Dr. Sameer Arora
DM Neurolog
What is Vertigo & Balance System Pathways
Vertigo is the perception of movement when there is no movement. Vertigo sufferers can perceive a sensation of rotation, of being pulled in a direction, or a loss of balance.
Vertigo has many causes and often is accompanied by symptoms of the inner ear. There are many other causes as well, and some may be neurological. Frequent, severe episodes should motivate a person to be evaluated. This is especially true if the episodes are accompanied by other symptoms that also affect the nervous system.
Sometimes vertigo symptoms vary from person to person. Symptoms may include:
There are many reasons for vertigo. They include the following conditions.
In many cases, the cause may not be obvious from the symptoms alone and so thorough professional examination is required.
Vertigo Causes & Balance Mechanisms
This includes vertigo due to vestibular system disorders.
Vertigo caused by disorders in the brain that affect balance and movement.
Sensations of vertigo related to changes in head and body position.
Episodic bouts that occur multiple times requiring evaluation for dysrhythmias.
To correctly diagnose vertigo, the doctor needs to understand what the patient perceives.
The length of an episode, how frequently it occurs, and the exact sensation of each episode need to be noted.
If symptoms can be brought on by specific movements or actions, they need to be noted.
Balance and neurological coordination need to be tested.
Certain eye movements can provide useful clinical information when evaluating vertigo.
Stability and coordination are tested if it is clinically warranted.
Other tests may be warranted if the clinical situation justifies the need for confirmatory imaging.
Treatment varies on the underlying cause of vertigo. There is no one treatment that fits all cases.
Depending on what was diagnosed, here is a list of some ways that it can be managed:
This includes treatment targeted at the cause of the vertigo.
There are cases when the clinician will prescribe symptomatic and/or disease-modifying medication.
Some patients are candidates for balance and vestibular rehabilitation.
For vertigo that is caused by migraine, treatment can be aimed at migraine management and the control of the inciting factor(s).
There are some patients for whom the cause can be determined and avoidance can help lessen the symptoms and the frequency of recurrence.
Frequent assessment can help ascertain if the patient is progressing and if the treatment needs to be altered.
Certain conditions can cause the following symptoms:
Certain conditions can cause the following symptoms:
Neurology Clinic Patient Evaluation Visual
Depending on the cause, symptoms can be managed as follows:
Correct diagnosis and management can help patients to:
Several neurodegenerative conditions can cause symptoms of Vertigo. Thus, Vertigo should not be analyzed in isolation. An appropriate clinical assessment is essential.
Each patient’s symptoms, history, and pattern of occurrence of the episodes differ.
The Neuraxis website previously stressed accurate diagnosis and personalized neuro-therapeutic interventions as some of the components of its offered services.
Dr. Sameer Arora has experience and a DM in Neurology from AIIMS, New Delhi.
Neuraxis states that its offered services are personalized and patient-centered, with care and compassion.
Dr. Sameer Arora - Clinical Consultation & Vertigo Assessment
Find clear answers to commonly asked questions about vertigo assessment, balance disorders, and treatments.
Recurring dizziness or spinning sensations can interfere with work, mobility and everyday life. At Neuraxis, Dr. Sameer Arora provides neurological evaluation and personalized treatment based on the individual's symptoms and clinical condition.
Book a consultation to understand the possible cause of your vertigo and discuss appropriate treatment.