Swindling | What types of vertigo are there?

Swindling

The swaying dizziness is also called dizziness vertigo and is usually accompanied by a sudden insecurity in walking and standing. Patients report the feeling that they themselves or the ground beneath their feet is swaying. Here too, the dizziness usually lasts only a few seconds.

This results in a high tendency to fall and the affected person has an increased risk of falling. This form of dizziness is often accompanied by nausea and vomiting. There can be various causes for this type of vertigo.

On the one hand, strong muscle tension is suspected in the upper or lower part of the body. On the other hand, the vertigo can also have psychological causes. The tense muscles in the upper part of the body often affect the neck, forehead and eye area.

Especially in the neck, a bad posture when sitting can lead to pronounced muscular tension, which can also affect the surrounding muscles. As a result, patients often adopt an incorrect position of the head and tilt it to one side. Over time, this posture is tried to compensate by contracting the muscles on the opposite side.

The phobic swaying vertigo is often accompanied by anxiety and psychological stress. Therefore, it also occurs particularly frequently in stressful situations. For this reason it is also called anxiety swindle and more frequently affects women over the age of 30.

Other reasons for this form of vertigo can also be traumatic experiences in the past, an acute depression or a known severe anxiety disorder. Due to the seizure-like dizziness attacks, patients often develop a fear of the vertigo itself. This eventually develops into a vicious circle of more frequent vertigo, as the situation itself can be very stressful for the patient.

Central vertigo

Central vertigo is usually caused by various diseases, in which the brain itself is particularly often affected.These include brain tumors, meningitis, craniocerebral trauma or even a stroke. In the above-mentioned diseases, the damage to the brain results in dizziness, which is often accompanied by other symptoms such as numbness in the face or extremities, impaired vision or even speech disorders. Depending on the underlying disease, the dizziness can occur briefly for a few seconds to minutes or, as in the case of a stroke, can last for hours or even days.

The central dizziness is often intensively monitored and treated medically due to the possible causes. The dizziness can have various causes. Accordingly, there are also various therapeutic approaches to relieve the patient’s symptoms.

In order for the dizziness to be treated correctly, the causes should first be clarified. Only then can a successful therapy be carried out. If there is Meniere’s disease or an inflammation of the inner ear, drugs can be used to reduce the symptoms of nausea and vomiting.

These drugs are called anivertiginosa. They can temporarily help the patient, but do not combat the actual cause of the dizziness. Very often physiotherapy is included in the treatment.

It is used to relax tense muscles and helps the patient to cope with the dizziness better. Through targeted movements, the dizziness can be released, the balance is strengthened and the patient can regain more confidence. Physiotherapy is used particularly frequently for benign paroxysmal positioning vertigo.

Depending on which arch of the vestibular organ is affected by a disorder, different exercises can be performed. As a rule, the dizziness is improved, but nausea may occur during the exercise. To avoid this, the patient is advised to keep his eyes closed and to let the doctor guide him completely.

or medication for dizzinessWith this exercise, the patient first sits upright in front of the doctor. His head is in a 45 degree rotation. The diseased side should now point towards the doctor.

Now the doctor spontaneously shifts the patient to the lateral position. The head should remain in the same position. After two to three minutes, the patient is finally shifted 180 degrees to the other side.

Again, it is important that the position of the head is not changed. The patient remains in this position for a few minutes and is then brought into the original position. The aim of these exercises is to bring detached ortholites back into their original position so that they can no longer cause dizziness.

The patient sits upright in front of the doctor and has his legs stretched out. The head is turned by 45 degrees to the diseased side. This means that the healthy side points towards the doctor.

Now the doctor brings the patient quickly and spontaneously into the supine position. The patient’s head should now be hanging at the other end of the couch. In this position, the patient’s dizziness and eye movements (nystagmus) should improve.

When the symptoms have subsided, the patient turns his head 90 degrees and remains in this position for a few minutes. Then the patient is turned to the healthy side. Again, the ear should adjust to the new position before the patient is brought back into the upright position.