Vertigo in old age

Introduction to vertigo in the elderly Dizziness is one of the common clinical symptoms in elderly patients. It is a kind of motor illusion (or hallucination). It refers to the feeling of moving when the patient blinks or closes his eyes at rest (or feels that the foreign object is turning around himself, or feeling It rotates in space. The older the age, the higher the incidence. Attention to the differential diagnosis of the primary disease of vertigo, such as cervical spondylosis, hypertension, hyperlipidemia and diabetes, autonomic dysfunction, etc. to do the corresponding examination is not difficult to rule out. basic knowledge The proportion of illness: 0.058% Susceptible people: seen in the elderly Mode of infection: non-infectious Complications: stroke cerebral hemorrhage cerebral embolism

Causes of senile vertigo

First, vestibular vertigo

1, vertebral-basal artery blood supply is insufficient, is the most common cause of vertigo in the elderly, mainly because of atherosclerosis and hypertension.

2, bridge brain and cerebellar hemorrhage.

3, brain stem, cerebellum and four ventricle masses.

Second, eye-derived vertigo.

1, ametropia, such as astigmatism, ocular trauma or surgery leading to a single eye without a lens.

2, visual impairment, such as retinal macular degeneration and various congenital eye diseases.

3, eye muscle paralysis, such as diabetic eye muscle paralysis.

Third, systemic disease vertigo, vertigo is common in arrhythmia, hypertension, hypotension, anemia, hyperthyroidism, diabetes, uremia, etc., due to blood supply disorders, toxins, blood rheology changes, hyperlipidemia, nutritional deficiencies, Caused by trace element deficiency and free radical damage.

Fourth, mental dizziness.

5. Drug-induced vertigo, some patients in the application chain, Qingda, Kana or vancomycin, polymyxin, quinine, salicylic acid, bismuth potassium tartrate and phenytoin and other drugs.

Elderly vertigo prevention

Patients with senile vertigo should not take medication when they are dizzy. Four "normal" can effectively prevent senile vertigo.

First, it is often joyful, patients with senile vertigo should be optimistic in their daily lives, keep their minds open, and try to avoid anxiety, anxiety, nervousness and so on.

Second, it is regular exercise, and often carry out some physical exercise properly, but the amount of exercise should not be too large, you can take walking, jogging, gymnastics and other ways to improve blood circulation.

Third, it is often vegetarian, the diet should be light, do not eat greasy food, eat more fresh vegetables and fruits rich in vitamins, as long as you pay attention to life conditioning, you can ease the symptoms.

Fourth, it is a regular check. For the original high blood pressure, you should pay attention to observe and adjust blood pressure. The specific value of correcting blood pressure depends on the original blood pressure. Try to improve the blood supply to the brain and prevent the hardening of hardening of the blood vessels.

Elderly vertigo complications Complications, cerebral hemorrhage, brain embolism

Repeated episodes of dizziness can cause stroke in hypertensive patients. At this time, due to arteriosclerosis and other reasons, vulnerable blood vessels may be ruptured, causing cerebral hemorrhage. In particular, people who do not usually use antihypertensive drugs to control high blood pressure should be noted. If there is dizziness, fatal cerebral hemorrhage often occurs at the same time. At this time, due to the sudden drop of blood pressure, temporary cerebral ischemia or cerebral embolism can occur, and dizziness caused by hypertension is a harbinger of cerebral hemorrhage and cerebral embolism. In addition to vertigo, if there are symptoms such as head weight, numbness of hands and feet, it is even more dangerous, and should take active corrective measures.

Symptoms of vertigo in the elderly Common symptoms Nausea and severe dizziness, unstable standing, dizziness, vertigo, vertigo, vertigo, dizziness, dizziness, vestibular dysfunction

1. True (peripheral, vestibular peripheral) vertigo: a paroxysmal foreign object or its own rotation, dumping, slumping, severe symptoms, accompanied by obvious nausea, vomiting and other autonomic symptoms, short duration , tens of seconds to hours, rarely more than a few days or weeks, because more common in peripheral vestibular lesions, hence the name.

2, pseudo (central, brain) vertigo: for the foreign object or its own shaking instability, or left and right or before and after shaking, watching the active object, or aggravated in the noisy environment, the symptoms are mild, accompanied by the autonomic nerve Symptoms are not obvious, lasting for a long time, up to several months, because more common in the brain and eye diseases.

Elderly vertigo check

1, blood routine, electrocardiogram, B-ultrasound (vertebral artery blood flow), cervical X-ray film or CT or even MRI, vestibular function and electrical audiometry.

2, the clinical simple test method for vertebral artery blood supply obstruction: the patient is supine, the head is tilted out of the bed and then turned around the neck, such as nystagmus when the neck is turned left and right, indicating that the vertebral artery blood supply is blocked.

Diagnosis and diagnosis of vertigo in the elderly

Attention to the differential diagnosis of the primary disease of vertigo, such as cervical spondylosis, hypertension, hyperlipidemia and diabetes, autonomic dysfunction, etc. to do the corresponding examination is not difficult to rule out.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.