vertigo

[mat37]

I have had vertigo for about 12 years , the first 6 or so years it only came once or twice a year lasting a few days, over the last 3 years it has got alot worse coming more often and lasting longer. When I have it I get a foggy head & headache like I am hung over a feeling that I am rolling & spinging when I put my head in different positions, I also feel like I am on a boat moving when still & have trouble focusing on moving objects. I have been to ear, nose specalist had a MRI (all clear) they think that I might have Meniers, what is your opion?

[mat37]

Hi, thanks for your reply.
I would say that I have Patholic vertigo as it is not brought on by looking at certin things or doing certian movements, unless I'm already haveing an epposode.I find that when I am stressed it is more likely to come on. Visual fixation dosen't inhibat nystagmus but when I start spinning I will try & pick a point in the room to look at to bring it under control. The severity of the spinning varies & sometimes I don't get the full on spinning I just get that loosing your tummy feeling like when your on a ride, then everything starts to roll but stops. The time frame depends last year I didn't fully get rid of an epposode for 5 months but it usually hangs around a week or so sometimes a few days. The spinning is usually on an angle anti clockwise, as far as I know there is no infection the mri didn't show any tumors or anything like that. I am a healthy 37 year old male, I have cut salt & drink out for about 8 months now, not that I was a big drinker before just social.

[JainMD]

Hi,
Vertigo is an illusion of movement, most commonly a sensation of spinning. Usually due to a disturbance in the vestibular system; abnormalities in the visual or somatosensory systems may also contribute to vertigo. Frequently accompanied by nausea, postural unsteadiness, and gait ataxia, and may be provoked or worsened by head movement.
Physiologic vertigo results from unfamiliar head movement (seasickness) or a mismatch between visual-propioceptive-vestibular system inputs (height vertigo, visual vertigo). True vertigo almost never occurs as a pre-syncopal symptom.
Pathologic vertigo may be caused by a peripheral (labyrinth or eighth nerve).
Distinguishing between these causes is the essential first step in diagnosis or central CNS lesion.
What is the direction of associated nystagmus? Does Visual fixation inhibits nystagmus or not? What is the severity of vertigo? What is the direction of spin? Where is the direction of fall? What is the duration of symptoms? Is there any Tinnitus and/or deafness? Are there any associated central abnormalities?
Common causes for peripheral vertigo would be Infection (labyrinthitis), Me´nie`re’s, neuronitis, ischemia, trauma, and toxin. The causes for central vertigo would be Vascular, demyelination, and neoplasm.
Keep me posted.
Bye.