Severe dizziness is possible with vestibular paroxysms, BPPV, cardiac arrhythmias, transient ischemic attacks, Meniere's disease, Lermoyer's syndrome, labyrinthitis, temporal lobe epilepsy, perilymphatic fistula, panic attacks. It is manifested by an attack of a pronounced sensation of rotation or displacement of the patient, less often - of the surrounding space. To clarify the diagnosis, a neurological examination is performed, studies to assess the vestibular analyzer, EEG, CT, MRI. Treatment includes antipsychotics, antihistamines, antiplatelet agents, anticoagulants, and other agents. Surgical interventions are carried out according to indications.
Severe dizziness can be constant or paroxysmal, occurs with vestibular neuronitis, pathologies of the inner ear, cerebrovascular accidents, idiopathic vestibular insufficiency, some cardiac pathologies, intoxication, severe anemia, panic attacks. It is diagnosed on the basis of survey data, neurological examination, studies of the vestibular apparatus, imaging, laboratory techniques. Treatment includes neuroprotective agents, vascular agents, analgesics, anticonvulsants, and other drugs. Some patients require surgery.