What Causes Severe Vertigo With Vomiting And Dizziness?

Brief Answer:
Central cause of vertigo should be looked for/ ruled out

Detailed Answer:
Hello and Welcome

I appreciate your concern

Vertigo is the sensation of movement in the absence of real movement. The type of vertigo needs to be determined to rule out a central cause. If the vertigo is central then brain imaging may be required to look for possible ischemia, bleed or a CNS lesion.

A neurological exam would look for associated mixed horizontal nystagmus , diplopia, development of visual field deficits, difficulty speaking, weakness in any of the limbs. All of these indicate a central cause. Blood pressure should also be measured and if elevated should be brought down gradually.

I would advise an ER consultation. If none of the above are found then peripheral causes like benign paroxysmal positional vertigo, Labyrinthitis etc can be worked up an treated accordingly.


Wishing you best of health

Thanks

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Dr. M.S. Khalil

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