People with vestibular disorders may experience a number of symptoms, including dizziness, hearing loss, tinnitus or fullness in the ear.
An overview of some of the common symptoms is provided below. You may not experience all of these symptoms.
It is very important to find out the cause of any symptoms you are experiencing. If you have any questions or concerns you should speak with your GP/health professional for advice, treatment and referral to a specialist if necessary.
Common symptoms include:
- Vertigo (severe dizziness)
- Brain fog
- Drop attacks (Tumarkin's Otolithic Crisis)
- Eye symptoms
- Fullness of the ear
- Headaches and head pain
- Hearing loss/Deafness
- Sensitivity to noise
- Sickness and nausea
- Tinnitus
Vertigo (severe dizziness)
Vertigo is defined as an illusion of movement and is a specific type of dizziness which causes the person to feel the sensation that they, or their surroundings, are moving even if they are standing completely still.
What causes vertigo?
Vertigo is a symptom rather than a condition and there are many causes. It can be experienced by people of all ages.
Brain Fog
Some people with a vestibular condition experience ‘brain fog’.
What is brain fog?
A person experiencing brain fog may have difficulty concentrating or completing a task; feel ‘spaced out’; lose their train of thought; feel tired or ‘out of sorts’.
What can help brain fog?
Rest and relaxation, using techniques like deep breathing, getting enough sleep, keeping hydrated and pacing yourself so you don’t overdo it, may be beneficial to help manage this symptom.
Drop attacks (Tumarkin’s otholic crisis)
Drop attacks, known as Tumarkin’s otolithic crisis, are when a person falls to the ground with no warning. The person remains awake and does not lose consciousness.
What happens when you have a drop attack?
A drop attack feels as if you are being pushed violently and suddenly, causing you to fall. Symptoms are usually gone as quickly as they appear, and you can get up straight away and carry on with whatever you were doing (unless you get a drop attack at the same time as an acute attack of vertigo).
Why do drop attacks happen?
During a drop attack, the hair cells on the otoliths in the inner ear are suddenly activated, causing your balance to be severely disrupted. Experts do not know how or why this happens.
Who gets drop attacks?
Drop attacks are sometimes experienced in the later stages of Ménière’s. They do not affect everyone and some people will not experience drop attacks.
Eye symptoms
Some people experience eye symptoms that include the inability to focus, rapid eye movement and blurred vision. This can occur because the balance mechanism is linked with the control of the eye movement and stability. Therefore the balance mechanism enables us to keep our eyes fixed on some object while we are walking about moving our head. Any loss of this eye control by the balance mechanism can result in a completely uncontrolled eye movement. In the worst case, the eyes move rapidly from side to side (referred to by doctors as nystagmus) and this produces a sensation of rotation of the environment rather like being spun round rapidly on a swing or roundabout. Blurring of vision, although it may be due to other eye problems, can often be the result of a balance disturbance.
Fullness of the ear
Some people with a vestibular condition experience a sensation of fullness or aural pressure in the ear which can be incredibly uncomfortable. Different terms have been used to describe the sensation, such as a feeling of pressure or wooziness; feeling like they have cotton wool in their ears/head; walking on clouds, or maybe a loss of concentration or focus. The fullness can also fluctuate and may some cause considerable distress for some people. A noticeable change in the sensation of the ‘fullness’ can be an indication that the condition is starting again. For some this sensation may disappear completely however for others it can become chronic with a constant feeling of pressure. In patients with Ménière’s, this symptom can fluctuate with the acuteness of the condition. Unfortunately there is no specific treatment to alleviate the feeling of fullness and it generally subsides when the other symptoms lessen or diminish.
Headaches and head pain
Another possible symptom is headache or pains over the scalp. As the balance is also involved with maintaining the correct position of the head, the muscles of the neck and scalp are constantly being brought into play to achieve this. Some abnormalities of balance will cause this reflex to be triggered at the wrong time, resulting in spasm often in small areas of the head and neck musculature. This can present a quite severe pain which may move about in its location and cause distress and concern to sufferers.
Hearing loss
Some people with a vestibular disorder experience hearing loss. The hearing loss may be mild in some cases or it may fluctuate. Living with hearing loss can affect people in a number of ways.
What can help hearing loss?
There are many different options available to manage hearing loss, including counselling, communication tactics and hearing aids.
Sensitivity to noise
Some people have especially sensitive hearing and are unable to tolerate ordinary levels of noise, this can occur in both people who have a hearing loss as well as those who don't. There are different components which can contribute to sensitive hearing such as hyperacusis, phonophobia and misophonia.
Sickness and nausea
When experiencing vertigo (severe dizziness) some people feel nausea which can lead to vomiting.
What can help nausea?
There are many anti-emetic drugs which are effective against nausea. Prochloperazine (Stemetil/Buccastem) and cinnarizine (Stugeron) are commonly prescribed. For more information about medication please speak to your GP/health professional or pharmacist. Some people tell us that ginger is a good remedy for sickness, such as eating a ginger biscuit or sipping hot water with a lump of root ginger in it.
Tinnitus
Tinnitus comes from the Latin word meaning ‘to ring’. It is the perception of sound when no external sound exists but you hear it. Perception means the way you regard or interpret this sound.
What does tinnitus sound like?
People with tinnitus hear a wide variety of noises such as buzzing, humming, whistling, or even singing or music.