What causes Vertigo and how can I cure it?

Question:

Answers:
Central vertigo syndromes resulting from acute vascular events most commonly result from a combination of hypertension and regional atherosclerosis.
Less commonly, arterial dissection secondary to neck extension, rotational injury, or osteoarthritic spurs is the cause of disturbed posterior fossa blood flow.
Migraine headaches and presyncopal lightheadedness are two forms of regional and global ischemia that may appear with vertigo or imbalance as the primary symptom.

Medical Care:

Medical treatment includes supportive care with fluid replacement and vestibular suppressants for intractable vertigo with nausea and vomiting.
Treatment of migraine-associated vertigo includes analgesics and vestibular suppressants. Drugs useful in the treatment of migraines include sumatriptan, propranolol, imipramine, amitriptyline, and nortriptyline and vestibular suppressants diazepam and alprazolam. For further information on the diagnosis and treatment of migraine headaches, please refer to Migraine Headache in the neurology section of the eMedicine Journal.
Control of hypertension, diabetes mellitus, and atherosclerosis is indicated for long-term prevention of further complications. Cardiac arrhythmia should also be controlled.
Drugs useful in the treatment of vertebrobasilar insufficiency include aspirin, ticlopidine, pentoxifylline, heparin, and warfarin.
Acetazolamide is indicated for the treatment of familial ataxia syndrome.

Surgical Care:

Surgical treatment of central vertigo is limited to urgent posterior fossa decompression of cerebellar and brainstem edema complicating the infarction.
CPA tumors are surgically removed on an elective basis. If a medical contraindication exists, radiotherapy for tumor control is an option.
Consultations: Otolaryngologists, neurosurgeons, neurologists, and cardiologists are consulted for further diagnosis and treatment of vertigo of CNS origin.

Diet:

Address dietary management of migraine-associated vertigo with the patient. Avoidance of triggers, such as red wine, chocolate, and cheese, may reduce the frequency of attacks.

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What causes Vertigo and how can I cure it?

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