MediFind
Condition

Vertigo

Symptoms, Doctors, Treatments, Research & More

Condition 101

What is the definition of Vertigo?

Vertigo is a sensation of motion or spinning that is often described as dizziness.

Vertigo is not the same as being lightheaded. People with vertigo feel as though they are actually spinning or moving, or that the world is spinning around them.

What are the alternative names for Vertigo?

Peripheral vertigo; Central vertigo; Dizziness; Benign positional vertigo; Benign paroxysmal positional vertigo

What are the causes for Vertigo?

There are two types of vertigo, peripheral and central vertigo.

Peripheral vertigo is due to a problem in the part of the inner ear that controls balance. These areas are called the vestibular labyrinth, or semicircular canals. The problem may also involve the vestibular nerve. This is the nerve between the inner ear and the brain stem.

Peripheral vertigo may be caused by:

  • Benign positional vertigo (benign paroxysmal positional vertigo, also known as BPPV)
  • Certain medicines, such as aminoglycoside antibiotics, cisplatin, diuretics, or salicylates, which are toxic to the inner ear structures
  • Injury (such as head injury)
  • Inflammation of the vestibular nerve (neuronitis)
  • Irritation and swelling of the inner ear (labyrinthitis)
  • Meniere disease
  • Pressure on the vestibular nerve, usually from a noncancerous tumor such as a meningioma or schwannoma

Central vertigo is due to a problem in the brain, usually in the brain stem or the back part of the brain (cerebellum).

Central vertigo may be caused by:

  • Blood vessel disease
  • Certain drugs, such as anticonvulsants, aspirin, and alcohol
  • Multiple sclerosis
  • Seizures (rarely)
  • Stroke
  • Tumors (cancerous or noncancerous)
  • Vestibular migraine, a type of migraine headache

What are the symptoms for Vertigo?

The main symptom is a sensation that you or the room is moving or spinning. The spinning sensation may cause nausea and vomiting.

 Depending on the cause, other symptoms can include:

  • Problem focusing the eyes
  • Dizziness
  • Hearing loss in one ear
  • Loss of balance (may cause falls)
  • Ringing in the ears
  • Nausea and vomiting, leading to loss of body fluids

If you have vertigo due to problems in the brain (central vertigo), you may have other symptoms, including:

  • Difficulty swallowing
  • Double vision
  • Eye movement problems
  • Facial paralysis
  • Slurred speech
  • Weakness of the limbs

What are the current treatments for Vertigo?

The cause of any brain disorder causing vertigo should be identified and treated when possible.

To help resolve symptoms of benign positional vertigo, the provider may perform the Epley maneuver on you. This involves placing your head in different positions to help reset the balance organ.

You may be prescribed medicines to treat symptoms of peripheral vertigo, such as nausea and vomiting.

Physical therapy may help improve balance problems. You'll be taught exercises to restore your sense of balance. Exercises can also strengthen your muscles to help prevent falls.

To prevent worsening of symptoms during an episode of vertigo, try the following:

  • Keep still. Sit or lie down when symptoms occur.
  • Gradually resume activity.
  • Avoid sudden position changes.
  • Do not try to read when symptoms occur.
  • Avoid bright lights.

You may need help walking when symptoms occur. Avoid hazardous activities such as driving, operating heavy machinery, and climbing until 1 week after symptoms have disappeared.

Other treatment depends on the cause of the vertigo. Surgery, including microvascular decompression, may be suggested in some cases.

What are the possible complications for Vertigo?

Vertigo can interfere with driving, work, and lifestyle. It can also cause falls, which can lead to many injuries, including hip fractures.

When should I contact a medical professional for Vertigo?

Call for an appointment with your provider if you have vertigo that does not go away or interferes with your daily activities. If you have never had vertigo or if you have vertigo with other symptoms (such as double vision, slurred speech, or loss of coordination), call 911.

Tympanic
Cerebellum
Ear

REFERENCES

Bhattacharyya N, Gubbels SP, Schwartz SR, et al. Clinical practice guideline: benign paroxysmal positional vertigo (update). Otolaryngol Head Neck Surg. 2017;156(3_suppl):S1-S47. PMID: 28248609 www.pubmed.ncbi.nlm.nih.gov/28248609.

Chang AK. Dizziness and vertigo. In: Walls RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018:chap 16.

Crane BT, Minor LB. Peripheral vestibular disorders. In: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Head and Neck Surgery. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 165.

Kerber KA, Baloh RW. Neuro-otology: diagnosis and management of neuro-otoligical disorders. In: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology in Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016:chap 46.

Latest Research

Latest Advance
Study
  • Condition: Chronic Suppurative Otitis Media
  • Journal: The Cochrane database of systematic reviews
  • Treatment Used: Aural Toilet
  • Number of Patients: 431
  • Published —
This study tested the safety and efficacy of using an aural toilet to treat patients with chronic suppurative otitis media.
Latest Advance
Study
  • Condition: Meniere's Disease
  • Journal: PloS one
  • Treatment Used: Various
  • Number of Patients: 1231
  • Published —
In this study, researchers sought to determine the best treatment for Meniere's disease.

Clinical Trials

Clinical Trial
Drug
  • Status: Not yet recruiting
  • Study Type: Drug
  • Participants: 90
  • Start Date: May 1, 2021
Pseudoephedrine Prophylaxis for Prevention of Middle Ear Barotrauma in Hyperbaric Oxygen Therapy
Clinical Trial
Device
  • Status: Not yet recruiting
  • Study Type: Device
  • Participants: 10
  • Start Date: January 2021
WAVES: Wobble-oscillator Auditory/Visual Excitatory Stimulation for Mal de Debarquement Syndrome