Vertigo & Balance Clinic, Neenti

17/09/2024

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11/08/2023

Vertigo is a sensation of feeling off balance. If you have vertigo, you may feel like you are moving or spinning when you are not or you may feel like your surroundings are in motion when they are not.
Many people describe vertigo as feeling dizzy ,but it is different from light headed. Simple movements are unusually intense for people with vertigo and the condition can impact your everyday life.

Symptoms of vertigo;
Spinning, Tilting, Swaying, Unbalanced, Pulled towards one direction, feeling of nausea and vomiting, Headache, Ringing sensation in ear or loss of hearing, sweating.

26/06/2023

How Video Nystagmography is done

06/05/2023

Some common vertigo
1. Benign Positional vertigo: sensation of spinning comes suddenly and repeatedly on
certain position of head. Mostly while lying down on bed and turning around . Positional
maneuver cure the daises.
2. Vestibular Migraine; Vertigo persists for 1 Hours to 2 days with constant feeling of
giddiness comes in episodic manner like once or twice in a month or more frequently. May
have history of Migraine headache and stress. Proper management of stress, Yoga, change
of lifestyle helps a lot. Migraine medicine may be needed.
3. Vestibular neuronitis: Patient present with Sudden onset of severe and continuous vertigo,
and vomiting. Last for about two weeks. Need to be differentiated with brain stroke.
4. Phobic Postural vertigo: They feel dizzy since long period of time and increased by any
change of head position. These patient are very anxious though the symptoms are less.
Reassurance and Cognitive behavioral therapy helps.
5. Meniers Disease: They suffers from Mild to severe vertigo, that comes in episodic manner
along with Tinitus { abnormal sound in ear) and hard of hearing of one ear. They may loose
hearing in long run. Low salt diet along with proper medication is needed.
6. Chronic Ear infection: If the middle ear infection ( Long standing ear discharge) pe*****te
the inner ear, patient will have vertigo that last till the infection is controlled by medicine or
by surgery.
7. Postural hypotension: Patient feels Giddy for short time when they try to stand from
sitting or lying down position. Checking of Blood pressure on standing position gives the
diagnosis. They may need to readjust the Blood pressure medicine.
8. Stroke: Patient present may with vertigo, vomiting, inability to sit or stand, difficulty to
speak, swallow food and decrease level of consciousness. Immediate transfer to hospital
and brain imaging helps to proper diagnosis and management.

03/05/2023

If vertigo is associated with low level of consciousness or momentary loss of
consciousness, weakness of limbs, difficulty with speech, cant sit on bed that
patient need immediate hospitalization and thorough evaluation to rule out
serious causes. If he is suffering from diabetes or Hypertension, immediate
check of blood pressure and blood sugar level and necessary action may help
before he reach hospital.
Vomiting and mild increase of Blood pressure is common in peripheral vertigo
and we need not be panic. We need to reassure the patient and ask him to lie
without moving his head much as repeated head movement and change of
position will aggravate the condition.
1/ How to diagnose?
Proper clinical history and examination of patient by a clinician or vertigo
specialist leads to diagnosis. Besides routine blood investigations.hearing test,
Video nystagmography, Brain Imaging will help in certain cases .
2/ What is the treatment?
Proper diagnosis of the cause of vertigo helps to cure the disease. In acute
phase we treat him by prescribing anti vertigo medicine along with the
supportive treatment. Early diagnosis of the cause is utmost important, so that it
dose not turn into a long lasting condition. Reassurance, positional maneuver,
Adaptation exercise along with treatment of the causative factor can cure vertigo
and he need not be dependent on anti vertigo medicine for long period.

02/05/2023

Causes of Vertigo,,,,,,
Causes may be central { due to brain disorder} and peripheral.
The good part of it is that only 10 % of cases is due to brain issues like stroke,
Brain tumor and other neurological disorder.
Rest are caused by relatively less serious conditions. Out of which most
common cases are, Benign Peroxismal peripheral vertigo, Vestibular Neuronitis,
Migrain vertigo, Phobic postural vertigo, postural hypotension, autonomic
nervous diseases, Meniers disease, Chronic ear infection causing labyrinthitis
and many more.

30/03/2023

Vertigo and Balance disorder
Vertigo is false sense of spinning of the patient himself or the surrounding. It
may present like loss of balance. This may last for short time or long time. May
be episodic or Chronic.
It is one of our most common Human experience, as about 70% of Human
suffers vertigo once or more time during his life.
Vertigo is more common in elderly and female
Though it is commonly associated with Hypertension, Diabetes , Gastritis,
vomiting, neck pain or cervical spndylosis etc these are not the primary case of
the disease.
Isn”t it surprising that we can stand, run, Jump on two legs without support.
Why we don’t fall?
WE have an excellent system that maintain our balance
Vestibules in inner ear, Eyes and sensory receptors in Joints sends signals to
brain and Brain acts as processor, that receives the different signals about our
position in the earth and it sends signals to muscles and joints to maintain our
balance. Any problem in any of these system gives vertigo.
Most important of all these, is the vestibule system.
Effect of vertigo
Vertigo or balance disorder is one of the major cause of Chronic ill-health, loss
of work, low performance level and depression. Moreover in old people it is one
of the major cause of fall, fracture and injuries. Present days it claims more
importance as more and more people in active life stage suffering from chronic
vertigo due to their sedentary indoor life style and it is added with increases
level of mental stress.

19/03/2023

With proper evaluation, diagnosis and management, vertigo and balance problem is curable. Though it is annoying, most of the time it is not dangerous.