Causes of dizziness: literature review

Saulė Gražulytė1

1Vilnius University, Faculty of Medicine, Vilnius, Lithuania

Abstract

Background. Dizziness is not a disease, just one of the symptoms. Therefore, there are many different types of treatments. Dizziness is usually caused by a disturbance of the vestibular organs, but there may be many other reasons. Dizziness is also caused by improper choice of drugs. In all cases, it is important to find out the pathogenesis of dizziness and choose the correct treatment.

Aim: to analyze the literature that studies the various causes of dizziness.

Methodology. The search of the literature was conducted in PubMed and Google Scholar. Publications were selected based on the following keywords: “dizziness”, “vertigo”, “nistagmus”, “nausea”, “medications side effect”, “ways to treat dizziness”. More than 1000 publications in English language were found. After reviewing the titles, 74 publications were selected. Publications that did not fit the purpose of the article were rejected. In the end it was chosen and rewieved 27 publications published in 2013-2023.

Results. Determining the cause of dizziness helps determine accompanying symptoms, the nature of the nystagmus, the duration of the dizziness, and the circumstances of its occurence. Dizziness is often caused by disorders of vestibular system, such as bening paroxysmal positional vertigo, Menier‘s disease, vestibular neuronitis. Dizziness can occur due to reduced pressure, in case of anemia. To some people it is important to change medication or their dosages to prevent from dizziness.

Conclusions. When dizziness occurs, it is important to look for its pathophysiological cause. Once the cause is found, it’s important to treat it right. In this way, many accidents and even deaths are avoided.

Keywords: cause of dizziness, types of dizzines differenciation, treatment options for dizzines.

Full article

https://doi.org/10.53453/ms.2023.3.17

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
1
Vilnius University, Faculty of Medicine, Vilnius, Lithuania
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Journal of Medical Sciences. 18 Mar, 2023 - Volume 11 | Issue 3. Electronic - ISSN: 2345-0592
Medical Sciences 2023 Vol. 11 (3), p. 135-143, https://doi.org/10.53453/ms.2023.3.17
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1
Vilniaus universitetas, Medicinos fakultetas, Vilnius, Lietuva
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 " 88  9 # @ & @& @"& @9
 "& @  <& A  ; '((( "9 9 " B
8",-;9""";"
" "8.,";.('/0.(./
#C8D:";""";;":<
":":!8":"""
 "         
:8:89";""
9
)* ;";":848D
"7"<;9"9=9
#8"::
Journal of Medical Sciences. 18 Mar, 2023 - Volume 11 | Issue 3. Electronic - ISSN: 2345-0592
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 '
8 "    
89"7?
?7= 
E<"""<
" 7 !   
D  #  ; ;
 7 "7   ""
;">
:";;"9
"<"99F'G
 7  " : 
: :  "
""<8
9"
" D  " 
"8    
;;"   ? 8D
   :  ":
8 ": 7  ?
 "9  E  F.G
8  "  
  " = 8=9
 < " "   "
8
;""8
:9;F'G:
8D""77
+ !
*":<8"
"  ; " 
7 "= 8 ":
< ;" "   
!":9:
"889#@&
@& @& @"& @9
 "& @ 
<& A  ; '((( "9 9
" B 8   
" ,-  *" "7 ;9
9 8<7  ;
 ;  
"7  7 "7  "
 "8.,
".('/0.(./
, #
,  %
*8 "? <7 :=7
 7 : ;"  
""8D"
 ""  " ":: 7 
;;" : " 9
9 ;;"  " D<
  ! "  "
? 7   7 :
"""F'G>"
:
" 8   8
C7    H
"  I'J  " 8
" 8 F/G 6  8
<;";"
8
,  %  %
 
> ;7"=98=9E
":K
8E"""
"6=
:=  6  "
";;
 " D8  D ;D
" "9 9 <=9 !
 "   7
 8 =  "
 " " :  
""F'G 
Journal of Medical Sciences. 18 Mar, 2023 - Volume 11 | Issue 3. Electronic - ISSN: 2345-0592
137
":;"<
="?
"7 "89     "
;;":F'G69
99<
"9C";"
 <= 7  
"   F-G ;" /
   8 D 9
7":#
8" " ": 
L
"":
"<;:D"7L
"":
"""D"7
8"8":
": B  " 10
M"  FNG  "9 9 "
";"7BD"
 " ;;": 8 "

FJG D 9 " " 
"  ; "  9
;"*""99"
  )  FNG  
" "  "
  " ) 
"*""
;" = "D  "
"
"=
,+ !-
  ;"  " 
  =    ;" "
:: ""?
?    "
   "
    "
= ;"   " 
 7 " " "  9
8""""
F,G"7":?
"=9 "" :  :
 K     
"  " O  
;"  " <   
"  : = " ;"
""=
8FPGQ8
"87:"="
;;": 89
!
?"""
""9
  9 " "  .(
=9  '.0 9 7 F'G 
  ;;":  
FJG"
" " :  " 
  :  ;"
F'G
=9":
  = :  : 
": 8 7 FRG 6  
"FRG87
  " : "7
:   8 D
7 = " 8 "
:B""8
""""""9E
";
" < 8 <= " =
;9"9
,, .
6  88  7 
  B    
Journal of Medical Sciences. 18 Mar, 2023 - Volume 11 | Issue 3. Electronic - ISSN: 2345-0592
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    6 
 "   ; 
 "9 " 89  
"  "8   <8
 K7    
 ?   7 7 :
" 89  "9 "9 9
9F'(G 
:  F''G7 " 
: "" "
>8<
:   " 
":: ;F'(G K
8;"8F''GK
":;"
?"=""
"  " :9 F'.G >
"<"
:  9 ;" 
F''G>;
: 9   
  !: ":
  ; 9 9
"99"
8F'.G!
" "  =  "
= : ? 7 F'.G
"      "9
"99 ;"9 8?  8 
"9"99
<;":"
,/ . 
 8 "  8 
" "=9 
9+F'/G""=
"9;"=99>
9 E    
 "   8D 
""D7F'/G8
 "
   
:  "   
;""
 ; D  =  7
7 " "7 F'-G  
 " <9  " 
= " 8  
;""D"9
"89""9F'NG"99"
?7:8
"9   D 
 K   
;""?=E
   : : "  B
"9
 "   " 
:<F'JG
S9 9  " 
" F'JG B  "
8  " "  "D
7""?""7
8"
 : <; F'JG 6 
D    ;
"9 <9 "  9
"7 T" 
"; " "=9 "
9 "  F'JG U  
"""97
9
,0 1 
   < 8 "<8
8"
;" : "" "
:  : "  
"9
"7"D
8F',G8"8E
Journal of Medical Sciences. 18 Mar, 2023 - Volume 11 | Issue 3. Electronic - ISSN: 2345-0592
139
:  4 
" "  "  "
 8: .(M  
  '(M   F'PG
4    
"= "< :D ; :   D
7     "
8;"
:   F',G 8 
"  8: " : 
8"8849
""""D7
Q""""
:   "<8 9
9;""7<"?
:"C;
977"D
"F'RGK
"9";"
 9 :9  9 "< :
"9"8;7<"?"
7
"" :" " 

,2  -
A"
;;"99:
>78
8"B
  :  "=
:";:;:9
F.(G8889:;
 8 " :;=  :
8:F.'G
8 "     ;"
"":::9
"   8 = 
7   88 C 
 ;  " : 
 = 9 89 
8 D ?  : 7
 C  8 "7
 " "  "
 C= 8 " 7
 " : 89
9 8=9 >  " :
"    8 
<;"9F.'G
"""D
:::"F.'G
*8B
<":"
  <  
"
"":8F.(G
C   8 
"=":
 ": 8 " 
  " " <
"77F.(GT
<?-0:"<9"
8F.(G
,3  
>:889C
 " "  
;"    
 ; 9 9 "  :8
7;76
    ; 9 
8=9 F..G   
 ; >0 "  
79C"8;=
"<  " "  A
  "; " "
8F..GC"
"D"""<
";O79=9"
7!9"
Journal of Medical Sciences. 18 Mar, 2023 - Volume 11 | Issue 3. Electronic - ISSN: 2345-0592
140
8  " " K"
8""
9  " " "
  9 "9 "
O "  " "
   " 
T"<7 N/V9
""9""99F..G6
;" 8 ?  ?
<:"
"   "=  
;  :8 6  
  ";  "
;;":8F./G"
   :8 ; D 
  ;"  : 
 "" 8 9 
  :8  ! :8
 "    "
:
,4! 5 
99?
9 "9  9 "
 =  < "  "9
"9 
"  <   "9 9
    "; "
"    
F.-G 8 "9 " 
 D  " " 
8 :  !  
"  "9   
: ":  
8 F.NG >9 " 
<D<:
" ;;" "7  ""  
8  ;" : "9
"9 " : 
F.NG;<<="
:8"*"
7;;"8
"   " "
 " " F.JG
6 : 9 : "  
;""
  "   
;" 8 :  "D "D
8  "   
= 9  *"; "  
8;99:=8<
D  8  8 9 
"
" " 9 " 7 F.,G
*"   8 
7 " " "9 "
9"9
"F.JG>
  : " 
"8
999
 "  " 
 " ; " " F.JG
8"9
8 :   
""
"  F.NG :  
" 8 " 8
"   "
*"  89    "
7 " ;"D  :
"  : 8  "
"  " " 
"<;F.JG;"
"9 "9 "  " 
";D"7"8
";   "    
 :  ":  
: :"
"8""997
Journal of Medical Sciences. 18 Mar, 2023 - Volume 11 | Issue 3. Electronic - ISSN: 2345-0592
141
/6)*
7<
"  " : :
 !  
8;"
8  " :D D 
<D"?""D;"
":D=
!  "   <
;"
 "   
    " 
  < "  ; "9 "9
9 !    "
"     
9  9  ;" < 
"4"99=
"8DD"
<= "   C "9
9":DD
  "  " "
   "   
;" 8  9 " ;"
  < " 
89""7"""
""
8"7?U
7 D    9
;""9<

7&*
' !"B)03A
T3)W
C ) W  ) >
  C W 
.(.(*L
. B"6>T
!"".(.''RL
/ WH*>1MW
*W)
0!*CC 
     

* ) # 4 B
!*)
.(./B''L
- C  X ! Y  A
1>#33
C6!C.(.(B
'-L-(F('G#(-RENPL+
N    M A 1
*CK1 .(..*
/L+
J B!CBW1!
  * * 
  C  Z[\
 >   A
1  > 4 ]
C.(.'H'PL
, * C W 3 6 !
) K 3  A B  

\#*
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4C).(.(!'L
P \#

  * B 
4.(.'B'L-.F'G#'(.P',L
R A B * )  *
! !T * B A" T  
W  # Z[\ 
4EM  C" ! .(.(
*L
'( A WM C M  W ^! _ 
     
 ^ _ B 
.(.'*RL
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'' ! 66 * >
! W4CC__# K K 
C.(.'*L.,F.G#-(.E'RL
'. !  T B W ! A B
> C   
FHKG#!L.(..B''L
'/ *0! *K   B*
00 B    
 *`  .(.. H
'LN-F.G#'(..(PL
'- M A ! W 0
*>FHKG#
!L.(..BL
'N K   A  >
 C W .('R
CL/,F-G#JRNE,(JL
'J  A  K  >
#    ! 
C.('R/(L-(F('G#(P/EJL
', 6 M* A * A *
K  T0a  ! B  
M  b#
B>T
.('RB.NL.RF.0/G#-NENJL
'P 6 B H B 4
M# *  * *
H.(..B'L'(NF'G#/RE-RL
'R 3 3 6 M W >)
3>6MB"!

KC.(..*'L.'FPG#,/NE-JL
.( *" )T"
*)T*X*)
 *   A
c* C T C .(.'
C'(L'/F''G#-((PL
.'  !0T 0 B "
_!"3K
.(.(-L(F(GL+
.. CKAC^>CKC
6  T *    
 # !  
  0 * B 
4.(..'L-/F.G#'(///,
./ W0d A !`0 6
04K T0C`C `0
*BK>#T
BWC
.('RCLJR#',NEPL
.- *W*W
> *  ! 
     
#    ) T 
!.(.(*
'L.-F'NG#,R-JEN.L+
.N KAW
^.(',!'-L
.J  ! W ! * T
 W  K  W  
>b  e  
B   
.('/L-FNG#'(-L
., >**63 
   H10 
   
 # * 0
*K4!
.('PB''L'NFJG#'((.NP-L
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