As many as 93% of patients with vertigo seen by a primary care physician suffer from benign paroxysmal positional vertigo (BPPV), acute vestibular neuritis, or Ménière's disease. , Acute spontaneous vertigo that is associated with loss of balance, is accompanied by a sense of rotation of the surroundings or self, is worsened with the changing position of the head and body, with the absence of associated neurological deficits, is the main manifestation of peripheral vertigo, that occurs as a consequence of lesions of the peripheral vestibular system. Central type vertigo is caused by lesions of the central nervous system, and is often associated with focal neurological deficits such as hemiparesis, hemisensory loss, speech disturbance, ataxia, or gaze palsy. The most frequent causes include vestibular neuritis, labyrinthitis, multiple sclerosis, or stroke in the region of the brainstem or cerebellum. Vertigo itself may either be of peripheral or central type. Īn acute onset vertigo with nausea and vomiting usually reflects damage to the vestibular system. , After headache, vertigo is the second most common symptom encountered in patients in neurological outpatient facilities around the world. Vertigo is a common symptom that may be a manifestation of several underlying etiologies and may be caused by damage within the inner ear, by afflictions of the brain stem and cerebellum, or may even be psychogenic in origin. Drug treatment of vertigo in neurological disorders.
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How to cite this URL: Berisavac II, Pavlović AM, Trajković JJ, Šternić NM, Bumbaširević LG. How to cite this article: Berisavac II, Pavlović AM, Trajković JJ, Šternić NM, Bumbaširević LG. Keywords: Central vertigo peripheral vertigo treatment We reviewed the current medications recommended for patients with vertigo, their mechanisms of action and their most frequent side effects. Symptomatic treatment has a particularly important role, regardless of the etiology of vertigo. Depending on the cause of the vertigo, drugs with different mechanisms of action, physical therapy, psychotherapy, as well as surgery may be used to combat this disabling malady. Peripheral vertigo is secondary to dysfunction of the peripheral vestibular system and is usually characterized by an acute vertigo with loss of balance, sensation of spinning in the space or around self, and is exaggerated with changes of the head and body position no other neurological deficit is present. It is often associated with a focal neurological deficit. Central vertigo is a consequence of a central nervous system lesion. Vertigo may be secondary to inner ear pathology, or any existing brainstem or cerebellar lesion but may also be psychogenic. The treatment depends on the specific etiology.
Vertigo is a common symptom in everyday clinical practice.
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