Balance disorders and dizziness have very different causes. It can be a harmless stimulus dizziness, caused by unusual sensory stimuli such as motion sickness or altitude vertigo. It is also possible that there are inflammations, circulatory disorders or dysfunctions of the vestibular organs or damage to certain structures of the brain.
The affected patient is always heavily burdened, because accompanying often also sweating, palpitations and nausea occur.
In diagnostics, the exact differentiation of the various forms of vertigo is important – z. B. Spinning, staggering dizziness, tendency to fall, blackening of the eyes. This allows conclusions to be drawn about the cause.
In our special laboratory for the examination of vestibular disorders, we can find the causes in most cases by means of the most modern measuring methods.
A number of tests help determine the cause of vertigo: a detailed patient interview to accurately define the vertigo condition, vestibulospinal reflex testing, positional testing, and thermal labyrinth testing.
Electronystagmography (ENG) is performed in a special laboratory to check the irritability of the two organs of equilibrium in the ear. According to a certain time rhythm, both ears are stimulated separately with warm and cold air. This provokes movements of the eyes, which are recorded electronically. This examination is completely painless, it takes about 30 minutes.
In addition, we perform various hearing tests and examinations of the auditory nerves and brain (z. B. Reflex audiometry, brainstem audiometry).
Information about circulatory disorders is provided by specific blood tests and a special ultrasound procedure, Doppler sonography.
If other causes are suspected, the diagnosis is supplemented by examinations by neurologists, orthopedists and internists.
Measures for the treatment of vertigo are:
1. Drug therapy 2. Positioning exercises 3. Physiotherapy 4. Psychotherapy 5. Surgical therapy
If circulatory disorders are the cause of dizziness, we perform a special infusion therapy. We administer a special combination of medications that promotes blood circulation and alleviates common accompanying symptoms such as nausea and vomiting.
If muscle tension is the cause of dizziness, special physiotherapeutic measures can often help.
In the case of benign positional vertigo, positioning exercises are used
The benign positional vertigo is with a share of about 20 % the most frequent vertigo disease. It is characterized by recurrent attacks of spinning vertigo lasting seconds, triggered by head movements, often when turning over in bed. Apart from nausea, vomiting and temporary unsteadiness of stance and gait, no other complaints should occur Caused by small crystals in the organ of equilibrium that trigger contradictory stimuli in the wrong place. Special positioning exercises flush these stones into a region where they no longer trigger dizziness.
Positional maneuvers in a patient with benign peripheral paroxysmal positional vertigo (BPPV):
1. In a sitting position, the head is turned 45 degrees towards the unaffected ("healthy") ear. 2. Positioning to the left, d. h. to the affected ear, while maintaining the head position (ca. remain lying down for two minutes). 3. In the next step, while keeping the head turned, tilt rapidly toward the unaffected ear, with the nose now pointing downward (ca. lying down for two minutes). 4. Then straighten up.
Frequency: 3 x in the morning, at noon and in the evening.
The positioning exercises or. In almost all cases of BPPV, relief maneuvers lead to freedom from symptoms within a few days.
Meniere's disease is a disorder of the inner ear, or. vestibular organ, which is characterized by attacks of rotatory vertigo usually with hearing loss, nausea and tinnitus. Most often, the disease occurs between the age of 40. and 60. with age. Men are often more likely to be affected than women. Frequent seizures usually leave a hearing impairment. Menière's disease is caused by an increased accumulation of water (endolymphatic hydrops) in the inner ear. The resulting overprere triggers the associated seizures. It has not yet been clinically proven why this occurs. The disease can be treated with medication or surgery.