VERTIGO

It can originate in the inner ear (peripheral vertigo) or in the central nervous system (central vertigo). Identifying its cause is key, as some causes are benign while others require immediate attention.

COMMON SYMPTOMS

Vertigo may be accompanied by:

• A sensation of spinning or movement

• Nausea or vomiting

• Unsteadiness when walking

• A sensation of imbalance

• Ringing in the ears or hearing disturbances

If weakness, difficulty speaking, double vision, or neurological symptoms occur, it is important to seek immediate evaluation.

MAIN CAUSES

Among the most common causes are benign paroxysmal positional vertigo (BPPV), vestibular neuritis, Ménière’s disease, vestibular migraine, and, in less common cases, cerebrovascular events.

POSSIBLE COMPLICATIONS

Depending on the underlying cause, untreated vertigo can lead to falls and injuries, functional impairment, anxiety associated with recurrent episodes, or delays in diagnosing serious neurological conditions.

DIAGNOSIS AND TREATMENT

The diagnosis is based on a detailed medical history, a targeted physical examination, and specific diagnostic maneuvers. In some cases, it is supplemented with imaging studies to rule out central causes.

Treatment depends on the underlying cause and may include repositioning maneuvers, symptomatic medication, vestibular rehabilitation, or treatment of the underlying condition. Medical follow-up allows for monitoring progress and preventing recurrences.

MY APPROACH TO THE MANAGEMENT OF VERTIGO

In my practice, I conduct a comprehensive evaluation to accurately identify the cause of vertigo and rule out associated neurological or metabolic causes. I provide you with a clear diagnosis, recommend specific treatment based on the cause, and closely support you throughout the entire process, always prioritizing your safety.

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WHAT TO BRING TO YOUR FIRST APPOINTMENT?

For a more accurate assessment, it is recommended that you bring any previous test results (if available), an updated list of medications, relevant medical history, and a detailed description of your episodes.

This allows us to establish a clear and personalized diagnostic plan from the very beginning.