Monday, June 18, 2007

• Hereditary vertigo, geriatric vertigo, drug induced vertigo, psychogenic vertigo

• Hereditary vertigo, geriatric vertigo, drug induced vertigo, psychogenic vertigo
These are rare but are diagnosed when common causes cannot be identified.
More than 30 per cent of individuals aged 65 and above have shown to experience dizziness in a study done by Sloane in 1989. It is important to understand that aged folk have multi-factorial causes of vertigo. Management of vertigo in elderly is important as falls due to vertigo could lead to other severe multi-morbidity conditions, such as head injury, hip and spine trauma.
Geriatric causes would be due to poor vision, deteriorating sensation of the nervous system and general disability to maintain a balance.
Medications for various ailments, such as anti-hypertensive, anti-depressants, muscle relaxants, non-steroids anti-inflammatory drugs, hormonal products, certain antibiotics, etc have some effect on the inner ear and can thus cause vertigo.
The effect of these medicaments is individual specific, as vertigo will not be present in all the patients who take them.
Psychological and psychiatric ailments can contribute to persistent vertigo sensation. It is seen in those who are anxious, depressed or suffer from panic disorders or fear of heights (acrophobia).

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