Diagnostics
A precise anamnesis of the vertigo regarding the time of its first occurrence and its duration is very important. The question of whether the symptoms occur in certain situations or whether there are other accompanying symptoms can already reveal the main cause or narrow down the circle of possible causes. In this case, the question of existing previous illnesses and currently taken medications also continues.
Short-term traumas can also be the cause of a longer lasting dizziness. Positional exercises are used to diagnose position-dependent dizziness. Furthermore, internal and neurological diseases as triggers for dizziness must be excluded.
This often includes a blood pressure measurement or an ECG, or an orienting neurological examination with testing of reflexes, coordination or sensory perception. The so-called nystagmus test can also be informative here. A certain maneuver causes a rhythmic uncontrolled movement of the eyes. This movement performed by the eyes occurs naturally in certain cases, but can also be the sign of a neurological disease. If these examinations have not been sufficient to determine the cause of dizziness, there are other options available, such as computer tomography of the head, ultrasound of the neck and brain vessels, or long-term ECG or blood pressure measurement.
Therapy
The therapy of vertigo is strongly cause-dependent and varies from individual to individual. For example, positioning exercises for positioning vertigo or a drug-adjusted adjustment or change of position for drug-dependent or metabolically induced causes can be considered. Postural and physiotherapeutic exercises can provide additional relief for cervical spine syndrome. If the dizziness is more likely to be caused by a psychological cause such as an anxiety disorder, psychotherapeutic therapy could of course help here.
