tumors.

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Thank You!!

Dr Chitale ENT Hospital,


2003, Sadashiv Peth ,
Tilak road Pune 411030.
020 24476091 / +91 9850840202

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