Hello,
Dizziness and vertigo are among the most common symptoms causing patients to visit a physician (as common as back pain and headaches). Most common cause of
peripheral vertigo is benign paroxysmal positional vertigo (BPPV),
vestibular neuronitis and Meniere's disease related to inner ear. Most common cause of central vertigo is migraine. Other causes include demyelination, acoustic tumors, brainstem vascular lesions like TIA, stroke, multiple sclerosis.
Cervical spondylitis can lead to vertigo.
Most commonly performed investigations are audiometry, vestibular tests, blood tests, CT and MRI. Treatment option depends upon the type of vertigo central or peripheral. Drugs used to control vertigo are antihistamines, 1st Generation : Meclizine dimenhydrinate, anxiolytics benzodiazepines: diazepam, Phenothiazine derivatives: Promethazine,
prochlorperazine, Ephedrine, scopolamine, and vestibular suppressants like Betahistine.
Please do consult an
ENT specialist to arrive at a specific diagnosis and for appropriate treatment.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist