Vertigo patients will complain if the position of head turns on its specific circumstances. Patients will feel rotating or spinning around him feel when going to bed, rolling from side to side, get out of bed in the morning, reaching something high or if the head is moved to the back. Vertigo usually lasts only 5-10 seconds. Sometimes accompanied by nausea and patients often feel anxious. Patients are usually able to recognize this situation and try to avoid it by not doing movements that can cause vertigo. Vertigo is not going to happen if the head upright or rotated axially without extension, in a majority of patients, vertigo will diminish and eventually cease spontaneously within a few days or a few months, but can sometimes be as much as several years.
In the anamnesis, the patient complained of head feels dizzy, spinning on changes in head position with a certain position. Clinically vertigo occurs in changes in head position and will be reduced and eventually stopped spontaneously after some time. On ENT examination is generally not found significant abnormalities, and the caloric test no canal paresis.
Position test can help diagnose vertigo, it is best to Hallpike maneuver: the patient sitting upright, his head is held on both sides by the examiner, then head dropped suddenly as he turned to one side. In this test we will get the position nystagmus symptoms:
- Vertigo sufferers will feel the sensation of movement such as spinning, either himself or the environment.
- Nausea incredible.
- Frequent vomiting as a result of nausea.
- Abnormal eye movements.
- Suddenly a cold sweat.
- Was ringing in the ears frequently.
- Have difficulty talking.
- Have difficulty walking due to feel the sensation of spinning motion.
- In certain circumstances, the patient may also experience vision disorder.