Why dizziness is still a mystery

Dizziness may describe lightheadedness and imbalance, not the spinning of vertigo

Dizziness is defined as an altered sense of spatial orientation, and may include feeling like you might fall over. Vertigo is associated with feeling like you are spinning or your surroundings are spinning.

Vertigo is considered a subtype of dizziness

This two-minute video explains vertigo—a subtype of dizziness—and its many potential causes. It explores the vestibular system, the inner ear system, which typically governs our sense of stability, and details its anatomy.

Vertigo can last for minutes—or months—and may occur periodically

Vertigo can be caused by a variety of conditions, including as a side effect of medication, but if it comes on suddenly and is accompanied by other symptoms including difficulty with speech or weakness on one side of the body it's important to go to the emergency room to get checked for a stroke. For recurring vertigo, care teams can teach patients exercises to limit panic, lessen nausea and teach the brain to better tolerate head movements.

Vertigo is two to three times more common in women than men

Dizziness, including vertigo, occurs among 15% to 20% of adults. Vertigo can have numerous causes, but generally it's more common with age. It's also much more common among women than in men—occuring roughly two to three times more frequently, sometimes potentially related to the hormonal fluctuations of menopause or to migraines.

Peripheral vertigo is a type of dizziness caused by disturbances the inner ear

This type of vertigo can be triggered by several factors including viruses that cause inflammation in the inner ear, Ménière's disease, or benign paroxysmal positional vertigo, which can cause irregular nerve impulses that cause dizziness.

Vertigo may be reduced by retraining your brain with visual fixation

In this video podcast neuroscientist Andrew Huberman describes one way to help alleviate dizziness and motion sickness symptoms. He suggests visual anchoring—fixating your vision on a point several feet away and moving closer to it, if possible, or fixating your vision on your extended finger and slowly moving it toward your nose and away again.

Vertigo is a mismatch of information between the eyes and the ears

Both vertigo and motion sickness can be caused by mismatches between visual and auditory inputs.The brain relies on inputs from the eyes, inner ear, and receptors in muscles and joints to orient the body. When the eyes suggest movement but other signals suggest the body is stationary dizziness and nausea can occur.

Central vestibular disease is another common cause of vertigo

Unlike peripheral vestibular disease that is caused by factors like inflammation in the inner ear, central vestibular disease involves dysfunction of one or more parts of the central nervous system. Vertigo of this type may last for seconds, hours, or even days. It's typically caused by issues with the brain stem and cerebellum and could be caused by stroke, tumor, and vestibular migraine, among other conditions.

The word 'vertigo' derives from the Latin 'vertere,' meaning to turn

Beyond the word's origin, this article makes clear that fuzzy definitions of the disorder make it confusing for patients to describe it.

A BPPV patient describes how a neck massage fueled crippling vertigo

The pressure, she says, dislodged tiny crystals in her inner ear that are crucial to balance. The condition is called benign paroxysmal positional vertigo, or BPPV.

Pets can experience vertigo, particularly older dogs

This type of dizziness is often caused by disorders of the vestibular system, and in dogs is often referred to as "old dog vestibular disease" because it tends to occur in older animals. The condition tends to resolve on its own in days or weeks. Vertigo is less common among cats than dogs, and in felines is typically caused by inner ear infections or other causes including a tumor.

20% of patients with migraines may also experience vertigo

Vestibular migraine is a common cause of vertigo, affecting approximately 20% of patients with migraine. It's the most common cause of recurrent, sudden-onset vertigo.

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Ménière's disease is a long-term, inner ear disorder that causes vertigo

This severe vertigo-causing disorder may involve long and recurrent episodes of vertigo. Symptoms of this disease include balance issues and hearing loss, tinnitus, and a feeling of fullness in the ear. It typically affects only one ear and is linked to a buildup of excess fluid in the inner ear.

Eating too much salt can worsen vertigo

High salt intake can cause fluid retention in the inner ear, worsening vertigo. Slashing sodium amounts (and caffeine and alcohol consumption) are particularly recommended for those suffering from Ménière's disease to help stabilize inner ear fluid levels.

See how a type of movement called the Epley maneuver can resolve one type of vertigo

BPPV, benign paroxysmal positional vertigo, occurs when a calcium crystal breaks off and is floating around in the inner ear. This video describes how someone suffering from this type of vertigo can determine if this is an issue and how treatment involves a movement called the Epley maneuver.

Vestibular Paroxysmia is often overlooked as a vertigo-causing diagnosis

VP causes brief, recurrent episodes of vertigo. It's often mistaken for the more common "benign paroxysmal positional vertigo," but its vertigo episodes are typically shorter and triggered by specific head movements. The condition is caused by compression of the eighth cranial nerve. Other symptoms that accompany it are nausea and unsteadiness and, more rarely, tinnitus and hearing changes.

Studying involuntary, rapid eye movements is a key part of vertigo diagnosis

A doctor will look at a vertigo patient's rapid, uncontrollable eye movements—formally called nystagmus—to better understand its causes. When a patient is lying down with their head turned and their eyes spin in a certain position and stop it's likely a peripheral cause, but if the spinning doesn't stop or it changes direction it's more likely a central nervous system issue.

See this first-person virtual reality view of vertigo

This video shows a virtual reality environment view of what benign paroxysmal positional vertigo will look like, from a first-person view. It includes a virtual rendering of eye spinning associated with the condition. (Warning: Watching this may make some users feel a bit nauseous.)

The myth of sugar rushes vs. the reality of sugar crashes

It's generally accepted that sugar rushes are a myth, and that hyperactivity is a more psychological experience. However, there is real science behind the rare sugar crash that primarily impacts those with diabetes. Read this article to understand how historical and cultural factors have shaped sugar perceptions, and how low blood sugar can trigger shakiness, fatigue, weakness, and more in diabetes patients.

Headache disorders have historically been neglected and under-researched

Confusion between the variety of headaches—from mild discomfort to debilitating pain—and gender bias—migraines primarily affect women—have led to widespread misunderstandings of the medical issue. Medical students in the US may get as little as 30 minutes of instruction on the three major types: migraines, cluster headaches, and tension-type headaches.

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The impact of gravitational force on our bodies surprised early coaster riders and engineers

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What is space sickness?

Mix motion sickness minus gravity with a host of other variables, and you’ve got a recipe for space adaptation syndrome. It can hit anyone, even astronauts who escaped the issue previously. This article details the history and science behind space sickness.

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Historians theorize Vincent Van Gogh suffered from Ménière's disease or epilepsy

A century after researchers suggested he suffered from epilepsy, some researchers in the 1990s began to support an alternate diagnosis: Ménière's disease, since he had suffered from severe, repeated attacks of disabling vertigo. Still, some researchers remain skeptical of the Ménière's diagnosis. One posits that Van Gogh had temporal epilepsy complicated by his absinthe consumption.

There's no cure for Ménière's disease, only medications to reduce frequency of attacks

Ménière's disease is an inner ear problem that can cause vertigo and hearing loss. Most of the time, Ménière's disease affects only one ear.

Why do we sometimes jolt awake before falling asleep?

Around 70% of people are estimated to experience the sensation of falling and jerking awake right as they're about to drift to sleep. That mysterious phenomenon is called hypnic jerking. As common as it is, hypnotic jerking remains disconcerting and hard to explain. While we don't yet have clear answers, peruse this article in Popular Science for some possible explanations as to why this happens.

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We don't know why astronauts get motion sick

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Heat exhaustion is the most likely diagnosis if someone is talking clearly

Heatstroke, true to its name, looks more like a stroke. Its symptoms include severe disorientation, irritability, and seizures, among others. A patient does not need to have collapsed in order to have exertional heatstroke, but if someone is talking clearly, they likely have heat exhaustion, and it hasn't progressed to heatstroke.

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Turbulence has been called the most important unsolved problem in classical physics

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The overlooked physical causes of insomnia

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How seizures (potentially) alter consciousness

Seizures occur when intense electrical activity floods the brain, prompting significant loss of self-control and a variety of sensory disruptions and hallucinations. Cultures interpret the episodes differently, with many contemporary norms viewing them as negative while others characterize them as intense spiritual occasions. Author Fyodor Dostoyevsky viewed his seizures this way, as well as cultures in Mongolia, some Shamanic indigenous religions, and others.

Alzheimer's disease is the leading cause of dementia and risks rise after age 65

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Explaining the icy mystery of the Dyatlov Pass deaths

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What is a migraine attack like?

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BPPV occurs when tiny calcium particles called otoconia become dislodged

WIth this condition, formally known as benign paroxysmal positional vertigo, calcium particles that normally help the brain interpret head movement and position migrate for unknown reasons into the ear's semicircular canals, sending irregular nerve impulses to the brain, which cause intense vertigo episodes.

Ménière's disease was first identified in 1861

This condition is named after the French clinician Prosper Ménière, who first identified it as being linked to the inner ear, noting it was a disorder of the semicircular canals. It tends to occur in people who are 40 years old or older.

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