“Vertigo”, which occurs as a result of problems in the sensory nerve pathway, brain, inner ear or middle ear, is colloquially known as dizziness, which may radically affect the quality of life of a person and may be a precursor of different diseases. Vertigo, which is more commonly seen in people over the age of 65, may occur temporarily or for a long time.
Vertigo is classified as “central vertigo” when it occurs as a result of brain-borne disorders, and “peripheral vertigo” when it occurs as a result of affecting the balance centers in the inner ear or middle ear.
Causes of Peripheral Vertigo
There may be a wide variety of diseases or conditions that can cause vertigo.
Except for these reasons we have mentioned, it is known that vertigo may also occur due to migraine, head trauma, medication used, previous ear surgeries and viral infections.
What are the Symptoms of Vertigo?
Vertigo is a health problem that lowers the quality of life, manifesting itself with various symptoms such as drowsiness, dizziness, tinnitus, headache, feeling of fullness in the ears, cold sweating, vomiting and nausea.
“Vertigo treatment is planned in accordance with the reasons of the patient’s complaints. Identifying the causes of vertigo is the most important step to successfully complete vertigo treatment. Vertigo and its resulting complaints can be eliminated with effective and cause-oriented treatments.”
What is Benign Paroxysmal Positional Vertigo (BPPV)? How is Diagnosis and Treatment Performed?
BPPV, the most common cause of vertigo, is characterized by increased dizziness with head movements. BPPV, which usually lead to less than 2 minutes of vertigo attacks, is diagnosed with the Dix-hallpike Test. During the Dix-hallpike test, the patient’s head is turned 45 degrees to the side, s/he is laid down and then, his/her head is hung 30 degrees down. As a result of all these movements, the eye movements of the patient are observed and the diagnosis is made.
After the cause of BPPV is diagnosed with the Dix-hallpike test, the patients perform appropriate maneuvers. Epley, also known as Canalith Repositioning Maneuver (CRM), can be carried out in the clinical setting. CRM, which is applied to replace the otoliths in the semicircular canals filled with liquid, is a very practical and effective method.
“Patients with vertigo should never try CRM treatment without medical support. When the maneuvers are performed under the control of ENT specialists, CRM will provide a safe treatment.”