Vertigo (Dizziness)

Vertigo (Dizziness)

Vertigo is the symptom (feeling) of turning the outside world or the feeling of rotating your own body. Sometimes there may be a feeling that the environment or person is swinging.

Other sensations that patients refer to as “dizziness” are: fainting, dizziness, or feeling uncertain, fear of falling in neurotics.

Vertigo attack can be accompanied by fading, sweating, pulse change, falls, or elevation of blood pressure, pain, vomiting, and diarrhea. It is amplified by turning the head. Reactions to maintaining the balance are usually unconsciously carried out.


Vertigo is actually a hallucination of the movement.

Cause can be:

  1. Lesion at any place in the vestibular pathway leads to disorders in receiving the correct information we receive about the position of our body.
  2. Oticus is caused by middle-ear illness and inflammation of the labyrinth, as opposed to Menier’s disease, which is due to the affect of the inner ear of an inferior nature whose cause is not known.
  3. Acute febrile states, chronic infections and intoxications: alcohol, caffeine, nicotine, salicyl, atropine, morphium, digitalis, sedatives and hypnotics.
  4. Vertigo epidemic – probably viral etiology: sudden vomiting and vertigo, uncertainty on the go can take several weeks. Recovery is complete. Th: LARGACTIL, BYMARAL.
  5. Autointoxication: uremia, diabetes.
  6. Periodic acetonemic vomiting of neuropathic children. The occurrence of vegetative neurosis occurs with dizziness with the smell of acetone from the mouth.
  7. Psychogenic vertigo belongs to a group of phobias, especially after a head injury.
  8. Altitude dizziness with disposed persons.
  9. Anemic and hyperemic diseases.
  10. Kinetosis due to prolonged irritation of n.vestibularis. The role of the vestibular nerve is to transmit impulses related to body orientation in the space. “Marine Disease”, “Automobile Disease” – as a Traveler: The disorder is more difficult with closed eyes. Preventively recommended: Bymaral, Reglan, Klometol et al.
  11. Large and small brain diseases, arteriosclerosis of the brain.
  12. Traumatic head injuries give dizziness immediately after the injury and later.
  13. Cardiovascular and vascular diseases: angiospasm, hypertonia and hypotonia.
  14. Visual disturbances with dioptres give you dizziness.
  15. Reflexive dizziness through sympathicus occurs in gastrointestinal diseases, hormone parasites, kidney, liver, and nose diseases.
  16. Migraine and epilepsy
  17. Allergies

The diagnostic procedure includes a medical examination of the neurologist, ORL and others. Romberg’s test is simple: the patient stands with his feet stacked together, his hands stretched forward. In case of deep sensitivity damage, the patient gets stuck and falls, while with his eyes he compensates for this defect because he sees the position in the space and corrects it.

In the case of small brain injuries and damage to the vestibular system, standing is uncertain or impossible and with open eyes, and closing the eyes does not cause significant deterioration.

Vertigo therapy is non-specific: sedatives, e.g. Diazepam, as well as sedative antihistamines: Dimigal, Phenergan, Stugeron forte, Cinedil, Urutal.

When contacting a doctor:

First, remove the possible situation that led to the problem, and if there is no effect, contact a doctor who will prescribe the therapy or refer for further examination.

dr Gordana Bresjanac-Mali
neuropsychiatrist