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When evaluating patients with vertigo, the neurologist’s first efforts should be directed toward understanding the exact nature of the patient’s symptoms, as pathophysiology determines how the patient feels. Knowing the exact symptoms will determine the diagnosis. For example, in patients with fainting or dizziness, the cause of the sensation may be cardiovascular rather than inner ear. In contrast, in patients with a rotational or spinning sensation, the inner ear or vestibular nerve may be involved on one side, although damage to the cerebellum and brainstem can also cause true vertigo. Therefore, it cannot be assumed that the cause of true vertigo in patients is peripheral. It may also be central. Therefore, any vertigo specialist in Hyderabad will examine the patient comprehensively.
Peripheral vestibular disorders
Although a careful history and examination often reveal major differences, disorders such as migraine, multiple sclerosis equivalents, and episodes of transient basilar artery ischemia can cause peripheral vestibular disorders. Vertigo, which is a symptom of inner ear disease, is defined as the illusion of movement in oneself or in the environment.
As an expert in vertigo in Hyderabad, Dr. believes that information is important to assess the patient’s current condition and medical history before diagnosing the cause of vertigo.
Myths and facts about vertigo
Myth: Dizziness is the same as lightheadedness
Fact: Dizziness is a feeling of unsteadiness or when a person is about to pass out or fall. It can lead to falls, balance problems, and broken bones. Vertigo is when a person feels like the environment is spinning or they are spinning themselves. Both conditions can lead to sudden falls and balance problems.
Myth: Vertigo can affect anyone, regardless of age.
Fact: Vertigo is usually rare in children or during childhood, but the risk increases when a person reaches adolescence and goes past 20s. In the elderly, the likelihood is high, as people older than 65 are quite likely to suffer from vertigo.
Myth: The key structures for balance are located in the spine, legs and feet.
Fact: The vestibular system in the inner ear is an important part that gives signals about the position of the body in space. It is the most sensitive system. In conjunction with the signals from the brain, muscles and joints also help give the body balance in space.
Myth: Common cause of dizziness is heart attack
Fact: Damage to the inner ear from an inner ear infection, a cancerous tumor, an ear fluid disorder and Meniere’s disease in particular can cause dizziness. Migraine headaches, sinus infections, stroke or side effects of medications can also trigger dizziness.
Myth: Dizziness cannot be treated by exercise
Fact: A simple head exercise can be helpful in getting rid of one of the most common types of dizziness. BPPV, or benign paroxysmal positional vertigo, can be cured by placing displaced crystals in the correct location of the inner ear. A vertigo specialist in Hyderabad does this by moving the head in a certain way to put the crystals back in the right place. A physical therapist can also do this.
Myth: Anxiety can cause Vertigo
Fact: Anxiety, stress, and even depression can’t cause vertigo, but they can make it worse. If a person is experiencing a panic attack or has an anxiety disorder, they may feel nauseous, weak or dizzy, and sometimes have a feeling of an out-of-body experience.
Myth: If one has vertigo or dizziness problem, they should visit a general practitioner
Fact: When a person sees a general practitioner, he or she first sends them to a Neurologist in Dubai or an ENT doctor – who diagnoses and treats problems with the throat, nose and ears. If the dizziness is due to an ENT cause, an ENT doctor will treat the problem. If the dizziness is due to a neurological problem, then a neurologist will take over and treat the case.
Myth: Watching TV can cause dizziness
Fact: Playing video games and 3D games that create a sense of motion can cause temporary dizziness in the person playing. 3D movies can also cause discomfort and dizziness.
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