Vertigo (spinning sensation)

About Vertigo (spinning sensation)

The sensation of the room spinning or the person spinning. The symptoms of vertigo typically get worse with head movement, and decrease with the eyes closed. Nausea and vomiting are frequently associated with vertigo. There are many causes of vertigo with the most common being: labyrinthitis, vestibular neuronitis, benign paroxysmal positional vertigo, motion sickness syndrome and Meniere's disease. Other causes include: vestibular migraines, inner ear trauma, perilymphatic fistula, medication damage to inner ear (ototoxicity), acoustic neuromas and other cerebellopontine angle tumors, vertebral basilar insufficiency, and multiple sclerosis.

Symptoms

Room spinning, spinning sensation of the person, nausea, vomiting, incoordination, symptoms get worse with head movement, symptoms decrease with eyes close.

Tests & Diagnostics

A history and physical exam will be performed. Additional tests will be done to establish the diagnosis.

Common tests: CT Scan, MRI.

Path 2 — Over-the-Counter Options

OTC sleep aids and supportive treatments

Path 3 — Prescription Options

Prescription medications

Conventional treatment summary

A procedure called the Epley maneuver may be performed to reposition the structures inside the inner ear. Medications that may be prescribed include: antihistamines, anticholinergics, and sedatives.

Medical specialties

Internal Medicine · Neurology · Pediatrics · Family Practice · Ear, Nose, and Throat (ENT) · Pediatric Neurology · Pediatric ENT (Otolaryngology)

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Vertigo (spinning sensation).