Common Vestibular Disorders
A number of specific conditions can cause vertigo. In the elderly however the condition is often multifactorial.
Benign paroxysmal positional vertigo
Benign paroxysmal positional vertigo (BPPV) is brief periods of vertigo ( less than one minute ) which occur with change in position. It is the most common cause of vertigo. It occurs in 0.6% of the population yearly with 10% having an attack during their lifetime. It is believed to be due to a mechanical malfunction of the inner ear. BPPV can be effectively treated with repositioning movements.
Vestibular migraine is the association of vertigo and migraines. It is the second most frequent cause of recurrent vertigo with a lifetime occurrence rate of about 1%
MÃ©niÃ¨reâ€™s disease frequently presents with vertigo in combination with ringing in the ears, a feeling of pressure or fullness, severe nausea or vomiting, and hearing loss. As the disease worsens, hearing loss will progress.
Vestibular neuritis presented with severe vertigo. It is believed to be caused by a viral infection of the inner ear. Persisting balance problems may remain in 30% of people affected.
Motion sickness is one of the biggest symptoms of vertigo and it develops most often in persons with inner ear problems. The feeling of dizziness and lightheartedness is often accompanied by nystagmus. This is when the eyes rapidly jerk to one side and then slowly find their way back to the original position. During a single episode of vertigo, this action will occur repeatedly. Symptoms can fade while sitting still with the eyes closed.