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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.
Vertigo is the most common type of dizziness. [2] The most common disorders that result in vertigo are benign paroxysmal positional vertigo (BPPV), Ménière's disease, and vestibular neuritis. [1] [2] Less common causes include stroke, brain tumors, brain injury, multiple sclerosis, migraines, trauma, and uneven pressures between the middle ears.
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.
The most common vestibular diseases in humans are vestibular neuritis, a related condition called labyrinthitis, Ménière's disease, and BPPV. In addition, the vestibular system's function can be affected by tumours on the vestibulocochlear nerve , an infarct in the brain stem or in cortical regions related to the processing of vestibular ...
Dr. Carrie Jose, in her latest Health and Wellness column, gives three reasons why balance problems could be in your head.
BPPV is one of the most common vestibular disorders in people presenting with dizziness; a migraine is implicated in idiopathic cases. Proposed mechanisms linking the two are genetic factors and vascular damage to the labyrinth. [20] Although BPPV can occur at any age, it is most often seen in people older than the age of 60. [21]
The most common causes of damage to the vestibular nerve are exposure to ototoxic antibiotics, Ménière's disease, encephalitis and some rare autoimmune disorders. [3] Typically, patients with a damaged nerve suffer from acute attacks of vertigo accompanied by nausea/vomiting, inability to maintain posture and horizontal nystagmus. [4]
The cause is often not clear. It may be due to a virus, but it can also arise from bacterial infection, head injury, extreme stress, an allergy, or as a reaction to medication. 30% of affected people had a common cold prior to developing the disease. [1] Either bacterial or viral labyrinthitis can cause a permanent hearing loss in rare cases. [7]
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