There are two types of vertigo :
* Subjective vertigo is when a person feels a false sensation of movement.
* Objective vertigo is when the surroundings will appear to move past a person's field of vision.
The effects of vertigo may be slight. It can cause nausea and vomiting and, if severe, may give rise to difficulty with standing and walking.
Vertigo is usually associated with a problem in the inner ear balance mechanisms ( vestibular system ), in the brain or with the nerve connections between these two organs. Vertigo can also be a symptom of an inner ear infection.
The most common cause of vertigo is benign paroxysmal positional vertigo or BPPV. Vertigo can also be brought on suddenly through various actions or incidents, such as sudden changes of blood pressure or as a symptom of motion sickness while sailing, riding amusement rides, airplanes or in a motor vehicle.
Vertigo is typically classified into one of two categories depending on the location of the damaged vestibular pathway. These are peripheral or central vertigo. Each category has a distinct set of characteristics and associated findings.
Diagnostic test for vertigo :
Tests of vestibular system ( balance ) function include :
* Electronystagmography ( ENG )
* Rotation tests
* Caloric reflex test
* Computerized Dynamic Posturography ( CDP )
Tests of auditory system ( hearing ) function include :
* Pure-tone audiometry
* Speech audiometry
* Acoustic-reflex
* Electrocochleography ( ECoG )
* Otoacoustic emissions ( OAE )
* Auditory brainstem response test ( ABR; also known as BER, BSER, or BAER )
Other diagnostic tests include :
* Magnetic resonance imaging ( MRI )
* Computerized axial tomography ( CAT or CT )
Treatment is specific for underlying disorder of vertigo include :
* Vestibular rehabilitation
* Physical therapy with Manual Therapy especially MyoFascial Release and CranioSacral Therapy
* Anticholinergics
* Antihistamines
* Benzodiazepines
* Calcium channel antagonists, specifically Verapamil and Nimodipine
* GABA modulators, specifically Gabapentin and Baclofen
* Neurotransmitter reuptake inhibitors such as SSRI΄s, SNRI΄s and Tricyclics
2 comments:
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