Vertigo is the sensation of spinning provoked by an array of other medical conditions and disorders. Suffering from dizziness may significantly impact your daily life. Vertigo can be a signal of a wide variety of conditions including diseases of the inner ear, damage of the auditory nerve as well as cerebral vestibular structures (multiple sclerosis, tumors, neurodegenerative diseases). And since it is not an illness but only a symptom, the underlying health issues should be accurately diagnosed and properly managed with the assistance of a vertigo specialist to restore the function of your body.
Signs you must immediately consult doctors for vertigo
When the vestibular system poorly delivers the brain with information about spatial orientation and motion, the patient will experience frequent episodes of giddiness and unpleasant signs, such as loss of balance, ear ringing, sweating, feeling nauseated, and headaches. A sensation of whirling with a tendency to fall or stagger can occur even in completely healthy people, for example, under stress, as a result of poor nutrition, frequent smoking and alcohol intoxication, the impaired focus of vision. If the cause is easily determined and can be eliminated without medical assistance, the patient should not be worried about life-threatening outcomes. However, once the episodes of dizziness are unexplainable and prolonged, you must get comprehensive medical care.
Adequate diagnosis starts with a medical interview performed by a vertigo specialist
The examination of a patient will begin with the analysis of main complaints since neurological vertigo treatment must be designed by a neurologist based on the triggers that contribute to vertigo. Scheduling a consultation, every patient must be prepared to answer the next imperative for diagnosis questions:
- What is the nature of the dizziness: is it episodic or constant?
- What is the duration of one attack?
- At what position of the body does dizziness occur or progress?
- Does dizziness cause any change in head position?
- Are there any hearing disorders, such as noise in the ear, muffled hearing or its loss, pressure, or earache?
- Are there any visual impairments (blurred vision, double vision, visual flashes)?
- Do you experience a sense of twirling in your surroundings (spontaneous or caused by head movement)?
- Are there vegetative symptoms (exude sweat or sickness)?
- Are there neurological symptoms such as swallowing disorders, dysarthria, sensory disturbances, movement disorders?
- Have you had a history of migraine attacks?
- Is the patient taking any medications?
After a purposeful conversation, a thorough medical check-up that involves several tests will be performed by a vertigo specialist. A measurement of the heart rate and the pressure of circulating blood will be examined. Exams for hearing loss and defect detection are also a must-have procedure when having recurrent vertigo. One of the triggers for lack of balance and coordination may be BPPV that can be diagnosed with Dix-Hallpike Test & Epley Manoeuvre. Eye movement testing, posturography, head impulse tests are intended to diagnose specific conditions and may also be needed to determine certain dysfunctions.
Based on obtained results, competent neurologists will come up with a treatment plan for your underlying condition, as well as for getting rid of dizziness that makes you feel giddy and unsteady.