There are many causes of dizziness, which can be related to the inner but also to various other parts of the complex balance system, including the eyes, the legs, the brain and the spinal cord. There are many interactions within the system between the different parts. The key element of any consultation with a dizzy patient is to work out which parts are the main cause of the problem. This is done through taking a thorough history and with careful examination.
The most common inner ear causes of dizziness are acute labyrinthitis which causes severe vertigo and nausea for up to 2 weeks, posistional vertigo (BPPV) which causes intermittent, short-lived vertigo when the head is in certain positions and chronic labyrinthine conditions which cause episodes of vertigo for months and even years.
When there is a diagnostic challenge balance function tests will be arranged to further investigate the problem.