Therapy for vertigo depends on the cause. Admission to the emergency room is required if the vertigo: Could be an expression of a threatening condition requiring acute treatment. Could result in or has already caused a threatening secondary complication (e.g., fall). Inpatient therapy is required if: There is an acute disease requiring treatment as the … Vertigo (Dizziness): Therapy
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin, mucous membranes, and eyes [nystagmus – involuntary but rapid rhythmic eye movements; also seen in seizure in Meniere’s disease] Gait pattern or examination of gait and balance: [gait … Vertigo (Dizziness): Examination
2nd order laboratory parameters – depending on the results of the history, physical examination and obligatory laboratory parameters – for differential diagnostic clarification. Small blood count [anemia/anemia?; MCV ↑ → indication of alcohol abuse/abuse, if any]. Inflammatory parameters – CRP (C-reactive protein). Urine status (rapid test for: glucose). Fasting glucose (fasting blood glucose) Ferritin (iron … Vertigo (Dizziness): Test and Diagnosis
Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. Magnetic resonance imaging of the skull (cranial MRI, cranial MRI, or cMRI) – for suspected: Acoustic neuroma (vestibular schwannoma; benign growth of the auditory and vestibular nerves). Endolymphhydrops in … Vertigo (Dizziness): Diagnostic Tests
A deficiency symptom may indicate that there is an insufficient supply of vital nutrients (micronutrients). The complaint vertigo indicates a vital nutrient deficiency for: Iron The above vital substance recommendations were created with the help of medical experts. All statements are supported by scientific studies with high levels of evidence. For a therapy recommendation, only … Vertigo (Dizziness): Micronutrient Therapy
To prevent vertigo (dizziness), attention must be paid to reducing individual risk factors. Behavioral risk factors Consumption of stimulants Alcohol Tobacco (passive smoking) Drug use Psycho-social situation Stress Incorrectly adjusted glasses Hyperventilation – accelerated breathing (too fast/or too deep). Rapid spinning Unusual head movements Unaccustomed head or neck positions Environmental stresses – intoxications (poisonings). Carbon … Vertigo (Dizziness): Prevention
The following symptoms and complaints may occur along with Vertigo (vertigo): Leading symptom Vertigo Spinning dizziness (“as if in a merry-go-round”) Gait unsteadiness (without noticed sensations “in the head“). Swaying vertigo (“like boating”). Drowsiness and syncopal feeling (impending fainting, black before the eyes). Associated symptoms Nausea (nausea)/vomiting Nystagmus – involuntary but rapid rhythmic eye movements. … Vertigo (Dizziness): Symptoms, Complaints, Signs
The medical history represents an important component in the diagnosis of vertigo (dizziness). Family history Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). When does the dizziness occur? Motion-dependent staggering vertigo Lying down Sitting Standing Height What is the … Vertigo (Dizziness): Medical History
Eyes and eye appendages (H00-H59). Visual disturbances (esp. decreased vision) * . Blood, blood-forming organs – immune system (D50-D90). Anemia (anemia) Endocrine, nutritional, and metabolic diseases (E00-E90). Desiccosis * (dehydration). Hypoglycemia (low blood sugar) Hypokalemia * (potassium deficiency) Hyponatremia * (sodium deficiency) Cardiovascular system (I00-I99) * Cardiovascular disorders such as hypertension (high blood pressure), hypotension … Vertigo (Dizziness): Or something else? Differential Diagnosis
The following are the most important diseases or complications that can be caused by vertigo (dizziness) as well: Psyche – Nervous System (F00-F99; G00-G99). Social isolation – when due to vertigo no longer leave the house. Symptoms and abnormal clinical and laboratory findings not elsewhere classified (R00-R99) Gait unsteadiness/gait disturbance Injuries, poisonings, and certain other … Vertigo (Dizziness): Complications
