You must have experienced vertigo, a state in which after your head stops spinning, you become confused for a while and feel that the house is spinning around you.... This happens when you want to turn or are in a similar position.... But there are times when this vertigo starts without such stimuli and can bring dangers such as falling.. A sign that informs you of an underlying disease, in this article about a type of vertigo I will talk about the name of central vertigo... Vertigo is generally divided into two common categories, central vertigo and peripheral vertigo, based on its origin.. Each type of vertigo has its own treatments that can be followed up by visiting a neurologist. - Head injury - Infection or disease - MS disease - Migraine - Brain tumor - stroke - Transient ischemic attack or small strokes that last for a short time and do not cause permanent damage to the brain... The doctor tries to find the cause of dizziness by taking a history and examining things such as hearing, quality of vision, duration of dizziness, medications, medical history, age of the patient, etc.. Dizziness can occur as a side effect of some drugs such as anti-epileptic drugs or sedatives.. ### Risk factors of central vertigo As you can see, central vertigo can be caused by a number of reasons... however, there are some things that may increase your chances of experiencing it... things like: - old age - High blood fat - High blood pressure - Smoking - Diabetes - Brain tumor - Cerebrovascular events - Concussion - Damage to the myelin sheath of nerve cells ### Diagnosis of central vertigo The treatment of central and peripheral vertigo can be done as a symptomatic treatment, but eradicating this complication is possible only by diagnosing and treating the underlying cause. The neurologist first examines the patient's symptoms and conducts neurological tests, and even if necessary, checks the blood supply with ultrasound or ultrasound tests.. If it is not found, it is most likely a peripheral vertigo, and if needed, you can refer to an otolaryngologist for diagnosis and treatment... ### What is the difference between central vertigo and peripheral vertigo? Peripheral vertigo is most often caused by a disorder of the inner ear, but central vertigo originates from the brain and central nervous system....If you suffer from peripheral vertigo, you know that the attacks are usually short-lived, while central vertigo lasts longer and can be so severe that you are unable to walk independently....Eye movement may become uncontrollable in both types of vertigo. It drags and doesn't go away even with squinting at one point.. In peripheral vertigo, where it originates from the inner ear, hearing disturbances usually occur, but in central vertigo, this is very rare, and most patients show symptoms of inability to control the brain, such as weakness or headache in speech, visual impairment, impaired vision, impaired speech, impaired consciousness, and tingling around the mouth... yes... peripheral vertigo with pins and needles. A sudden change in the position of the head begins, it can be accompanied by nausea and vomiting, and it usually disappears within a few seconds by keeping the body still.... Meanwhile, central vertigo has nothing to do with sudden head movements... ### How is central vertigo treated?. By controlling the triggers of this disease such as migraines.. For diseases such as MS or brain tumors that are not easily controlled, some symptoms can be reduced by taking anti-nausea drugs or reducing the sensation of movement.. According to the NCBI database, people who have an acute ischemic stroke in the posterior circulation should start symptoms within 4-3 hours after the active. Severe bleeding, edema, and rapidly progressing symptoms) are contraindicated... ECG, pulse oximetry and close monitoring... If the patient's condition worsens, serious interventions are performed to reduce intracranial pressure or ICP and reduce pressure on the brain stem... Majid Kihani, vascular surgery specialist