In addition to a disease of the peripheral organ of equilibrium dizziness can also be triggered by the damage of structures in the brain - this form of dizziness is called central dizziness. Possible causes include a stroke, multiple sclerosis or premature aging of the cerebellum. Another common form is the so-called dizziness migraine.
"Central dizziness is very often triggered by a stroke. This is an absolute emergency that requires quick action, "emphasizes Strupp. "In addition to acute dizziness in a stroke other accompanying symptoms such as swallowing and speech disorders and double images occur."
Dizziness can have not only physical, but also psychological causes, as is the case with phobic swings. In contrast to the swindle, those affected have the feeling that the ground is swaying under their feet. In addition to dizziness, dizziness as well as standing and gait disturbances can occur as accompanying symptoms.
"Phobic swindle fraud especially affects extremely correct and dutiful people, " says Strupp. "It is characteristic that the dizziness worsens in certain situations, for example in confined spaces or larger crowds. As a result, those affected specifically avoid such situations. Through sport or small amounts of alcohol, the Schwankschwindel improves against it. "
Strupp emphasizes that phobic vertigo makes it important to explain to the affected patients how their dizziness develops, thereby reducing their fear of a physical problem. Afterwards, those affected should practice light sports regularly and avoid unpleasant situations. In individual patients who do not respond to these measures, the Schwankschwindel can also be treated with drugs.
Chronic dizziness - what are the causes?
Dizziness usually occurs in the form of acute vertigo attacks, but for some people affected it can also become a constant companion. "Among the causes that may underlie chronic dizziness, include the bilateral loss of the balance organs and the phobic schwankschwwindel, " explains Strupp. "In addition, chronic dizziness can also occur in diseases of the cerebellum."
Damage to the cerebellum may be due to a variety of causes, such as premature aging of cerebellar cells or hereditary diseases. Depending on the cause, cerebellar damage can be accompanied by dizziness as well as other accompanying symptoms such as eye movement disorders.
Even a failure of the organs of balance can have different reasons. Typical symptoms of such a failure are vertigo and visual disturbances - those affected have the impression that fixed objects are moving. In addition, patients often report that vertigo and gait disturbances increase in the dark. This is due to the fact that the patient then misses the information that is perceived in the light through the eyes.
A failure of both organs of balance can sometimes be compensated by a balance training something. Under the guidance of a physiotherapist it is practiced to use other senses for the maintenance of the balance. Nevertheless, the complaints can not be completely eliminated in this way in all patients.