Vim & Vigor - Summer 2021 - 22

22

Bhattacharyya says. " If it's something that's really problematic or if
it's not getting better, you should see
an ENT physician. "
An ENT (ear, nose and throat)
physician can have you perform a
series of painless body movements,
such as the Epley maneuver, to treat
BPPV. These maneuvers are effective
in more than 90 percent of cases,
VeDA says.

VESTIBULAR NEURITIS

Vestibular neuritis is an inner ear
infection that leads to dizziness and
vertigo. Usually it is caused by a
viral infection, such as influenza or

herpes (the same type that causes
cold sores), but occasionally it can
be caused by a bacterial infection.
As with other viral infections, the
symptoms of vestibular neuritis can
range from mild to severe, according to VeDA.
" Often what we hear is that a
patient will wake up and have this
terrible, terrible room-spinning vertigo that's persistent, lasting hours
or even days. They also have nausea
and vomiting and are feeling really
sick, " Bhattacharyya says. " It can be
pretty scary. "
Vestibular neuritis typically goes
away on its own in a few days, he

SUMMER 2021 VIM & VIGOR

V1_VVSU2100_20-23_DeepDive_Dizziness.indd 22

4/28/21 10:34 AM

PHOTO BY GETTY IMAGES

VERTIGO

Vertigo is a false sense that your
environment is moving around you
when it's not or that you are moving
when you're not.
The problem is primarily caused
by issues of the inner ear. The inner
ear contains semicircular tubes that
are lined with fine hairs and filled
with liquid to help you maintain
your sense of balance. When you
move, the liquid shifts and the
inner ear signals to the brain that
the body is moving. Sometimes the
liquid continues to move after you've
stopped, making you feel as if you're
still moving, like when you get off a
roller coaster.
Occasionally the liquid can be
disturbed even with minor movement. This is called benign paroxysmal positional vertigo, or BPPV.
" It's typically provoked by rolling
over in bed, looking up to the top
shelf of a cabinet, or during sports
or other maneuvers where the head
is being tilted or moved quickly, "
says Neil Bhattacharyya, MD, chair
of the BPPV guideline development
group for the American Academy
of Otolaryngology-Head and Neck
Surgery. " It's the most common
[medical] cause of dizziness, and it's
not harmful. "
BPPV becomes more common
with age, although it can happen in
children. The majority of cases have
no known cause, but the condition
is more likely to occur in people
with a history of head trauma,
migraines, inner ear infections, diabetes, osteoporosis and intubation,
according to the Vestibular Disorders
Association (VeDA).
Most cases of BPPV resolve on
their own, though you may experience short episodes of dizziness
with movement for several weeks.
" Benign positional vertigo will
oftentimes get better in the course
of two to four to maybe six weeks, "



Vim & Vigor - Summer 2021

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