Vertigo is a condition that causes a sensation of spinning or dizziness, even when standing still.  It is often a result of problems in the inner ear or brain, affecting balance and coordination. At Florida Neurology, we specialize in diagnosing and treating vertigo, helping patients regain their sense of stability and improve their quality of life.

What Causes Vertigo?

Vertigo is not a condition in itself but a symptom of various underlying health issues. Common causes include:

• Benign paroxysmal positional vertigo (BPPV): The most common cause, BPPV occurs when tiny calcium particles (canaliths) become dislodged in the inner ear, disrupting balance signals to the brain.
• Meniere’s disease: A disorder of the inner ear that causes episodes of vertigo, ringing in the ears (tinnitus), hearing loss, and a feeling of fullness in the ear.
• Vestibular neuritis or labyrinthitis: Inflammation of the inner ear, often caused by a viral infection, can lead to vertigo.
• Migraine-associated vertigo: Some people experience vertigo as a symptom of migraines.
• Head or neck injury: Trauma to the head or neck can disrupt the inner ear’s balance system.
• Stroke or other brain disorders: In rare cases, vertigo may be caused by neurological conditions like stroke or multiple sclerosis.

Common Symptoms of Vertigo

The primary symptom of vertigo is the sensation of spinning or movement when none is actually occurring. Other symptoms may include:

• Dizziness: A feeling of being off-balance or lightheaded.
• Nausea and vomiting: The sensation of spinning can cause stomach discomfort and vomiting.
• Difficulty with balance: Trouble walking or standing due to the sensation of movement.
• Nystagmus: Involuntary eye movements often accompany episodes of vertigo.
• Ringing in the ears or hearing loss: These symptoms are common in cases of Meniere’s disease or inner ear infections.

How is Vertigo Diagnosed?

At Florida Neurology, diagnosing vertigo involves a detailed medical history and physical examination. We may also use specific tests to assess balance and identify the underlying cause of vertigo:

• Head movement tests: Tests like the Dix-Hallpike maneuver are used to determine if certain head movements trigger vertigo, which can indicate BPPV.
• Hearing tests: To assess whether hearing loss is associated with vertigo, particularly in cases of Meniere’s disease.
• Balance tests: Electronystagmography (ENG) or videonystagmography (VNG) can measure eye movements and balance function to help diagnose inner ear issues.
• Imaging tests: MRI or CT scans may be used to rule out neurological conditions such as stroke or tumors that could cause vertigo.
• Treatment Options for Vertigo

Treatment for vertigo depends on the underlying cause and may involve a combination of therapies. At Florida Neurology, we offer several treatment options, including:

• Canalith repositioning maneuvers: For BPPV, specific head movements (like the Epley maneuver) can help move dislodged calcium particles back into place, relieving symptoms.
• Medications: In cases of vestibular neuritis or labyrinthitis, anti-inflammatory drugs or antivirals may be prescribed. Medications to reduce nausea and dizziness may also be used.
• Vestibular rehabilitation therapy (VRT): A type of physical therapy that focuses on exercises to improve balance and reduce dizziness by retraining the brain to adapt to inner ear changes.
• Dietary changes: For patients with Meniere’s disease, reducing sodium intake and managing fluid levels can help reduce episodes of vertigo.
• Surgery: In rare cases where vertigo is caused by structural issues in the ear or brain, surgical intervention may be necessary.

Why Choose Florida Neurology for Vertigo Treatment?

At Florida Neurology, our team of specialists is experienced in diagnosing and treating the causes of vertigo. We focus on providing personalized treatment plans that address the underlying condition and help patients regain their sense of balance and well-being. If you are experiencing symptoms of vertigo, contact us today to schedule a consultation and explore your treatment options.