What Is Central Vertigo?

The cause of dizziness, mainly dizziness, is caused by certain systemic diseases. There is severe arrhythmia, diabetes, hypotension, or hypertension, CO poisoning, hypoglycemia, severe anemia, etc., and too nervous, tired, allergic, endocrine disorders, infection, etc., can have basal arteriosclerosis. Cervical spondylosis, cerebellar lesions, intracranial trauma, auditory neuroma, temporary insufficient blood supply to the brain.

Dizziness

Dizziness, also called dizziness, is a subjective abnormality. It can be divided into two categories: one is rotary vertigo, which is mostly caused by dysfunction of the vestibular nervous system and cerebellum. It is mainly the feeling of dumping, and it feels itself shaking or the scenery is rotating. The second is general dizziness, which is mostly caused by certain systemic diseases. It is mainly caused by dizziness and feels light-headed. Dizziness is mostly a manifestation of multiple organs in the body or overall neurological dysfunction. Once dizziness occurs, it should be actively sought for the cause and actively treated.

Affected area

head

Related diseases

Syncope, hale mole, cervical dizziness, pediatric labyrinthine edema-ear dizziness syndrome, central halo, choroidal atrophy, liver fire, vertigo, qi deficiency, vertigo, kidney vertigo, sputum, vertigo, heart and kidney intercourse, syncope, blood deficiency, vertigo

Related symptoms

Not to one side, non-rotating vertigo, nausea, tinnitus, tinnitus, vertigo, diplopia, ataxia, distress, cervical dizziness, paralysis, vagal tone increase, visual recognition disorder, vertigo, orthostatic vertigo, dizziness, dizziness, weakness, bradycardia, slow rotation Dizziness blood pressure drop nystagmus

Affiliated Department

Department of Internal Medicine

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The cause of dizziness, mainly dizziness, is caused by certain systemic diseases. There is severe arrhythmia, diabetes, hypotension, or hypertension, CO poisoning, hypoglycemia, severe anemia, etc., and too nervous, tired, allergic, endocrine disorders, infection, etc., can have basal arteriosclerosis. Cervical spondylosis, cerebellar lesions, intracranial trauma, auditory neuroma, temporary insufficient blood supply to the brain.

Examination of dizziness mainly based on dizziness: the feeling of dizziness mainly, feels light-headed. The examination of dizziness mainly includes the examination of some vital signs, such as blood pressure level, blood sugar level, and whether it is accompanied by infection, whether there is fever, and in addition, it is necessary to actively check whether there are lesions in the skull, such as cerebral hemorrhage, head space, etc. Feasible head CT examination.

Dizziness, mainly dizziness, is easily confused

Does not lean to one side and has no spinning vertigo: there is a kind of vertigo that is only dizzy, light-headed, and may be unstable, or even fall, but not to one side, no clear surroundings, or a sense of motion of its own rotation, nor Presence of nystagmus, called pseudo-vertigo, or non-systemic vertigo.

The main symptom of benign paroxysmal postural vertigo is that you will feel dizzy or tilted but you are not turning or tilting. Occurs when you move your head at a certain speed, such as flipping on the bed, turning your head quickly, bending over quickly, and returning your head quickly. Benign paroxysmal postural vertigo often lasts for 1-2 minutes. It can be mild, or it can be very serious, and you can feel upset stomach and vomiting. Sometimes I even find it difficult to stand or walk and lose my sense of balance.

Symptoms of orthostatic vertigo: The cervical, thoracic, and tail vertebrae are a longitudinal axis of the body. Changes in body position on the vertical axis. For example, getting up, lying down and turning over can cause dizziness.

Visual recognition vertigo is a symptom of toxic vertigo. Patients often have stiff head and walk straight ahead, which is called visual recognition impairment vertigo.

Otogenic vertigo: refers to vertigo caused by abnormal vestibular labyrinthine sensation. When the labyrinth of water (Ménière syndrome), motion sickness (sickness of the car), labyrinthitis, labyrinthine bleeding or poisoning, vestibular neuritis or damage, middle ear infection, etc. can cause disorders of body balance and dizziness. Due to the close connection between the vestibular nucleus and the oculomotor nucleus through the medial tract, nystagmus often occurs when the vestibular organ is pathologically stimulated.

Eye-induced vertigo: Non-motor illusion vertigo, mainly manifested as instability, aggravated when the eye is used excessively, and relieved after resting with eyes closed. The duration of vertigo is relatively short. It becomes worse when you open your eyes and look at objects moving outside. Often accompanied by blurred vision, vision loss or diplopia. Visual acuity, fundus, and eye muscle function tests are often abnormal, and the nervous system has no abnormal manifestations.

Senile dizziness: usually manifested as dizziness, disturbance of balance, and imbalance. When the patient opened his eyes, he felt that he was spinning and shaking, just like riding a car or boat. Can not stand during an attack, accompanied by nausea, vomiting, tinnitus, sweating, bradycardia, and decreased blood pressure, such as symptoms of increased vagal tone. It usually lasts several minutes to hours, and sometimes the vestibular system, visual system, and When the proprioceptor of the joint is in place and the signal of the vestibular ganglion is asymmetric, the control center located in the cerebellum and cerebral cortex can produce vertigo. Central vertigo can often show ataxia, and the location of the disease can be determined according to the symptoms: damage to the cortical spinal tract, weakness or complete paralysis that can cause voluntary movement of the limbs, and positive Babinski sign with rigidity and a knife Like cramps.

Paroxysmal vertigo: It is a common mechanical disorder of the inner ear, accounting for about 20% of all vertigo, and is the cause of about half of otogenic vertigo. Although this disease is an ear disease, it is often diagnosed first in the neurology department, and is often misdiagnosed as insufficient blood supply to the vertebral-basal artery and cervical dizziness, which delays treatment. Dizziness is a general term for dizziness and dizziness. Dizziness is caused by dazzling, unclear vision, and darkening. Dizziness is caused by the rotation of the vision, or if you cannot stand in the sky.

Rotary vertigo is mostly caused by the dysfunction of the vestibular nervous system and cerebellum. It is mainly caused by the feeling of dumping, and feels itself shaking or the scenery rotating.

Cervical vertigo: It is caused by qualitative or functional changes in the generator of the cervical spine and related soft tissues (joint capsules, ligaments, nerves, blood vessels, muscles, etc.). During the examination, you can find the frontal spinous process, the interspinous process, the transverse process, the paraspinal cervical muscle, the outer occipital tuberosity, and the upper scapular area with tenderness, tension, stiffness or induration. Even overnight, patients may experience dizziness and nystagmus when pressing on a certain part, or when the cervical vertebra is not percussed, the head and neck movements may be restricted.

Prevention and treatment of dizziness:

Patients with dizziness should be accompanied by their families when going out to prevent accidents. The clinical manifestations of vertigo are complex and diverse, involving multiple disciplines and dozens of diseases. Patients should actively prevent and control the primary disease; once symptoms appear, they should go to the hospital for treatment as soon as possible to avoid delay.

1. Cerebrovascular vertigo: Due to the increase in blood viscosity in summer and winter, various cerebrovascular accidents are prone to occur, leading to the occurrence of cerebrovascular vertigo. Should pay attention to drink plenty of water, do not change body position suddenly, such as violently when going to the toilet at night, it is easy to cause cerebrovascular vertigo. Once it occurs, you should go to the hospital as soon as possible. After the diagnosis is made, vasodilator drugs, antiplatelet aggregation drugs (such as aspirin), and anticoagulant drugs can be given appropriately.

2. Brain tumor vertigo: This kind of vertigo usually has a slow onset and mild initial symptoms, which is not easy to find. For gradually appearing mild vertigo, if accompanied by symptoms such as unilateral tinnitus, deafness, or other signs of damage to the nearby cerebral nerves, such as numbness and sensation of the affected side, peripheral facial paralysis, etc., you should go to the hospital for treatment as soon as possible Diagnosis, early surgical treatment.

3. Cervical vertigo: Attention should be paid to the normal working position, and the neck should be properly moved after working at desk for a long time. Suitable pillow height, not too high pillow to lead to cervical vertigo. Use more on treatment and rehabilitation methods, such as cervical pillow sling jaw traction, massage therapy, acupuncture, serious need surgery.

4. For vertigo caused by other diseases, such as endocrine vertigo, hypertensive vertigo, and eye-induced vertigo, the primary disease should be actively treated, such as controlling blood pressure and treating eye diseases. Based on the recovery of the primary disease, vertigo can be naturally relieved. .

5. Neurological vertigo: For dizziness caused by mental factors, the patient's anxiety should be relieved first, and anxiolytic or antidepressant drugs can be given appropriately, but sedative drugs should be avoided for a long period of time to avoid increasing drug tolerance. Sex and dependence.