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Problems with balance can occur when there is a disruption in any of the vestibular, visual, or proprioceptive systems. Abnormalities in balance function may indicate a wide range of pathologies from causes like inner ear disorders, low blood pressure, brain tumors, and brain injury including stroke.
Vestibulopathies are disorders of the inner ear. They may include bilateral vestibulopathy, [1] central vestibulopathy, [2] post traumatic vestibulopathy, [3] peripheral vestibulopathy, [4] recurrent vestibulopathy, [5] visual vestibulopathy, [6] and neurotoxic vestibulopathy, [7] among others. Tinnitus is a common vestibulopathy.
A review of symptoms, a medical history, and a physical examination or vestibular tests in a rotary chair are needed to make the diagnosis. There are several different causes of bilateral vestibulopathy, including gentamicin toxicity, but the rotary chair test will determine the effects on both ears.
Vertigo is classified into either peripheral or central depending on the location of the dysfunction of the vestibular pathway, [11] although it can also be caused by psychological factors. [12] Vertigo can also be classified into objective, subjective, and pseudovertigo.
Vestibular neuritis is inflammation of the vestibular nerve (the nerve in the ear that sends messages related to motion and position to the brain). [2] [3] [4] Both conditions involve inflammation of the inner ear. [5] Labyrinths that house the vestibular system sense changes in the head's position or the head's motion. [6]
Vestibular rehabilitation (VR), also known as vestibular rehabilitation therapy (VRT), is a specialized form of physical therapy used to treat vestibular disorders or symptoms, characterized by dizziness, vertigo, imbalance, posture, and vision. These primary symptoms can result in secondary symptoms such as nausea, fatigue, and difficulty ...
The term vestibular ataxia is used to indicate ataxia due to dysfunction of the vestibular system, which in acute and unilateral cases is associated with prominent vertigo, nausea, and vomiting. In slow-onset, chronic bilateral cases of vestibular dysfunction, these characteristic manifestations may be absent, and dysequilibrium may be the sole ...
Benign paroxysmal positional vertigo (BPPV) is a disorder arising from a problem in the inner ear. [3] Symptoms are repeated, brief periods of vertigo with movement, characterized by a spinning sensation upon changes in the position of the head. [1]