What is vertigo?
Vertigo is a sensation that everything around is spinning or moving which can be caused due to various medical disorders but specially due to problem in the inner ear and visual complaints.
It is medically different from dizziness, lightheadedness and unsteadiness. It can occur at any time and may last for days, weeks, months and even years.
It is defined as illusion of motion. It is an abnormal perception of movement of the environment occurs as result of mismatch between the information about a person’s position reaching the brain from the eyes, limb and the vestibular system.
The CNS coordinates and integrates sensory input from the visual, vestibular, and proprioceptive systems. Vertigo occurs when there is a mismatch of information from two or more of these systems.
It is divided in to central and peripheral causes. Central vertigo indicates involvement of the cerebellum or the vestibular nuclei within the pons and medulla.
Peripheral vertigo indicates involvement or either the eighth cranial nerve or the vestibular apparatus of inner ear, and is usually benign. Benign positional vertigo, the most common cause of vertigo, results from the inappropriate presence of calcium particles in the semicircular canals.
Movement of the head cause these otoliths to inappropriately trigger receptors in the semicircular canal, causing the sensation of vertigo.
Vertigo caused by labyrinth disorders is usually short lived, though it may recur, whilst vertigo arising from central (brain stem) disorders is often persistent and accompanied by other signs of brain stem dysfunction.
Difficulty walking or standing (May even fall suddenly to the ground), relief on lying or sitting still; nausea, vomiting, pallor, sweating.
What is not vertigo?
Faintness may be due to anxiety with associated palpitations, tremors, and sweating. Light headedness may be due to anemia, orthostatic hypotension, or effort in an emphysematous patient. But in all of these there is no illusion of movement or typical associated symptoms. Lost awareness during vertigo should prompt thoughts of epilepsy or syncope.
Causes of vertigo
The causes are divided or classified according to the cause or origin:
Labyrinth and 7th nerve
- Menier’s disease
- Vestibular neuronitis (i.e. acute labyrinthitis)
- Benign positional vertigo
- Motion sickness
- Ototoxic drugs
Brainstem, cerebellum, cerebello-pontine angle
- Vertiginous epilepsy
The Most Common Causes include:
- Middle ear pathology
- Benign paroxysmal positional vertigo
- Migraine aura
- Bilateral vestibular failure secondary to autoimmune disorder
- Meniere’s syndrome
- Multiple sclerosis
- Vestibular epilepsy
- Posterior circular ischemia
- Spino cerebellar atrophy types 1 – 9
- Friedreiches ataxia
- Vasovagal episodes
- Low cardiac output
Apart from a sense that the head is spinning or the things around are spinning, it may be associated with the following symptoms:
- Hearing loss
- Tinnitus (ringing in ears)
- Otalgia (pain in ears)
- Otorrohoea (discharge from ears)
- Facial weakness
- In coordination
- Loss of consciousness
- Olfactory disturbances
Diagnosis mainly includes:
- Pure tone audiometry
- Brain stem auditory evoke response
- Tunning fork tests
- Eve movement examination
- Gait assessment
Homeopathic treatment for vertigo
Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach.
This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering.
The aim of homeopathy is not only to treat the presenting disease but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several remedies are available to treat vertigo that can be selected on the basis of cause, sensations and modalities of the complaints.
For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. There are following homeopathic remedies which are helpful in the treatment of vertigo:
Gelsemium, Phosphorous, Cocculus, Conium, Tabaccum, Zincum met, Belladonna, Glonine, Graphites, Natrum sulph, Natrum mur, Nux vomica, Lachesis, Selenium, Theridion, Gratiola, Morphinum, Agaricus, Argentum nit, Calcarea carb, Aconite, Iodium, Pulsatilla, Bromium, Baryta carb and many other medicines.
Conium – this remedy suits especially the vertigo of the aged and that arising from excess and over use of tobacco. Also that from due to cerebral anemia. There is sensation when the person looks steadily at an object as if turning in a circle. Vertigo on rising up or going down stairs, with great debility and inclination to sleep.
Iodine – well marked remedy for old people who suffer from chronic congestive vertigo.
Ferrum met – this remedy suits anemic vertigo, which is worse when suddenly rising from a sitting or lying position. It comes when suddenly rising from a sitting or lying position. It comes on when down hill or on crossing water, even though the water be smooth.
Cocculus – vertigo which is connected with digestive troubles suits this remedy, and it develops into the neurasthenic type with occipital headache and lumbosacral irritation. There is a flushed face and hot head, worse sitting up and riding in a carriage; worse after eating.
Rhus Tox – this remedy suits vertigo, especially in old people, which comes on as soon as the patient rises from a sitting position. It is associated with heavy limbs and is probably caused by senile changes in the brain.
Aesculus – severe vertigo, with reeling, like drunken men; vertigo, with nausea and dimness of sight; confused stupor; thickness of speech; great weakness, with trembling.
Lachesis – stupefaction with loss of consciousness, with blue face and convulsive movements, or tremor of the extremities; or paralysis, especially of the left side; the paroxysms are preceded by frequent absence of mind, or vertigo with rush of blood to the head; blowing expiration; after the use of liquors or mental emotions.
Cyclamen – sudden vanishing of sight; profuse and dark menses; blindness accompanied by semi lateral headache of the temple, with pale face, vertigo; nausea referred to throat and weak digestion.