You need to check for dizziness and chronic diseases that you haven't experienced before
Jul 21, 2024
If you have symptoms of dizziness that you have never experienced in your life, you should inform your family and acquaintances of your current condition, and check calmly whether your current symptoms are an emergency or not.
Be careful, especially when you have a sudden severe headache, vomiting, difficulty standing even if you hold on to surrounding furniture, when objects are seen in two, when you have visual impairment, when you have severe eye shaking, when you have blemishes in the eyes of the person next to you, when your arm/leg senses are dull, when you have a sudden loss of strength, when you are speechless and do not communicate well, or when you are unconscious.
However, even if there are no such symptoms, it should not be considered insignificant and neglected. If you have a family history of smoking, high obesity, high blood pressure, hyperlipidemia, diabetes, arrhythmia, cardiovascular disease, or cerebrovascular disease, you should first discriminate whether you have stroke and pre-stroke symptoms.
Cho So-young, a neurologist at H Plus Yangji Hospital, said "Dialysis, Meniere's disease, vestibular neuroticitis, labyrinthitis, and migraine are common causes of dizziness, but it is difficult to discriminate between these diseases and stroke as simple symptoms" In particular, benign diseases such as vestibular neuropathy and labyrinthitis are very similar to stroke because the initial symptoms are very severe, do not die down, and it is difficult to walk with vomiting, he explained.
'Estatic migraine' is a very common disease that accounts for up to 30% of patients visiting the dizziness center. If you simply focus on 'headache' and 'pain', the diagnosis is difficult. Dizziness occurs depending on the position, so it can be misunderstood as otolithiasis, and tinnitus (sound from the ears) is sometimes accompanied like Meniere's disease.
On the other hand, dizziness occurs even after a concussion due to an accident, and usually improves within 3 months, but sometimes lasts longer. Direct impact causes large and small damage to the brain, and psychological factors such as depression and anxiety are also added. Even without brain damage, dizziness and headaches can often come as symptoms after concussion due to damage to peripheral equilibrium organs inside the ear.
Dizziness is also accompanied by various degenerative diseases such as dementia and Parkinson's disease, whose incidence increases with age. Dizziness, memory loss and walking/balancing disorders are mixed. Motor system degenerative diseases with Parkinson's symptoms are also common, but they complain of distant dizziness just before fainting, because neurodegenerative changes also progress to the autonomic nervous system.
Young people without other neurological symptoms often visit the hospital due to repeated fainting and perform autonomic nervous system tests. There are also various items to evaluate autonomic nerve function, and many cases have no clinical significance. Therefore, the ability to interpret is important. Heart diseases such as arrhythmia and heart failure can also cause repeated fainting, so collaboration with circulatory internal medicine (cardiac internal medicine) is also an important part of diagnosis and treatment prognosis.
"One in four neurological outpatients complain of dizziness, and it is important to accurately diagnose and start treatment for various acute and chronic diseases hidden in symptoms of dizziness," said Dr. Cho So-young.
Be careful, especially when you have a sudden severe headache, vomiting, difficulty standing even if you hold on to surrounding furniture, when objects are seen in two, when you have visual impairment, when you have severe eye shaking, when you have blemishes in the eyes of the person next to you, when your arm/leg senses are dull, when you have a sudden loss of strength, when you are speechless and do not communicate well, or when you are unconscious.
However, even if there are no such symptoms, it should not be considered insignificant and neglected. If you have a family history of smoking, high obesity, high blood pressure, hyperlipidemia, diabetes, arrhythmia, cardiovascular disease, or cerebrovascular disease, you should first discriminate whether you have stroke and pre-stroke symptoms.
Cho So-young, a neurologist at H Plus Yangji Hospital, said "Dialysis, Meniere's disease, vestibular neuroticitis, labyrinthitis, and migraine are common causes of dizziness, but it is difficult to discriminate between these diseases and stroke as simple symptoms" In particular, benign diseases such as vestibular neuropathy and labyrinthitis are very similar to stroke because the initial symptoms are very severe, do not die down, and it is difficult to walk with vomiting, he explained.
'Estatic migraine' is a very common disease that accounts for up to 30% of patients visiting the dizziness center. If you simply focus on 'headache' and 'pain', the diagnosis is difficult. Dizziness occurs depending on the position, so it can be misunderstood as otolithiasis, and tinnitus (sound from the ears) is sometimes accompanied like Meniere's disease.
On the other hand, dizziness occurs even after a concussion due to an accident, and usually improves within 3 months, but sometimes lasts longer. Direct impact causes large and small damage to the brain, and psychological factors such as depression and anxiety are also added. Even without brain damage, dizziness and headaches can often come as symptoms after concussion due to damage to peripheral equilibrium organs inside the ear.
Dizziness is also accompanied by various degenerative diseases such as dementia and Parkinson's disease, whose incidence increases with age. Dizziness, memory loss and walking/balancing disorders are mixed. Motor system degenerative diseases with Parkinson's symptoms are also common, but they complain of distant dizziness just before fainting, because neurodegenerative changes also progress to the autonomic nervous system.
Young people without other neurological symptoms often visit the hospital due to repeated fainting and perform autonomic nervous system tests. There are also various items to evaluate autonomic nerve function, and many cases have no clinical significance. Therefore, the ability to interpret is important. Heart diseases such as arrhythmia and heart failure can also cause repeated fainting, so collaboration with circulatory internal medicine (cardiac internal medicine) is also an important part of diagnosis and treatment prognosis.
"One in four neurological outpatients complain of dizziness, and it is important to accurately diagnose and start treatment for various acute and chronic diseases hidden in symptoms of dizziness," said Dr. Cho So-young.
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bellho@sportschosun.com
