Vertigo

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Clinic

  • Vertigo is a condition in which a person has the sensation of movement or of surrounding objects moving when they are not. Often it feels like a spinning or swaying movement.
  • This may be associated with nausea, vomiting, sweating, or difficulties walking.
  • It is typically worse when the head is moved.
  • Vertigo is the most common type of dizziness.
  • Dizziness affects approximately 20–40% of people at some point in time, while about 7.5–10% have vertigo. About 5% have vertigo in a given year. It becomes more common with age and affects women two to three times more often than men. Vertigo accounts for about 2–3% of emergency department visits in the developed world.


Classification

  • Vertigo is classified into either peripheral or central, depending on the location of the dysfunction of the vestibular pathway, although it can also be caused by psychological factors.
Peripheral Central
Definition Caused by problems with the inner ear or vestibular system, which is composed of the semicircular canals, the vestibule (utricle and saccule), and the vestibular nerve is called "peripheral", "otologic", or "vestibular" vertigo.
  • Vertigo that arises from injury to the balance centers of CNS, often from a lesion in brainstem or cerebellum
  • It may have accompanying neurologic deficits such as slurred speech, double vision, pathologic nystagmus (which is pure vertical/torsional).
  • Central pathology can cause Disequilibrium/ Unbalance, which is so severe that paitients are unable to stand or walk.
Causation
  • Central vertigo may not improve or may do so more slowly than vertigo caused by disturbance to peripheral structures. Alcohol can result in positional alcohol nystagmus (PAN).
Entities
Viral miasms STLE
Remedies MMP+ VZV: MERC

MMP only: Con, Puls, Sill, Bell, Phyt, Aur, Bar-m, Iod VZV only: Sul, Ars, Sep, Canth, Iris, Nat-m , Ran-b, Rhus-t, Thuj, Agar, Arg-n, Cocc, Mez, Nat-c, Zinc

  1. PHOS, APIS
  2. Gels, Op, Cupr, Lach, Merc, Sul, Bell
  3. Nux-m, Cocc, Alum, Hell, Plb, Agar

Rubrics

Vertigo - MOTION, from : BRY. COCC. TAB.

Vertigo - TURNING, on - moving the head, or turning – quickly : CALC. CON. Vertigo - SHAKING, the head: acon.mp1 calc.mp1 Con.mp1 corn.mp1 genist.mp1 glon.mp1 hep.mp1 kali-c.mp1 Morph.mp1 nat-act.mp1 sep.mp1 spig

Hearing - NOISES, in ears - buzzing - vertigo, with: Arg-n, Ars, Bell, CHININ-S, Cic, Glon, Laur. Nat-s, Zinc.

Vertigo - MENIERE'S disease, noises in ear with vertigo: CHININ-S, PHOS

Vertigo - MENIERE'S disease, noises in ear with vertigo

alum. arg-met. Arg-n. arn. ars. bar-m. bell. benz-ac. bry. calc. Camph. carb-v. carbn-s. Caust. chen-a. chin. CHININ-S. Chinin-val. Cic. Cocc. colch. com. con. crot-h. crot-t. Dig. eucal. ferr-p. gels. Glon. gran. hell. kali-c. kali-i. kali-m. kali-p. kalm. laur. mag-c. myric. nat-act. nat-c. nat-m. nat-p. nat-s. nat-sal. nux-v. onos. op. petr. ph-ac. PHOS. pic-ac. pilo. psor. puls. rad-br. Sal-ac. Sang. seneg. sep. Sil. stann. tab. Ther. zinc.

Vertigo - MENIERE'S disease, noises in ear with vertigo - seasick, as if tab.

Remedies

Peripheral Central Common
Con
  • Vertigo accompanied by a feeling of weakness or trembling.
  • Vertigo triggered by sudden movements or changes in position.
  • Nausea and vomiting.
  • Vertigo due to age-related changes in the inner ear.
 Phos
  • Dizziness with most of his problems such as heart problems (Lach) , Epistaxis, Senile problems (Gels, Sul) etc
  • Neurologic Dizziness (Cocc, Ther, Con)
  • Staggering
  • Agg with eye exertion, Flower odors, Coffee, Eruption suppression (Lach), High places (Gels), Looking up or looking down, Fluid loss, Fasting
 Merc
Puls
  • Vertigo accompanied by a sensation of fullness in the head.
  • Dizziness, lightheaded, and disoriented.
  • Ringing in the ears and a sensation of pressure in the head.
  • Vertigo due to sinus congestion or ear infections.
 Gels
  • Vertigo that is triggered by emotional stress or anxiety.
  • Dizziness, Lightheaded, Staggering / Weakness / Faint-like
  • Trembling, sweating, and a pounding heart.
  • Vertigo due to stage fright or anxiety.
  • Pregnancy,
  • Senile problems (Phos),
  • With Cerebral / Nervous origin
  • High places (Phos)
  • Tinnitus, Diplopia
 Bell
  • Noise agg, Eruption suppression, senile people, Motion esp turning head , bending double, Lying
  • Sinking
  • Accompanied by tinnitus, Red face, Epistaxis, Heart problems, Head congestion, Stroke, Hypertension, Dilated pupil
  • Pregnancy
Sil
  • Vertigo that is accompanied by pressure in the head.
  • Dizziness, lightheaded, and disoriented.
  • Ringing in the ears
  • Vertigo due to pressure in the inner ear
 Lach
  • Faint like, Sinking
  • Agg: Closing eyes, sleep after, Eruption suppression (Phos)
  • Accompanied by Heart symptoms (Phos)
 Agar
  • Cerebellar vertigo (Nystagmus, Ataxia, staggering)
  • Accompanies by agitation + True vertigo (turning in a cycle)
  • Agg : Rolling head / Moving /Walking
Ars
  • Acute Vertigo + Ear noise
  • Pregnancy during
 Sul
  • High place, Ascending,
  • Senile people (Phos, Gels, Cocc)
Nat-m
  • Periodic, Sinking
  • Causation (Smoke, Eye exertion, High, Coffee)
 Cocc
  • Everything turning around him)
  • Staggering, Falling sides
  • Neurologic / Psychologic vertigo
  • Agg: opening eyes (opp to Arg-n), Motion, rising, Insomnia/ Supportive anxiety
  • Accompanied by: Nausea, Vomiting, Occiput pain, Chilliness/ Coldness (Warm amel) (Being alone amel)
  • Senile people (Phos, Gels, Sul)
  • Neurological Dizziness (Phos, Ther, Con)
Arg-n
  • Tinitus, Nervous, Sleep on going, Ataxia, weakness, Chilliness, true vertigo (turning in a cycle)
  • Agg: High, looking upward, Mental exertion, bending forward, Closing eyes, Dark room, Crossing bridge, walking
 Alum
  • Agg: Closing eyes, Bending forward, Breakfast after, rubbing eyes, Smoke
  • Sinking
Rhus-t Suppressed eruption
Zinc Vertigo tinnitus, esp in high places


True Vertigo miasmatic remedies




Cocc

Agar


Acute vertigo remedies

  • Chinin-s
  • Con
  • Tab
  • Chel

Bry

  • Vertigo that is worsened by sudden movements or changes in position.
  • Spinning or dizziness when moving the head or standing up.
  • Nausea and vomiting.
  • Vertigo due to dehydration or overheating.

Cocc

  • Vertigo that is accompanied by nausea or motion sickness
  • Dizziness, weak, and lightheaded.
  • Motion sickness or jet lag: Nausea and vomiting, particularly when traveling by car or boat.



Tissue Salt Remedies

  • FP: Dizziness is caused by rush of blood to the head
  • KP: Vertigo with nervous / Neurological origin
  • SIL: Vertigo in the elderly
  • NM: Dizziness on getting up (Orthostatic hypotention)
  • NS: Vertigo due to bilious status
  • NP: Dizziness with vomiting. In sea-sickness alternate KP with NP
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