Vertigo causes: Difference between revisions

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__NOTOC__
__NOTOC__
{{SI}}
{{Vertigo}}
{{CMG}}; {{AE}} {{ZMalik}}  
{{CMG}}; {{AE}} {{ZMalik}}  


==Overview==
==Overview==
Common causes of vertigo are Ménière’s disease, benign positional paroxysmal vertigo, labyrinthitis, vestibular neuritis. Life threatening causes to look for include brainstem ischemia/hemorrhage, hypertension crisis, drug overdose, cyanide poisoning.
Common causes of vertigo may include [[Ménière’s disease]], [[benign paroxysmal positional vertigo]], [[labyrinthitis]], [[vestibular neuritis]]. Less common causes of vertigo may include [[mood disorder]], [[anxiety]], and [[migraine]]. Life-threatening causes include [[brainstem]] [[ischemia]]/[[hemorrhage]], [[hypertension]] [[crisis]], [[drug]] [[overdose]], [[cyanide]] [[poisoning]].


==Causes==
==Causes==
:*  
 
===Common Causes===
 
:*Common causes of vertigo may include:
:*
 
{| class="wikitable"
{| class="wikitable"
|+
|+
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![[Acute]] [[labyrinthitis]]
![[Acute]] [[labyrinthitis]]
|
|
*Inflammation of [[labyrinth]]/ [[viral]] or [[bacterial]]. Temporary hearing loss, vertigo, off balance, [[tinnitus]]  
*[[Inflammation]] of [[labyrinth]]/ [[viral]] or [[bacterial]]. Temporary hearing loss, vertigo, off balance, [[tinnitus]]
|-
|-
![[Acute vestibular neuritis]]
![[Acute]] [[vestibular neuritis]]
|
|
* Inflammation of [[vestibular]] nerve caused by [[viral]] [[infection]]. Vertigo, hearing intact
*[[Inflammation]] of [[vestibular]] nerve caused by [[viral]] [[infection]]. Vertigo, hearing intact
|-
|-
![[Herpes Zoster Oticus]]
![[Herpes Zoster Oticus]]
|
|
* Ear pain, [[facial palsy]], hearing loss, [[tinnitus]] vertigo herpetic eruptions of the [[auricle]] and/or [[external auditory canal]].
*Ear pain, [[facial palsy]], hearing loss, [[tinnitus]] vertigo herpetic eruptions of the [[auricle]] and/or [[external auditory canal]].
|-
|-
![[Cholesteatoma]]
![[Cholesteatoma]]
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*Abnormal bone growth in the middle ear. Vertigo, [[tinnitus]] and, sensorineural hearing loss
*Abnormal bone growth in the middle ear. Vertigo, [[tinnitus]] and, sensorineural hearing loss
|+
|+
! colspan="2" |Central Vertigo Causes<ref name="Kerber2009">{{cite journal|last1=Kerber|first1=Kevin A.|title=Vertigo and Dizziness in the Emergency Department|journal=Emergency Medicine Clinics of North America|volume=27|issue=1|year=2009|pages=39–50|issn=07338627|doi=10.1016/j.emc.2008.09.002}}</ref>
! colspan="2" |Central Vertigo Causes<ref name="Kerber2009">{{cite journal|last1=Kerber|first1=Kevin A.|title=Vertigo and Dizziness in the Emergency Department|journal=Emergency Medicine Clinics of North America|volume=27|issue=1|year=2009|pages=39–50|issn=07338627|doi=10.1016/j.emc.2008.09.002}}</ref>
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![[Cerebellopontine angle]] [[tumors]]
![[Cerebellopontine angle]] [[tumors]]
|
|
* [[meningioma]] or [[schwannoma]] in [[cerebellopontine]] angle can cause vertigo due to pressure on [[vestibular]] [[nerve]].
*[[Meningioma]] or [[schwannoma]] in [[cerebellopontine]] angle can cause vertigo due to pressure on [[vestibular]] [[nerve]].
|-
|-
![[Lateral medullary syndrome]]
![[Lateral medullary syndrome]]
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|
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*Extension of [[brainstem]] into [[spinal canal]]. Associated with [[numbness]]/[[tingling]] of hands and feet, [[dysphagia]], vertigo, unsteady [[gait]], hoarseness.
*Extension of [[brainstem]] into [[spinal canal]]. Associated with [[numbness]]/[[tingling]] of hands and feet, [[dysphagia]], vertigo, unsteady [[gait]], hoarseness.
|+
|+
! colspan="2" |Other Causes
! colspan="2" |Other Causes
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![[Psychogenic]]
![[Psychogenic]]
|
|
*Mood, [[anxiety]], or [[alcohol]] abuse disorders  
*Mood, [[anxiety]], or [[alcohol]] abuse disorders
|}
|}<br />
*Life threatening causes of Vertigo:
 
**[[Brainstem stroke]]
===Less Common Causes===
**[[Cyanide poisoning]]
 
**[[Drug overdose]]
*[[Mood disorder]]<ref name="BrantbergTrees2009">{{cite journal|last1=Brantberg|first1=Krister|last2=Trees|first2=Natalie|last3=Baloh|first3=Robert W.|title=Migraine-associated vertigo|journal=Acta Oto-Laryngologica|volume=125|issue=3|year=2009|pages=276–279|issn=0001-6489|doi=10.1080/00016480510003165}}</ref><ref name="BalabanJacob2001">{{cite journal|last1=Balaban|first1=Carey D.|last2=Jacob|first2=Rolf G.|title=Background and history of the interface between anxiety and vertigo|journal=Journal of Anxiety Disorders|volume=15|issue=1-2|year=2001|pages=27–51|issn=08876185|doi=10.1016/S0887-6185(00)00041-4}}</ref>
**[[Malignant hypertension]]
*[[Anxiety]]
**[[Cerebellar hemorrhage]]
*[[Migraine]]
*


<br />
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}

Latest revision as of 20:02, 20 January 2021

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Zehra Malik, M.B.B.S[2]

Overview

Common causes of vertigo may include Ménière’s disease, benign paroxysmal positional vertigo, labyrinthitis, vestibular neuritis. Less common causes of vertigo may include mood disorder, anxiety, and migraine. Life-threatening causes include brainstem ischemia/hemorrhage, hypertension crisis, drug overdose, cyanide poisoning.

Causes

Common Causes

  • Common causes of vertigo may include:
Peripheral Vertigo Causes[1]
Ménière’s disease
Acoustic neuroma
Benign paroxysmal positional vertigo
Acute labyrinthitis
Acute vestibular neuritis
Herpes Zoster Oticus
Cholesteatoma
  • Cyst/sac of keratin debris in middle ear. Fullness/pressure in the ear, vertigo, hearing loss, pain
Otosclerosis
  • Abnormal bone growth in the middle ear. Vertigo, tinnitus and, sensorineural hearing loss
Central Vertigo Causes[2]
Brainstem Stroke
  • Vertigo, imbalance, double vision, slurred speech, and altered consciousness.
Vestibular Migraine
  • Mostly unilateral severe throbbing headache, vertigo lasting minutes to hours, sensitivity to motion/light/smell/noise, nausea, vomiting, imbalance.
Multiple Sclerosis
  • Vertigo may accompany other symptoms like vision problem, fatigue, numbness/tingling, limited mobility, bladder/bowel/speech/swallowing impairment.
Cerebellopontine angle tumors
Lateral medullary syndrome
Chiari malformation
Other Causes
Medication induced
Psychogenic


Less Common Causes


References

  1. name="Karatas2008">Karatas, Mehmet (2008). "Central Vertigo and Dizziness". The Neurologist. 14 (6): 355–364. doi:10.1097/NRL.0b013e31817533a3. ISSN 1074-7931.
  2. Kerber, Kevin A. (2009). "Vertigo and Dizziness in the Emergency Department". Emergency Medicine Clinics of North America. 27 (1): 39–50. doi:10.1016/j.emc.2008.09.002. ISSN 0733-8627.
  3. Brantberg, Krister; Trees, Natalie; Baloh, Robert W. (2009). "Migraine-associated vertigo". Acta Oto-Laryngologica. 125 (3): 276–279. doi:10.1080/00016480510003165. ISSN 0001-6489.
  4. Balaban, Carey D.; Jacob, Rolf G. (2001). "Background and history of the interface between anxiety and vertigo". Journal of Anxiety Disorders. 15 (1–2): 27–51. doi:10.1016/S0887-6185(00)00041-4. ISSN 0887-6185.

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