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Vertigo & Imbalance Well its one of the most difficult- really- problem. most of the doctors generally speaking , the GPs also they have a problem to diagnose and find out if its vertigo or not.
So vertigo is not just a simple dizziness, its a very specified type of dizziness. But most important is that the surroundings of each of us when you have vertigo, should move while you are standing. But if you have a light headed or a little bit headache or heaviness in the head or you cannot stabilize yourself or balance yourself straight when you stand up and feel a little bit not well, these are not vertigo.
So this is why its a very much confusing subject in medicine. The true vertigo’s main cause is infection of the balance organ which is very much close to the hearing organ- again its not in the middle ear- it is the balance organ very close to the brain. Second major cause is Meniere Disease- the hearing level is getting down and then spinning and vertigo is very severe and usually end up with vomoting. There is also alot of noise inside the ear.
Positional vertigo- people develop that kind of imbalance in a certain position or if they change position to another position. There is ofcourse other causes, like if you have been exposed to a head trauma- some ear surgery also if wrongly done can result also in some kind of vertigo. So this is what is called peripheral vertigo, where the causes is usually not in the brain. Then we have what is called a central vertigo, some problem inside the brain- the most well known problem is called acoustic neuroma- it is a benin tumour it grows up causing pressure over the hearing nerve and the balance nerve. So we have to find out if we are dealing with vertigo through a very intensive questionnaire.
Second we have our ENT full examination- we have to examine everything- mainly we have to emphasize on the ear and then we have also what is called the Vestibular test or Vertigo test. One sophisticated test called Electronystagmogram Test- this is quite an important test and can detect the very minute problem. Most of the vertigo we can see also through the eye movement. The right diagnosis of the problem can guarantee a good and proper management and maybe they are not all the same. Some of the vertigo we can treat it with medication, some of them – not all- with some surgery if it is an option. but most of them with what is called the vertigo training program.
So again its a very complicated thing- but we are very proud that we have a very specialised unit who are dealing only with vertigo and very intensively work out and then I think we are able to find out the causes and we treat it accordingly.