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Are you one of the 40% of Americans who have been affected by vertigo? Vertigo is the sensation that you are moving, even when you are not. It is similar to motion sickness and is characterized by dizziness or the feeling that the room is spinning. While many people believe that vertigo is a medical condition, it is actually considered a symptom of medical conditions that can affect the inner ear, vestibular nerve, brain stem, or cerebellum.
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Therefore when it comes to treating vertigo, the first thing your doctor must determine is what is causing the vertigo. There are two different categories of vertigo that have specific causes. The first category is known as peripheral vertigo, which is caused by a problem with the inner ear or vestibular nerve that connects the ear to the brain. The majority of vertigo causes are classified as being peripheral. Peripheral vertigo is most commonly caused by:
The other category of vertigo is known as central vertigo, which is caused by a problem in the brain, specifically the cerebellum which is in charge of balance and movement. Central vertigo can be caused by medical conditions such as multiple sclerosis, migraines, stroke, or a tumor in the cerebellum. However, only about 7% of vertigo cases are categorized as central vertigo.
Together these two categories of vertigo make up what is called vertigo-associated disease. In a general sense, vertigo-associated disease is commonly treated using vestibular blocking agents or VBAs. These include medications such as antihistamines (promethazine or betahistine), benzodiazepines (diazepam or lorazepam), or antiemetics (prochlorperazine or metoclopramide).
However, specific causes of vertigo may also require additional treatment to help alleviate vertigo. Therefore, your neurologist will need to determine what is causing your vertigo. This can be done by performing the following tests:
Emerging evidence suggests that vitamin D deficiency is a widespread global problem (1). According to the Institute of Medicine (IOM), vitamin D deficiency is defined as circulating 25-hydroxyvitamin D (25[OH]D) level 800 IU/d, a duration less than 6 months, or older subjects (14). Kunutsor et al suggested that supplementation with vitamin D significantly reduced diastolic blood pressure (DBP) by 1.31 mm Hg in participants with preexisting cardiometabolic conditions (16). However, another meta-analysis performed by incorporating individual data supported that vitamin D supplementation is ineffective in lowering blood pressure (15).
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