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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Vertigo And Loss Of Balance?

I woke up this morning, got up, and had the worst case of vertigo I ve ever had. Couldn t get my balance at all, fell back on the bed, sat up, and within a minute, it was gone. Had a couple of slight feelings of vertigo during the day, took betahistine hydrocholoride and am not quite normal yet. Should I be worried that s it s a symptom of something else?
Thu, 8 Jan 2015
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Neurologist 's  Response
Acute onset severe vertigo may be due to many reasons and common are benign paroxysmal positional vertigo(BPPV) , acute vestibular neuronitis and less commonly posterior circulation stroke. BPPV is positional, lasting for few seconds associated with nausea or vomiting. Vestibular neuronitis is severe vertigo And associated with some viral infection. Most serious condition is posterior circulation stroke but is usually associated with additional brainstem signs and symptoms. Your case seems to be BPPV most likely if no additional symptoms are present. You need to consult neurologist if symptoms increases or persists. Hope you recover well.
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What Causes Severe Vertigo And Loss Of Balance?

Acute onset severe vertigo may be due to many reasons and common are benign paroxysmal positional vertigo(BPPV) , acute vestibular neuronitis and less commonly posterior circulation stroke. BPPV is positional, lasting for few seconds associated with nausea or vomiting. Vestibular neuronitis is severe vertigo And associated with some viral infection. Most serious condition is posterior circulation stroke but is usually associated with additional brainstem signs and symptoms. Your case seems to be BPPV most likely if no additional symptoms are present. You need to consult neurologist if symptoms increases or persists. Hope you recover well.