A woman in her 50s recently experienced a sudden and intense episode of vertigo, describing it as if the entire room were spinning just as she was waking up.
Although she showed no signs of injury, the dizziness worsened every time she turned her head, which prompted her to seek medical attention.
Doctors diagnosed Ms. Kim with benign paroxysmal positional vertigo (BPPV), a condition caused by disruptions in the inner ear’s balance system.
Vertigo can arise from various causes, but in otolaryngology, physicians most commonly diagnose it as either BPPV or vestibular neuritis.
BPPV occurs when tiny calcium crystals, known as otoliths, become dislodged from their usual position in the inner ear and migrate into the semicircular canals. This triggers a spinning sensation, particularly when the head moves in specific directions.
The condition often worsens in the morning, especially when getting out of bed or changing positions, and the episodes typically last from a few seconds to several minutes.
Dr. Nam Ki Yoon, an otolaryngologist at Good Hospital in Korea, explained, “BPPV is more common among older adults and can also occur after head trauma. However, with an accurate diagnosis and a procedure called the Epley maneuver, which repositions the crystals, patients often experience rapid improvement.”
Vestibular neuritis, another common cause of vertigo, occurs when inflammation affects the vestibular nerve, which plays a key role in maintaining balance. This condition is often linked to viral infections. It is marked by sudden and severe spinning sensations that can persist for days, frequently accompanied by nausea and vomiting.
Dr. Nam noted, “In cases of vestibular neuritis, symptoms usually worsen with head movements but ease when the patient remains still. Initial treatment focuses on medication to control symptoms, followed by vestibular rehabilitation exercises to help restore balance.”
It can easily be overlooked because vertigo is sometimes mistaken for conditions like anemia or general fatigue. However, it may signal a more serious ear disorder or neurological issue.
Dr. Nam emphasized, “If you experience recurring vertigo or if it disrupts your daily life, it’s essential to seek a thorough medical evaluation.”
Most Commented