Severe vertigo is sometimes caused by a rare condition that affects the inner ear, called Ménière's disease. This can cause vertigo, as well as hearing loss, tinnitus and aural fullness (a feeling of pressure in your ear).
Generally, see your doctor if you experience any recurrent, sudden, severe, or prolonged and unexplained dizziness or vertigo. Get emergency medical care if you experience new, severe dizziness or vertigo along with any of the following: Sudden, severe headache. Chest pain.
Central Vertigo.
Caused by a problem in the brain, central vertigo can be linked to serious conditions such as stroke, brain tumor and multiple sclerosis. Symptoms develop gradually and are typically mild but constant and may include gait instability and loss of coordination.
Although less common, vertigo may be a sign that something serious is happening. More severe conditions to watch for include: Head injury. Brain tumors.
Less commonly, tumors that develop in the cerebellum—the part of the brain that controls movement—may cause vertigo, a condition characterized by balance problems and room-spinning sensations.
Cancer in the brain: Some cases of dizziness or balance problems may signal the location of cancer. Dizziness may occur as a result of a brain tumor, for example. Cancers in the cerebellum—the lower back part of the brain that controls coordination—often cause these symptoms.
Benign paroxysmal positional vertigo is a common type of vertigo seen by the otolaryngologist; however, intracranial tumors can mimic benign paroxysmal positional vertigo in their presentation.
“In rare cases, people who experience debilitating vertigo might need surgery, but I find that lying down in the dark, avoiding lights, TVs, and other distractions, and just getting some rest can ease my symptoms,” she said.
A vertigo attack can last from a few seconds to hours. If you have severe vertigo, it can last for many days or months.
Common disorders such as benign paroxysmal positional vertigo (BPPV) and vestibular neuritis are frequently confused for one another1 and for more serious central causes such as stroke.
The most common causes of vertigo are inner ear infections or diseases of the ear such as benign paroxysmal positional vertigo (BPPV), vestibular neuritis, and Meniere's disease. BPPV can occur when calcium builds up in canals of the inner ear, causing brief dizziness that lasts from 20 seconds to one minute.
In some people with vertigo—in particular those who also have hearing loss—doctors may recommend an MRI scan to obtain a closer look at the inner ear and surrounding structures.
If you are dizzy right now and have any of the following neurological symptoms along with your dizziness or vertigo, call 911 immediately: New confusion or trouble speaking or understanding speech. New slurred speech or hoarseness of voice. New numbness or weakness of the face, arm, or leg.
Stage three sees an exponential increase in hearing loss, often accompanied by distorted sound. Although vertigo seems to diminish during this stage, the damage has already been done. The ear's balance functions have likely been devastating, resulting in significant issues with coordination and depth perception.
If you have been experiencing vertigo for more than a day or two, it's so severe that you can't stand or walk, or you are vomiting frequently and can't keep food down, you should make an appointment with a neurologist.
DON'T ignore vertigo, especially when you have other symptoms. DON'T use very high doses of aspirin. Aspirin may cause vertigo when used in high doses. DON'T forget to tell your health care provider about any drugs you take, including over-the-counter and herbal products.
Although vertigo usually starts with a condition in the inner ear, stress and anxiety can make it worse. Chronic stress or worry can also lead to more episodes of vertigo in the future. In stress-related vertigo, using strategies for both the body and the mind is the best way to regain your sense of balance.
Many experts recommend that you try and sleep on your back, as the crystals within your ear canals are less likely to become disturbed and trigger a vertigo attack. If you happen to get up in the middle of the night, rise slowly as opposed to making any sudden movements with the head or the neck.
Sit or lie down immediately when you feel dizzy. Lie still with your eyes closed in a darkened room if you're experiencing a severe episode of vertigo. Avoid driving a car or operating heavy machinery if you experience frequent dizziness without warning. Avoid using caffeine, alcohol, salt and tobacco.
About vestibular neuritis and labyrinthitis
Generally caused by a viral infection, these conditions cause vertigo (usually experienced as a spinning sensation), dizziness, imbalance, unsteadiness and sometimes problems with vision or hearing.
Common symptoms of brain tumours include headaches, feeling or being sick and seizures (fits). These symptoms and the others listed below are often caused by other medical conditions. But if you have any of them, it's important to see your doctor.