Vertigo of Peripheral Origin
- Benign paroxysmal positional vertigo (BPPV)
- Meniere's disease
- Perilymphatic fistula—an abnormal canal or connection in the inner ear
- Ototoxic medications—some medications can disrupt the inner ear's ability to balance
- Acoustic neuroma—benign tumor of the inner ear
- Reduced blood flow
- Otosclerosis—a bony growth near the middle ear
Vertigo of Central Origin
- Sensation of rotation
- Illusion of movement
- Sensation of feeling pulled in one direction
- Feeling off-balance
- Blood tests
- Dix-Hallpike maneuver—particular movement of the head to relieve or stimulate symptoms
- Auditory tests
- Vision tests
- Blood pressure test, both lying down and standing up
- Electronystagmogram (ENG)—to check for nystagmus, an abnormal, rhythmic, jerking eye movement
- MRI scan
- Rotatory chair test in certain situations
- Brainstem auditory evoked potential studies (BAEPS or BAERs)—to check for nerve conduction in the brain auditory nerve and brain stem
- Use a cane to help with balance and mobility
- Sit at one end of the sports field or theater to avoid moving your head back and forth
- Bring a stool or chair so you can sit down when you need to
- Schedule your day around peak times when places are crowded
- Don't read or work on a computer if you are moving
- Don't fly if you have sinus or ear problems due to an infection
- Avoid loud background music and harsh lighting
- Try to eat smaller meals throughout the day
- Drink plenty of fluids
- Avoid tobacco, alcohol, and caffeine
American Academy of Otolaryngology—Head and Neck Surgery http://www.entnet.org
Vestibular Disorders Association http://www.vestibular.org
Balance and Dizziness Disorders Society http://www.balanceanddizziness.org
Canadian Academy of Audiology http://www.canadianaudiology.ca
Chan Y. Differential diagnosis of dizziness. Curr Opin Otolaryngol Head Neck Surg. 2009;17(3):200-203.
Dizziness and vertigo. The Merck Manual Professional Edition. Available at: http://www.merckmanuals.com/professional/ear%5Fnose%5Fand%5Fthroat%5Fdisorders/approach%5Fto%5Fthe%5Fpatient%5Fwith%5Fear%5Fproblems/dizziness%5Fand%5Fvertigo.html. Updated January 2009. Accessed April 25, 2013.
Dizziness—differential diagnosis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated December 16, 2011. Accessed April 25, 2013.
Karatas M. Central vertigo and dizziness: Epidemiology, differential diagnosis, and common causes. Neurologist. 2008;14(6):355-364.
Mukherjee A, Chatterjee SK, et al. Vertigo and dizziness-a clinical approach. J Assoc Physicians India. 2003;51:1095-1101.
Strategies for everyday living. Vestibular Disorders Association website. Available at: http://vestibular.org/living-vestibular-disorder/everyday-challenges. Accessed April 25, 2013.
Swartz R, Longwell P. Treatment of vertigo. Am Fam Physician. 2005;71(6):1115-1122.
7/2/2010 DynaMed's Systematic Literature Surveillance. http://www.ebscohost.com/dynamed: Oh HJ, Kim JS, et al. Predicting a successful treatment in posterior canal benign paroxysmal positional vertigo. Neurology. 2007;68:1219-1222.
9/10/2014 DynaMed's Systematic Literature Surveillance. http://www.ebscohost.com/dynamed: University of Texas at Austin School of Nursing, Family Practitioner Program. Evaluation of vertigo in the adult patient. Austin (Tx): University of Texas at Austin, School of Nursing; 2014 May. 19 p. Available at: http://www.guideline.gov/content.aspx?id=48220#Section427. Accessed September 10, 2014.
- Reviewer: Rimas Lukas, MD
- Review Date: 01/2015 -
- Update Date: 09/10/2014 -