Dizziness (Vertigo)

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Dizziness (Vertigo)

Vertigo can be defined by definition as an illusion of motion in which the surrounding objects feel the room is spinning. Vertigo is not a disease but a symptom, so when you have abdominal pain, there are many diseases that can cause this, as well as many diseases that can cause Vertigo findings.

Although vertigo is not a symptom of serious diseases, it is a condition that significantly reduces the quality of life.
The most important step in the treatment of vertigo is to make the correct diagnosis. For the correct diagnosis, first of all, the patient’s complaints should be listened to. Although the patient’s complaints mostly give us clues about the disease, some tests are needed for differential diagnosis.
Tests using advanced technology such as VNG (videonystagmography), caloric test, V-HIT test are the most powerful tests we have in determining the diseases that cause dizziness and making an accurate diagnosis.

The most common causes of recurrent vertigo are:

BPPV (positional vertigo)
Meniere’s disease
Migrainous vertigo

  • BPPV (Positional vertigo)
  • Meniere's disease
  • Migrainous vertigo (Vertigo with headache)

Benign paroxysmal positional vertigo (BPPV) - Crystal fluttering in the ear
The cause of positional vertigo, which is experienced by most of the disease with dizziness, is the Calcium crystals accumulated in the balance channels in the ear.

In this condition, severe dizziness is usually experienced when bending down or turning from left to right in bed. This disorder is not related to the brain and is treated by Ear Nose Throat physicians.

While it is observed that this disease usually passes by itself in a very short time, sometimes Calcium Crystals take their original positions with various position maneuvers performed by Otolaryngologists.
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Meniere's disease is caused by increased pressure in the inner ear fluids. The reason for this pressure increase is not clear yet. The reason for this may be that the discharge channels of the inner ear fluids are blocked or the discharged fluid is less than the amount produced.

Dizziness, buzzing in the ears, a feeling of fullness or wavy hearing loss are symptoms of this disease. In addition to these, nausea, palpitations, diarrhea, sweating, vomiting and even fear of death may be experienced.

Although the diagnosis of Meniere's disease is difficult, it is diagnosed by regular follow-up, examinations and tests in addition to what the patient says.

In the treatment of this disease, first of all, sudden dizziness is treated, measures are taken to prevent pressure increase, and surgical treatments are performed if necessary.
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Vestibular Migraine (Migrainous Vertigo, Headache Vertigo)
Since migrainous vertigo is often confused with Sinusitis and Positional vertigo, it is difficult to diagnose.

In this disease, dizziness may be accompanied by headache, light and sound sensitivity and perception disorders may be experienced. In the diagnosis of this disease, it is beneficial to work together with otolaryngologists and Neurologists.

There is no proven treatment for migrainous vertigo. The primary goal is to reduce the frequency of migraine attacks. Therefore, these attacks trigger; It is necessary to avoid stimuli such as excessive stress, bright light, intense smell and sound. In addition, it is aimed to reduce the effects of the disease with various drugs.
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Assoc. Dr. Mustafa ACAR

He has a special interest in Rhinoplasty, sleep apnea, swallowing and voice disorders. Especially Nose Surgery (Rhinoplasty) in addition to many congress attended special training and attend courses on this issue Turkey's leading names.

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