Vertigo Causes & Reasons

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Patient File

Sex unknown, Age unknown

Reported Symptoms

Vertigo,

Negated

None

Unsure

None

Possible Causes

Upper Respiratory Infection

Seven participants in the active treatment group reported giddiness/drowsiness compared to four participants in the placebo group. [doi.org]

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Acute Alcohol Intoxication

Intoxicated individuals may also experience nausea, vomiting, vertigo, headache and present with bloodshot eyes (Vonghia, et al., 2008).The DSM-5 also explains that alcohol [theravive.com]

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Impacted Cerumen

[…] of the problem Earwax can be an innocuous problem that simply causes a sensation of blockage in the ear, but it can also cause debilitating symptoms such as hearing loss, vertigo [nursingtimes.net]

Complications of irrigation include otitis externa, perforation, canal trauma, pain, cough, tinnitus, vertigo, otitis media, treatment failure, and time consumption. 9 Harm [mdedge.com]

Complications of irrigation include otitis externa, perforation, canal trauma, pain, cough, tinnitus, vertigo, otitis media, treatment failure, and time consumption.9 Harm [mdedge.com]

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Anemia

[…] of color of the skin Increased heart rate (tachycardia) Breathlessness, or difficulty catching a breath (dyspnea) Lack of energy, or tiring easily (fatigue) Dizziness, or vertigo [chop.edu]

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Iron Deficiency

Typical anemia symptoms include: Fatigue, weakness Irritability Exercise/feeding intolerance Exertional dyspnea Headache, vertigo Pale skin Symptoms of iron deficiency include [danafarberbostonchildrens.org]

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Ménière Disease

In the present group of patients, vertigo attacks occurred from 6 hours to 8 days (average, 3.2 days) after the observation of HSN beating toward the morbid ear. [ncbi.nlm.nih.gov]

Clinical history of migraine, episodic vertigo, and Ménière's disease. [ncbi.nlm.nih.gov]

An allergen-restricted diet and treatment of dysautonomia were effective, the boy being free from vertigo within 2 months. [ncbi.nlm.nih.gov]

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Motion Sickness

In both cases, the sequelae may be vertigo, incoordination, imbalance, and unpleasant autonomic responses. [ncbi.nlm.nih.gov]

Some people describe a balance problem by saying they feel dizzy, lightheaded, unsteady, or giddy. [morelandent.com]

Benign Paroxysmal Positional Vertigo (BPPV) Benign paroxysmal positional vertigo (BPPV) or positional vertigo is a brief, intense episode of vertigo that occurs because of [onhealth.com]

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Hypertension

Hypertension is one of the leading risk factors for cardiovascular disease and represents a major health and economic burden. Most patients with high- or very high-risk hypertension have multiple cardiovascular risk factors with or without accompanying subclinical organ damage or established cardiovascular or[…] [ncbi.nlm.nih.gov]

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Hypoglycemia

2015 ICD-9-CM Diagnosis Code 251.2 Hypoglycemia, unspecified 2015 Billable Thru Sept 30/2015 Non-Billable On/After Oct 1/2015 ICD-9-CM 251.2 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 251.2 should only be used for claims with a date of service on or before[…] [icd9data.com]

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Orthostatic Hypotension

[…] positional hypotension Specialty Cardiology, Neurology Symptoms symptoms that are worse when sitting or standing and improve when lying down, including lightheadedness, vertigo [en.wikipedia.org]

[…] i.e. 46%) were symptomatic, i.e. associated with at least one of the clinical symptoms of orthostatism (lightheadedness, general weakness, visual disturbance, dizziness, vertigo [pitt.edu]

The most common symptoms of orthostatic hypotension include weakness, lightheadedness, cognitive impairment, blurred vision, vertigo and tremulousness. [encyclopedia.com]

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Temporomandibular Joint Disorder

Vertigo Vertigo is a sensation of dizziness and feeling out of balance. [cerezen.eu]

[…] of open bite accompanied by temporomandibular joint disorder occurring in a patient who visited our hospital because of pain in the left temporomandibular joint region, vertigo [ncbi.nlm.nih.gov]

Dizziness (vertigo). Where do symptoms come from? Your body is constantly adapting to changes in your environment. [medcentertmj.com]

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Hyperventilation

Within 2 months of completing treatment, both patients developed intense vertigo while exerting themselves. [ncbi.nlm.nih.gov]

Side effects, including vertigo, paresthesias and muscle tremor, were present in 70% of the volunteers during hyperventilation with 100% O2, and these side effects forced [ncbi.nlm.nih.gov]

PATIENTS: Forty-five patients with VS; 30 patients with chronic vestibular neuritis; 20 healthy subjects with normal hearing and without symptoms or a history of vertigo, [ncbi.nlm.nih.gov]

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Otitis Media

Presenting symptoms of the latter condition may include hearing loss, tinnitus, dizziness, vertigo and facial palsy. [ncbi.nlm.nih.gov]

Benign Paroxysmal Positional Vertigo (BPPV) Benign paroxysmal positional vertigo, or BPPV, is the most common inner ear problem and cause of vertigo, or false sense of spinning [entnet.org]

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Head Trauma

Vestibular Disorders Assoc: Dizziness or Vertigo - Information, resources, and support. [headinjury.com]

Late complications of head injury include chronic daily headache, post-traumatic stress disorder, vertigo and cognitive impairment. [ 20 ] Prognosis Head injury is the leading [patient.info]

[…] symptoms that makes it possible to define the mild CET or post-concussional syndrome, but headaches having multiple etiologies are the most prominent symptom followed by vertigo [elsevier.es]

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Hyponatremia

The "Cardinal Presentations Section" provides quick and easy reference to differential diagnosis and directed testing for fever in the adult patient; dizziness and vertigo [books.google.ca]

Five patients had delayed neurologic sequelae, and 3 of these patients had symptoms characteristic of central pontine myelinolysis (seizures, dysarthria, vertigo, parkinsonism [karger.com]

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Brain Concussion

[…] chronic traumatic encephalopathy (CTE), the degenerative brain disease, believed to be caused by repetitive head trauma, that results in ailments such as depression, dementia, vertigo [thinkprogress.org]

[…] more complicated than diagnosing it in adults, since a child may not be capable of articulating the more subjective symptoms of a concussion, such as feeling “in a fog” or vertigo [weillcornellconcussion.org]

[…] condition resulting from such an injury. concussion of the brain loss of consciousness, transient or prolonged, due to a blow to the head; there may be transient amnesia, vertigo [medical-dictionary.thefreedictionary.com]

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Acute Otitis Media

Clinical features Severe vertigo, nausea, and vomiting Hearing loss Nystagmus towards healthy ear for weeks to months Diagnostics Change of lateralization in Weber's test [amboss.com]

[…] patient is vomiting or dehydrated Artificial tears and eye lubrication if there is facial palsy Short term vestibular sedative eg prochlorperazine if there is dizziness/vertigo [entsho.com]

Benign Paroxysmal Positional Vertigo (BPPV) Benign paroxysmal positional vertigo, or BPPV, is the most common inner ear problem and cause of vertigo, or false sense of spinning [entnet.org]

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Whiplash Injury

Vertigo and dizziness are also reported in 25-50% of the cases. [ncbi.nlm.nih.gov]

[…] and especially the lumbar erector muscles (i.e., over-excitment of the lumbar proprioceptors) is a cause of vertigo due to whiplash injury. [ncbi.nlm.nih.gov]

This postulate is applicable to the explanation of aural vertigo following whiplash injury. [ncbi.nlm.nih.gov]

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Alzheimer Disease

Figures and Tables - Analysis 1.51 Comparison 1 Cholinesterase inhibitor (optimum dose) vs placebo, Outcome 51 Number who suffered at least one adverse event of vertigo before [doi.org]

[…] infection before end of treatment at 6 month Show forest plot 3 784 Odds Ratio (M‐H, Fixed, 95% CI) 0.90 [0.54, 1.48] 51 Number who suffered at least one adverse event of vertigo [doi.org]

Syncope (41/1194 compared with 19/1012) (OR 1.90 95%CI 1.09 to 3.33, p 0.02, 5 studies) Tremor (19/315 compared with 3/318) (OR 6.82 95%CI 1.99 to 23.37, p 0.002, 2 studies) Vertigo [doi.org]

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Patulous Eustachian Tube

A retrospective survey of medical records in Sen-En Hospital identified 43 patients and 43 ears with PET and 30 patients and 30 ears with sensorineural hearing loss or vertigo [ncbi.nlm.nih.gov]

Therefore, pET patients with dizziness might be misdiagnosed with, for example, superior semicircular canal dehiscence, psychogenic vertigo, or Ménière's disease. [ncbi.nlm.nih.gov]

The long-term effects of this therapy on vertigo attacks in patients with MD have been demonstrated [2]. [jneuro.com]

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Migraine

Some aspects of episodic giddiness. Med J. Australia 2:453, 1960 Hamed SA, Youssef AH, Elattar AM. [dizziness-and-balance.com]

Case series of patients with migraine-linked vertigo spells and profound BVP. [ncbi.nlm.nih.gov]

EH of both the cochlea and vestibule can be present in patients without Meniere's disease or vertigo. [ncbi.nlm.nih.gov]

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Acute Hyperventilation

[…] care options pain fever bleeding feeling anxious, nervous, or tense frequent sighing or yawning a pounding and racing heartbeat problems with balance, lightheadedness, or vertigo [healthline.com]

Migrainous vertigo (especially in adolescents with dizziness and headache). [ 7 ] Chronic hyperventilation may mimic many serious organic disorders but features are often [patient.info]

Symptoms of Acute Hyperventilation Acute hyperventilation, during an anxiety attack, causes: Giddiness Gasping Pins-and-needles in the fingers. [tanvirreza.com]

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Traumatic Brain Injury

[…] of moderate and severe brain injuries are accompanied by vertigo and/or dizziness. [theraspecs.com]

Symptoms of a central source may include nausea with nonpositional vertigo and imbalance. [doi.org]

Vertigo after head injury--a five year follow-up.J Otolaryngol. 1978 Jun;7(3):237-45. 5Maskell F, Chiarelli P, Isles R. [theraspecs.com]

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Cardiac Arrhythmia

[…] his or her, usually stroke-related, disability If the cerebellum is involved, ataxia might be present and this includes: altered walking gait altered movement coordination vertigo [en.wikipedia.org]

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Stroke

We present a case of a previously healthy 36-year-old man who presented with vertigo and vomiting. MRI showed posterior circulation territory infarction. [ncbi.nlm.nih.gov]

Symptoms include: Vertigo, like the room, is spinning. Imbalance One-sided arm or leg weakness. [strokeassociation.org]

TiTrATE: a novel, evidence-based approach to diagnosing acute dizziness and vertigo. Neurol Clin. 2015;33(3):577–99, viii. . [doi.org]

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Anxiety Disorder

Dizziness embracing vertigo, unsteadiness and imbalance are common in the elderly, so is generalized anxiety disorder, which is a common psychiatric problem in later life. [ncbi.nlm.nih.gov]

[…] breath increased heart beats trembling dizziness chest pain sweating hot flashes headache feelings of unreality tingling sensations breathing faster than necessary nausea vertigo [web.archive.org]

[…] hyperkalemia, hypo- or hyperthyroidism, hypoglycemia, tumors (insulinoma, pheochromocytoma) Hematologic—anemia Neurologic—essential tremor, encephalitis, seizure disorders, vertigo [clinicaladvisor.com]

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Transient Ischemic Attack

How can we differentiate peripheral vs. central causes of vertigo at the bedside? What are the best medications for patients with vertigo? and many more….. [emergencymedicinecases.com]

BACKGROUND AND PURPOSE: Contrary to typical transient symptoms (TS), atypical TS, such as partial sensory deficit, dysarthria, vertigo/unsteadiness, unusual cortical visual [ncbi.nlm.nih.gov]

The words ‘dizzy’ or ‘giddy’ may be used by patients to describe vertigo or presyncope, and always deserve further detailed exploration. [pn.bmj.com]

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Benign Paroxysmal Positional Vertigo

In the UK, the DVLA must be notified if someone is liable to 'sudden and unprovoked or unprecipitated episodes of disabling giddiness' and driving is only permitted when satisfactory [patient.info]

Furman JM, Cass SP: Benign paroxysmal positional vertigo. N Engl J Med 1999, 341 :1590–1596. PubMed CrossRef Google Scholar 2. [doi.org]

Benign paroxysmal positional vertigo (BPPV) is the most common form of vertigo. [symptoma.com]

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Syncope

RESULTS: In the current study sample, attacks of syncope were reported by 38 patients (4%) in association with the vertigo attack. [ncbi.nlm.nih.gov]

Uusally associated with a prodrome (nausea/vomiting/vertigo/sweating). No post-ictal state, vs. seizures. [pedclerk.bsd.uchicago.edu]

Syncope must be separated from seizures and other states of altered consciousness such as dizziness, vertigo, coma, and narcolepsy. [healthcentral.com]

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Substance Abuse Problems

[…] drug abuse or addiction Unexplained change in personality or attitude Sudden mood swings, irritability, or angry outbursts Periods of unusual hyperactivity, agitation, or giddiness [helpguide.org]

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