A Comprehensive Guide To Neurological Evaluation And Treatment Of Vertigo

Vertigo is a distressing symptom that can significantly impact a person’s quality of life. It is characterized by a false sensation of spinning or movement when there is none, leading to dizziness, imbalance, and sometimes even nausea. There are lots of underlying medical conditions that induce vertigo, along with a specialist is often the best person to identify and address it. This entire guide will talk on how to identify and treat dizziness neurologically, shedding light on the important role played by specialists like those at South Valley Neurology.

Understanding Vertigo

Vertigo is not a sickness alone it is a symbol of a bigger problem. There are 2 primary kinds of vertigo: inside the periphery and in the human body.

Peripheral Vertigo: Generally, this type of dizziness happens because problems in the human body or perhaps the balance system referred to as vestibular system. Normally, this really is introduced on by benign paroxysmal positional vertigo (BPPV), Meniere’s disease, or vestibular neuritis.

Central Vertigo: This sort of vertigo is often connected with problems inside the brain or spine-cord, like ms, headaches, or brainstem lesions. Sometimes it’s harder to locate and treat due to where it starts within the brain.

Neurological Evaluation Of Vertigo

A neurological evaluation of vertigo and balance problems is an important step in figuring out the reason and making a treatment plan that works. Neurologists for vertigo, like those at South Valley Neurology, follow a systematic approach that includes the following components:

Health Background: The specialist will start if you take an in depth health background, including details about the start of vertigo, its duration, connected signs and symptoms, and then any relevant past health conditions or medications.

Physical Examination: An entire physical check is conducted, getting a focus on the nervous system as well as the vestibular system.

Specialized tests, like the Dix-Hallpike maneuver along with the Romberg test, might be performed to evaluate balance and coordination.

Vestibular Testing: Neurologists may utilize numerous vestibular tests to evaluate the interior ear’s function. These tests may include electronystagmography (ENG), videonystagmography (VNG), and rotary chair testing.

Imaging Studies: Sometimes, imaging studies like magnetic resonance imaging (MRI) or computed tomography (CT) scans may be purchased to get rid of central causes of vertigo, for instance tumors or vascular lesions.

Bloodstream Tests: A complete physical check is performed, having a concentrate on the central nervous system and also the vestibular system.

Treatment Of Vertigo

Once the underlying cause of vertigo has been identified through the neurological evaluation, appropriate treatment can be initiated. The treatment that is chosen varies on the diagnosis, but some examples are:

Vestibular Rehabilitation: Vestibular rehabilitation routines may help re-train the vestibular system therefore making you more balanced for individuals who’ve peripheral vertigo.

Canalith Repositioning Maneuvers: These maneuvers, such as the Epley maneuver, work nicely for BPPV by repositioning dislodged calcium crystals in the human body.

Medications: Antiemetics, antihistamines, or vestibular suppressants would be the medicines which can be presented to help with vertigo which is signs and signs and symptoms.

Lifestyle Modifications: Nutritional changes and lifestyle modifications, for example reducing salt intake within the situation of Meniere’s disease, might help manage certain kinds of vertigo.

Surgery: Sometimes, surgery might be suggested to fix structural issues within the body in order to relieve pressure around the vestibular nerve.

Management Of Underlying Conditions: For central vertigo, addressing the actual nerve condition is important. This might involve medications to handle ms, migraines, or any other adding factors.


Vertigo is really a complex symptom that may have various underlying causes, most of which are based on the nerve system. When facing vertigo, seeking the help of a specialist for vertigo is vital for accurate diagnosis and efficient treatment. South Valley Neurology is really a top center that diagnoses and treats dizziness. They provide complete care and personalized treatment intends to all their patients. Neurologists can greatly improve the caliber of existence for those who have vertigo using a systematic method of evaluating and treating the problem in a manner that is particular to the one who has it. This can help them get back their balance and confidence. Keep in mind that the easiest method to treat dizziness would be to catch it early and obtain a proper diagnosis.