Non-vestibular vertigo | Balance disturbance and dizziness

Non-vestibular vertigo

Uncertainty about standing and walking is also often perceived as dizziness. This would rather be described as swindling and is caused by But also intoxications (poisoning) and some medications can cause dizziness. These medications include, among others: Very unsystematic dizziness, without a triggering situation, with varying duration of the dizziness, is often caused by general illnesses. Especially a

  • Spinal cord diseases or a
  • Polyneuropathy (destruction of sensitive nerves, especially in the legs).
  • SS- receptor blocker
  • Diuretics
  • Antidepressants
  • Antiepileptic drugs
  • High blood pressure (arterial hypertension),
  • Cardiac arrhythmia,
  • Anemia (anaemia) or
  • Circulatory dysregulation (orthostatic dysregulation) can lead to dizziness

What role does the cervical spine play

The cervical spine can play an important role in the development of dizziness and balance disorders. Mostly, balance disorders in connection with the cervical spine are due to muscular tension in the neck and shoulder area. However, diseases of the cervical spine such as a narrowing of the spinal canal can also lead to dizziness and impaired balance.

Constriction can damage various nerve cords that travel through the spinal canal to the brain. Often this in turn leads to misinformation that reaches the brain. If the brain is supplied with different information by different sensory organs (e.g. through misinformation from one organ), this can lead to balance problems.

Associated symptoms

The classic accompanying symptoms of balance disorders and dizziness are complaints such as nausea and vomiting. Often, gushing, strong vomiting occurs immediately after a dizzy spell. In certain diseases, such as Meniere’s disease, ear noises (tinnitus) can also occur.

Furthermore, disturbances of balance often lead to an increased tendency to fall. Depending on the type of dizziness, this can be inclined in a certain direction. Due to the strong inclination to fall and the balance problems, changes in the gait pattern occur.

Affected persons walk more unsteadily, sometimes they sway or are unable to walk straight ahead. In very pronounced cases, walking or standing is no longer possible at all due to dizziness. Further accompanying symptoms can be tiredness, headaches and a lack of concentration.

Loss of appetite often occurs due to the nausea in addition to balance problems and dizziness. Tiredness is often a consequence of dizziness attacks. Dizziness attacks are often associated with a high level of suffering for the person affected and are a major burden in everyday life.

Sometimes affected persons cannot sleep at night because certain movements provoke the dizziness. The consequences are difficulties in sleeping through the night and in falling asleep, which in the long run lead to tiredness and exhaustion. But low blood pressure also often leads to tiredness and exhaustion.

In the latter case it helps to get enough exercise and drink a lot to raise the blood pressure a little. Headaches can often accompany balance problems or dizzy spells. The most common cause of headaches is blood pressure fluctuations.

Too low blood pressure can cause people to become “black in the face”, lose their balance, become nauseous and get headaches. The cause is a reflex expansion of the brain vessels to the drop in blood pressure to ensure sufficient blood flow to the brain. It usually helps those affected to sit or lie down for a short time, put their legs up or have a drink.

However, too high blood pressure can also lead to headaches, and can also cause visual or hearing problems, nausea, insecure walking and dizziness. Another cause of headache, in connection with dizziness and loss of balance, can also be a severe migraine, as well as other neurological disorders, such as a brain haemorrhage, stroke or brain tumor. Suddenly occurring or prolonged, very severe headaches associated with balance problems or dizziness should always be clarified by a doctor as a precaution.

Nausea is a classic symptom of dizziness and is often accompanied by seizure-like vomiting. Nausea often occurs in neurological disorders, for example a stroke or a severe migraine, but also in diseases of the ear, nose and throat tract. Very often nausea occurs in connection with vertigo attacks, for example in Meniere’s disease, but also in neuritis vestibularis – an inflammation of the auditory and vestibular nerve, which leads to a failure of the vestibular organ.

Both diseases are often accompanied by hearing disorders, dizziness and a tendency to fall. Another, harmless cause of nausea and dizziness is kinetosis.In the case of kinetosis, also known as sea sickness, the organ of equilibrium is irritated as a result of unusual movements, for example in the case of tinnitus. It is not uncommon for tinnitus to cause additional balance problems.

This is due to the fact that the hearing and balance organs are located close together in the inner ear. Therefore, damage in this region can lead to dysfunctions of hearing and balance. The typical disease associated with dizziness and tinnitus is Menière’s disease.

In addition, it often results in a significant hearing loss on the affected side. Circulatory disorders and infections with subsequent inflammation can also damage both sensory organs at the same time, leading to balance problems, dizziness and tinnitus. Depending on the cause of the symptoms, this combination of symptoms can disappear quickly, or it can persist for a long period of time and recur repeatedly over a long period of time.

A stroke is a sudden circulatory disorder of the brain, which can be triggered, for example, by small blood clots in the brain vessels. As a result, areas of the brain supplied by the affected vessels are no longer supplied with blood and therefore do not function adequately. This often results in misinformation from various sensory organs, which can lead to balance problems and dizziness.

In addition, movement disorders of an arm and/or leg on one side can occur, which can also lead to gait disorders. Dizziness and impaired balance are very common, especially at the beginning of pregnancy, because the body first has to get used to the hormonal changes. Above all, the progesterone, which is increased during pregnancy, causes the muscles to relax, which means that pregnant women often become dizzy if they stand up too quickly.

Pregnant women often also experience a rapid drop in blood sugar because the body first has to get used to the change. Low blood sugar can also lead to dizziness and nausea. The dizziness attacks themselves are harmless and should not be a cause for concern.

It is often helpful to sit or lie down, put your legs up and rest. In addition, it is always advisable to drink enough. If the mother is still worried or disturbed, the midwife or a doctor can always be consulted.

In the last trimester, the so-called “vena cava compression syndrome” can occur. This is a condition that occurs when pregnant women turn on their back or right side during the last trimester. The weight of the baby can cause the great vena cava to be squeezed, resulting in impaired blood flow back to the heart.

In the mother, this usually manifests itself as dizziness, nausea and palpitations. In the child, the squeezing of the vena cava can lead to an undersupply of oxygen. Therefore, at the end of the pregnancy, care should be taken not to lie on your back.

However, some women tolerate this well and have no problems. This is due to individual anatomical conditions. Another condition that can be accompanied by severe headaches and dizziness is pre-eclampsia. Pre-eclampsia is a form of pregnancy poisoning, which is accompanied by very high blood pressure, headaches, visual disturbances and water retention in the body and can be life-threatening under certain circumstances. Hospitalization should be considered even if pre-eclampsia is suspected.