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Vertigo is a sensation of spinning or movement when none occurs, often related to vestibular system dysfunction.
Quick Answer
Vertigo is a sensation of spinning or movement when none occurs, often related to vestibular system dysfunction. Dr. Jitendra Prasad Yadav (NMC 8029, 15+ years of clinical experience) evaluates vertigo at Kathmandu Neurology Clinic & Cognitive Center, Durbar Marg, Opposite of Yak & Yeti Hotel, Kathmandu 44600, Nepal — evidence-based, medically reviewed.
Vertigo may arise from inner-ear conditions, vestibular nerve disorders, or central neurological causes. Distinguishing peripheral from central patterns is important, especially with accompanying neurologic symptoms.
History of duration and triggers, positional testing, neurologic and vestibular examination, and audiology or imaging as indicated by findings.
Depends on cause: may include repositioning maneuvers for BPPV, education, balance strategies, and consideration of referral to ENT or neuro-otology when indicated.
Management is individualized and discussed with benefits, limitations, and follow-up.
Manage vascular risk factors, stay hydrated, avoid sudden position changes if symptomatic, and seek early assessment for recurrent episodes.
Vertigo is a subtype of dizziness; other forms include lightheadedness and imbalance, each suggesting different causes.
BPPV (Benign Paroxysmal Positional Vertigo) causes brief spinning with head movement. Positional maneuvers performed by a healthcare provider are often effective.
Yes; vestibular migraine involves vertigo episodes often accompanied by other migraine features. It requires specialist evaluation to distinguish from other causes.
Seek emergency care if vertigo occurs with sudden severe headache, slurred speech, weakness, double vision, or after head injury.
In some conditions like BPPV, specific head movements trigger or worsen vertigo. Avoiding triggers temporarily and seeking specialist assessment are advised.
Inner-ear conditions (BPPV, vestibular neuritis, Meniere disease), vestibular migraine, or central neurological causes such as posterior circulation disorders.
Spinning sensation, nausea, imbalance, worsening with head position change, and sometimes hearing changes or ringing.
Through history of duration and triggers, positional testing, neurologic and vestibular examination, and audiology or imaging as indicated.
Depends on cause: repositioning maneuvers for BPPV, education, balance strategies, and referral to ENT or neuro-otology when indicated.
Peripheral vertigo arises from inner ear or vestibular nerve and is often position-related with hearing changes. Central vertigo arises from brain causes and may include slurred speech, double vision, or weakness.
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Content on this website is for general educational purposes only and does not constitute medical advice, diagnosis, or treatment. It is not a substitute for evaluation by a qualified healthcare professional. Always seek the advice of your physician or other qualified provider with any questions regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read on this website. In case of a medical emergency, contact emergency services immediately. No doctor–patient relationship is established by use of this site or by contacting the clinic through the site.
Reviewed by Dr. Jitendra Prasad Yadav • Last reviewed: 2026-09-04
Authoritative external references:
Content is educational and aligns with standard medical references; individual evaluation may vary. External links provide context and do not imply endorsement.
Doctor — medically reviewed
Dr. Jitendra Prasad Yadav
Consultant Neurologist & Headache Specialist • MBBS, MD (Internal Medicine), FICN (Neurology), FCNV, FIHM • NMC 8029
This condition guide was medically reviewed by Dr. Jitendra Prasad Yadav.
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For sudden neurologic change, thunderclap headache, or seizure >5 min, seek emergency services now.