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Vertigo and its causes

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my sypmtoms started in november last year,when one day i woke up and i had severe vertigo.thought it was a one off but this happened everyday doctor referred me to see a neuro otoligist he carried out tests mri which came back clear also did vestibular fuction tests.the problems he could see were that i had lost balance and also said my eyes were unable to track things.all ear fuction came back normal.He put me down to having migraines without the headache.the vertigo subsided in may but i still have loss of balance,fatigue and problems with my eyes being able to focus.I have now developed numb toes so my doctor has referred me to see a ortho consultant and said that could be causing the loss of balance.if not he wants me to see a neurologist why is this?could these syptoms be a neurological thing?i have had mri and that came back clear so i know there are no tumors in the what other conditions could cause these problems.

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replied September 29th, 2008
Neurological Disorders Answer A4771

Balance loss (vertigo), eye focusing loss, and numb toes are neurological symptoms and it's logical to consult a neurologist about them. If an ENT specialist didn't find any ear disorder the next diagnostic step is to exclude a neurological condition.

There are many possible reasons for vertigo:
1.Benign position vertigo – usually occurs in the morning and during body position change;
2.Acute vestibular neuritis – occurs suddenly and vanishes spontaneously after 1-2 weeks;
3.Menier's disease – vertigo is accompanied with tinnitus and hearing decrease. This condition goes in attacks with progressive hear loss;
4.Vertigo related to panic disorder – Typical for young people. It can be continuous or can occur in certain “nervous” situations;
5.Vertigo caused by neck muscle tension – it is combined with decreased neck movements;
6.Vertigo caused by aging – it happens in old people;
7.Vertigo caused by using certain medicines – antidepressants, anti-convulsive medicines...;
8.Alcohol abuse;
9.Brain circulatory disorders – vertigo is usually accompanied by other neurological symptoms (palsy, lost speech, double sight...);
10.Acoustic neurinoma – vertigo is accompanied with tinnitus and progressive hear loss.
11.Multiple sclerosis – vertigo can be the first symptom of the disease;
12.Cardio-vascular disorders – ortostatic hypotension, heart arrhythmias etc.

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