“Vertigo”, which occurs as a result of problems in the sensory nerve pathway, brain, inner ear or middle ear, is colloquially known as dizziness, which may radically affect the quality of life of a person and may be a precursor of different diseases. Vertigo, which is more commonly seen in people over the age of 65, may occur temporarily or for a long time.


Vertigo is classified as “central vertigo” when it occurs as a result of brain-borne disorders, and “peripheral vertigo” when it occurs as a result of affecting the balance centers in the inner ear or middle ear.


Causes of Peripheral Vertigo

There may be a wide variety of diseases or conditions that can cause vertigo.


  • Labyrinthitis: Labyrinthitis, which can be expressed as inflammation of the inner ear organs, may occur due to inflammation of the vestibular nerve called “vestibular neuritis” or upper respiratory infection. Labyrinthitis may be caused by chronic otitis in adults, and meningitis in children under 2 years of age.
  • Sudden hearing loss: Sudden hearing loss that starts suddenly and lasts less than 72 hours may also lead to vertigo.
  • Cholesteatoma: The skin growth that occurs in the middle ear due to recurrent ear infections is called cholesteatoma. Cholesteatoma may cause hearing loss and vertigo.
  • Ménière’s Disease: Tinnitus, hearing loss, and vertigo may occur in case of increased inner ear pressure due to the increase in fluid called “endolymph” in the inner ear. Vertigo caused by Ménière’s disease usually affects people between the ages of 40 and 60.
  • Benign Paroxysmal Positional Vertigo:BPPV, which manifests itself with attacks of rotational vertigo, occurs when the crystals in the inner ear are displaced and fall into the semicircular canals.


Except for these reasons we have mentioned, it is known that vertigo may also occur due to migraine, head trauma, medication used, previous ear surgeries and viral infections.


What are the Symptoms of Vertigo?

Vertigo is a health problem that lowers the quality of life, manifesting itself with various symptoms such as drowsiness, dizziness, tinnitus, headache, feeling of fullness in the ears, cold sweating, vomiting and nausea.


“Vertigo treatment is planned in accordance with the reasons of the patient’s complaints. Identifying the causes of vertigo is the most important step to successfully complete vertigo treatment. Vertigo and its resulting complaints can be eliminated with effective and cause-oriented treatments.”


What is Benign Paroxysmal Positional Vertigo (BPPV)? How is Diagnosis and Treatment Performed?

BPPV, the most common cause of vertigo, is characterized by increased dizziness with head movements. BPPV, which usually lead to less than 2 minutes of vertigo attacks, is diagnosed with the Dix-hallpike Test. During the Dix-hallpike test, the patient’s head is turned 45 degrees to the side, s/he is laid down and then, his/her head is hung 30 degrees down. As a result of all these movements, the eye movements of the patient are observed and the diagnosis is made.


After the cause of BPPV is diagnosed with the Dix-hallpike test, the patients perform appropriate maneuvers.  Epley, also known as Canalith Repositioning Maneuver (CRM), can be carried out in the clinical setting. CRM, which is applied to replace the otoliths in the semicircular canals filled with liquid, is a very practical and effective method.


“Patients with vertigo should never try CRM treatment without medical support. When the maneuvers are performed under the control of ENT specialists, CRM will provide a safe treatment.”