Friday, February 19, 2010

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"NOT THE VERTIGO 'fear of falling ... but want to fly ...." Vertigo PSYCHOGENIC

From the Latin "focus " turn, this is the feeling of spin ' environment (objective) or the subject himself (subjective). Other causes may be: according to some, it is only and purely due to the organ of balance that is in the ear, according to others there may be other causes, always physical, such as problems of various kinds in the neck, poor circulation, sinusitis, etc.. Most of the time you can not understand the cause of vertigo, or pseudovertigine, and the patient asks: "I feel anxious, I'm afraid, but this anxiety is THE CAUSE OE 'THE RESULT OF MY DIZZINESS?" In short, the patient does not know if he is anxious because she has vertigo or dizziness because he is anxious., But the differential diagnosis from other forms of dizziness often is not easy and requires a series of tests to confirm whether or not suspected diagnosis of the specialist: audiometry, impedance test, ABR, vestibular examination, stabilometry, CT and MRI brain. In all these forms of psychogenic vertigo testing proves negativiTale type of illness is typical of subjects with constitutional habitus anxiety-depression, is a subjective vertigo, lasting typically constant or subcontinuous. The symptom of vertigo or better pseudovertiginoso is described by the patient as a sensation of imbalance, of "empty head", of "walking on eggshells." Unlike the real vertigo (one in which the environment is rotated around it), the imbalance is not very intense, but continuous, in other words the feeling that you feel like standing on a boat. The pseudovertigine can come from psychological tension, stress, anxiety, sleep disturbances, and so on. Also felt pseudovertiginosa triggers a further state of anxiety and concern, thereby creating a vicious circle in which worsens the physical discomfort. We speak here of "somatization of anxiety", that is, the symptoms that our body sends us to make us understand that we are not adapting to the environment adequately. The major manifestations of somatization of anxiety are: fatigue, feeling dizzy, pseudovertigini, headache, tingling in the limbs, stomach problems and excessive sudorazione.Naturalmente, then there is the real vertigo, that you do not can not even stand up. A simple test is clinically useful to diagnose this disease. The patient is asked to breathe quickly and deeply (hyperventilation). Soon, the subject will feel very similar to vertigo lamentata.Alla vertigo-like symptoms may be associated with autonomic including: nausea, tachycardia, increased sweating, tremors spread. You do not ever associate, however, otologic symptoms: hearing loss (hearing loss), tinnitus (the perception that there is no hum or hiss in the environment). Very frequently, are associated with other symptoms of dizziness or operational (irritable bowel syndrome, reflux and heartburn, headache) or the typical framework of psychological symptoms typical of anxiety neurosis, panic attacks, depressive syndromes or phobic symptoms such as fear of enclosed spaces (claustrophobia) or open spaces (agoraphobia). Then there are the following organic neurological symptoms: weakness (decreased strength), hypoesthesia (decreased sensitivity alteration in tactile), dysmetria (alteration in the execution of movements), adiadococinesia (alteration in the coordination of movements), diplopia, migraine.
After excluding organic causes water and remaining noise is good to try to understand, through an expert, how and why their "inner balance" has failed, trying to find the resources and strategies to come into contact with other and with themselves in a more "stable".

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