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Dizziness - DRHC Dubai ENT Clinic

Dizziness is a term used to describe any variety of sensations that produce spatial disorientation.

  • Vertigo: An intense sensation or illusion of rotational, linear, or tilting movement such as spinning, whirling, or turning of the patient or the surroundings.
  • Disequilibrium: Sensation of instability of body positions, walking, or standing described as “imbalance.”
  • Lightheadedness: Sense of impending faint or syncope.
  • Oscillopsia: Inability to focus on objects with motion (such as reading while walking), it is a sign of loss of the vestibular-ocular reflex in bilateral or central vestibular dysfunction.

The diagnosis of dizziness can be divided into 3 main areas:

  • Labyrinthine related.
  • Vestibular nerve related.
  • Central nervous system related.

These are subdivided:

  • Meniere’s disease: most frequent misdiagnosis.
  • Inner ear concussion may cause transient positional vertigo and nystagmus.
  • Benign paroxysmal positional vertigo (BPPV)
  • Alcohol intoxication.
  • Labyrinthitis, nystagmus is spontaneous and persistent.
  • Vascular loop syndrome – should be considered after other possibilities are exhausted.
  • Positional nystagmus of central origin is seldom transient.
  • Vertebral artery insufficiency.
  • Cervical vertigo or head extension. Vertigo is quite possibly a manifestation of vascular compression.
  • Hypoperfusion of the brain (orthostatic hypotension, low blood volume).

When to consult a doctor for dizziness?

See your doctor if you have complaints of:

  • Recurrent dizziness or vertigo.
  • Severe dizziness or vertigo.
  • Prolonged dizziness.
  • Unexplained dizziness.

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