Vertigo / Giddinesss / Dizziness

Vertigo is a sense of motion when the patient is still. Vertigo is a symptom of certain diseasesnot a diagnosis in itself. It can be :
Subjective Vertigo : In this the person feels that he/she is moving while the surrounding is still.
Objective Vertigo : Here person feels that he/she is steady & there is movement of surrounding objects.

Causes of Vertigo:
Disorder of inner Ear.
bullet Vestibular system causes vertigo. It can be Central or Peripheral.
bullet Trauma like head injury
bullet Surgical Trauma
bullet Neurological Causes
bullet Metabolic Causes
bullet Certain Medicines

Commenest Cause is Benign Paroxymal Positional Vertigo:
It is due to problem in lateral semi circular cannal. It mostly resolves with Medical treatment & Habituation exercise.

Habituation Exercise :

Habituation Exercise

Benign Positional Vertigo:
It is the commonest cause of vertigo which occurs due to dysfunction of Labriynth.
bullet It is characterized by Rotational vertigo or feeling of imbalance when the position of head is changed or getting up from the bed.
Causes :
bullet Head Injury
bullet Viral Infection of middle Ear or inner Ear.
bullet Mechanism - Small calcium particles cause Otoconia,gets disloged from normal position they float freely in fluid in inner Ear, gets trapped in one of the canals. Sending abnormal signal to brain causing feeling of movements when the person is actually not moving.

Treatment :
bullet Medical treatment is very effective.
bullet Repositioning Maneuvers.
bullet Surgical procedures like Gasek's operation.
bullet Exercise.