Transient dizziness

Introduction Normally, there are few calcareous otoliths in the inner ear, which are transferred to other places by gravity. Benign paroxysmal orthostatic vertigo is caused by a problem with the inner ear, which causes a transient vertigo attack. Dizziness is the feeling that you are spinning or that things around you are spinning. For some people, benign paroxysmal orthostatic vertigo will resolve on its own within a few weeks, but it will recur again, it is not a serious illness.

Cause

Normally, there are few calcareous otoliths in the inner ear, which are transferred to other places by gravity. Benign paroxysmal orthostatic vertigo is caused by inflammation or infection that prevents the formation of translocations of such otoliths. This will send a wrong message to the brain that will affect your sense of balance.

an examination

Related inspection

Brain CT examination of brain MRI examination of cerebrospinal fluid arginine vasopressin

1, the main symptom of benign paroxysmal positional vertigo is that you will feel dizzy or tilted and you have not turned or tilted. It happens when you move your head at a certain speed, such as flipping on a bed, turning your head quickly, bending over quickly, and quickly returning your head.

2, benign paroxysmal positional vertigo often lasts 1-2 minutes, it can make it relatively mild, but also can be very serious to make you feel the stomach discomfort, vomiting. Sometimes I find it difficult to stand or walk and lose balance.

3. Do a comprehensive physical examination to check your nervous system to see if it is a neurotransmitter problem that sends the wrong message to the brain. The doctor will diagnose a benign paroxysmal positional vertigo by observing the rotation of the head and the movement of the eyeball during homing.

Differential diagnosis

Differential diagnosis of transient vertigo:

1, cervical vertigo: also known as vertebral artery compression syndrome. The cause may be cervical degeneration, cervical and neck soft tissue lesions, neck tumors and skull base deformities, etc., causing vertebral artery compression and ischemia leading to vertigo. The vertebral artery itself is more susceptible to pathological changes such as atherosclerotic stenosis and deformity. The cervical sympathetic plexus is directly or indirectly stimulated, causing vertebral artery spasm or reflex inner ear circulatory disorder. Abnormal reflection can also be caused, such as the cervical occipital receptor in the ring pillow joint and the upper three cervical vertebrae capsules are subjected to various stimuli, and the impulse can be transmitted to the cerebellum or vestibular nucleus to produce dizziness and balance disorders. The main clinical manifestations are various forms of vertigo, which are obviously related to sudden head rotation, often accompanied by nausea, vomiting, ataxia, etc. Sometimes there may be black sputum, diplopia, amblyopia, etc., and the symptoms last for a short time. The treatment can be used for neck traction, physiotherapy, massage, etc.; appropriate application of vasodilator drugs, microcirculation drugs and vitamins.

2, paroxysmal vertigo: is a common mechanical disease of the inner ear, accounting for about 20% of all vertigo, is also the cause of about half of otogenic vertigo. Although the disease is an ear disease, it is often diagnosed in the first diagnosis of neurology, and many misdiagnosed as vertebrobasilar insufficiency, cervical vertigo and delayed treatment. Dizziness is a general term for dizziness and dizziness. It is glare with vertigo, unclear vision and darkness and darkness. It can be rotated by the object, or can not stand as a halo.

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