Orthostatic Intolerance and Vertigo

[Guest guest]

Orthostatic Intolerance and Vertigo

Vertigo is not the same thing as Orthostatic Intolerance (OI). And not all

symptoms are from ME/CFS.

Orthostatic Intolerance

What is Orthostatic Intolerance...

Demographics...

Symptoms and Signs...

Heterogenity

Many diagnoses have been given to such patients (Table 1). There are

several features shared by these various entities, although in some of

them, there appear to be abnormalities that are unrelated to the

cardiovascular effects of the disorder.

Table 1. Names Sometimes Used for Orthostatic Intolerance Syndromes

Hyperadrenergic orthostatic hypotension

Partial dysautonomia

Orthostatic tachycardia syndrome

Sympathicotonic orthostatic hypotension

Postural orthostatic tachycardia syndrome (POTS)

Mitral valve prolapse syndrome

Postural tachycardia syndrome

Soldier's heart

Hyperadrenergic postural hypotension

Vasoregulatory asthenia

Sympathotonic orthostatic hypotension

Neurocirculatory asthenia

Hyperdynamic beta-adrenergic state

Irritable heart

Idiopathic hypovolemia

Orthostatic anemia

Etiology...

Pathophysiology...

Long-Term Outlook for Patients...

Uncertainties...

Prospectus...

Therapy...

http://www.mc.vanderbilt.edu/gcrc/adc/oi.html

Exercises might ease vertigo symptoms... A few simple

head-turning exercises appear to be able to relieve the stomach-churning

sensation of spinning and whirling that occurs when the head is suddenly

turned... 95 percent of people who did the " modified Epley " procedure

had no more symptoms. The exercise, developed by Portland, Ore., physician

Epley, requires patients to lie on their backs and tilt their heads to

one side for 30 seconds, then to the other side for 30 seconds. They then

turn their bodies on that same side without moving their head, holding that

position for 30 more seconds before sitting up...

A video showing the maneuver is available on the Neurology journal Web

site, http://www.neurology.org>www.neurology.org. Go to the July 13, 2004,

issue, then to the " Brief Communications " section. Look for the study

beginning " Self-treatment " and click on " videos. "

For even more information:

From the National Institutes of Health

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theORG=%4E%49%44%43%

44&theURL=http%3A%2F%2Fwww%2Enidcd%2Enih%2Egov%2Fhealth%2Fbalance%2Fbalance%

5Fdisorders%2Easp>

Balance Disorders (National Institute on Deafness and Other Communication

Disorders)

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theORG=%4E%49%44%43%

44&theURL=http%3A%2F%2Fwww%2Enidcd%2Enih%2Egov%2Fhealth%2Fbalance%2Fbaldizz%

2Easp>

Balance, Dizziness, and You (National Institute on Deafness and Other

Communication Disorders)

Also available in:

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.es.pl?theORG=%4E%49%44%

43%44&theURL=http%3A%2F%2Fwww%2Enidcd%2Enih%2Egov%2Fhealth%2Fspanish%2Fbaldi

zz%5Fspan%2Easp>Spanish

Overviews

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Emayoclinic%2Ecom%2Finvoke%2Ecfm%3Fid%3DDS00435>

Dizziness (Mayo Foundation for Medical Education and Research)

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Eentnet%2Eorg%2Fhealthinfo%2Fbalance%2Fdizziness%2Ecfm>

Dizziness and Motion Sickness (American Academy of Otolaryngology--Head and

Neck Surgery)

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Evestibular%2Eorg%2Foverview%2Ehtml>Vestibular

Disorders: An Overview (Vestibular Disorders Association)

Anatomy/Physiology

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Evestibular%2Eorg%2Fhuman%2Ehtml>Human

Balance System (Vestibular Disorders Association)

Diagnosis/Symptoms

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Evestibular%2Eorg%2Ftests%2Ehtml>

Diagnostic Tests (Vestibular Disorders Association)

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Evestibular%2Eorg%2Fsymptoms%2Ehtml>

Possible Symptoms of Vestibular Disorders (Vestibular Disorders Association)

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Evestibular%2Eorg%2Ftrouble%2Ehtml>Trouble

Getting a Diagnosis? (Vestibular Disorders Association)

Treatment

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Evestibular%2Eorg%2Fdiet%2Ehtml>

General Hydrops and Meniere's Diet Suggestions (Vestibular Disorders

Association)

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Eamerican%2Dhearing%2Eorg%2Fname%2Fsurgical%5Ftreatment%2Ehtml>Surgical

Treatments of Vertigo (American Hearing Research Foundation)

Specific Conditions

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Eamerican%2Dhearing%2Eorg%2Fname%2Fbarotrauma%2Ehtml

Barotrauma

(American Hearing Research Foundation)

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Eamerican%2Dhearing%2Eorg%2Fname%2Fbppv%2Ehtml>

Benign

Paroxysmal Positional Vertigo (BPPV) (American Hearing Research Foundation)

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Eamerican%2Dhearing%2Eorg%2Fname%2Fbilateral%5Fvestibulopathy%2Ehtml>

Bilateral

Vestibulopathy (American Hearing Research Foundation)

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Eamerican%2Dhearing%2Eorg%2Fname%2Fcervical%5Fvertigo%2Ehtml>Cervical

Vertigo (American Hearing Research Foundation)

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Evestibular%2Eorg%2Fendolym%2Ehtml>

Endolymphatic

Hydrops (Vestibular Disorders Association)

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Eamerican%2Dhearing%2Eorg%2Fname%2Fepileptic%5Fvertigo%2Ehtml>

Epileptic

Vertigo (American Hearing Research Foundation)

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Eamerican%2Dhearing%2Eorg%2Fname%2Fmdd%2Ehtml>

Mal de Debarquement (MDD) (American Hearing Research Foundation)

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Evestibular%2Eorg%2Fmigraine%2Ehtml>

Migraine and Vertigo (Vestibular Disorders Association)

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Evestibular%2Eorg%2Fototox%2Ehtml>

Ototoxicity (Vestibular Disorders Association)

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Eamerican%2Dhearing%2Eorg%2Fname%2Fpost%5Ftraumatic%5Fvertigo%2Ehtml>

Post-Traumatic

Vertigo (American Hearing Research Foundation)

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Eamerican%2Dhearing%2Eorg%2Fname%2Fvestibular%5Fneuritis%2Ehtml>

Vestibular

Neuritis and Labyrinthitis (American Hearing Research Foundation)

Prevention/Screening

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Evestibular%2Eorg%2Fprevent%2Ehtml>

Preventing

Balance and Hearing Problems (Vestibular Disorders Association)

Nutrition

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Evestibular%2Eorg%2Fdietaryconcerns%2Ehtml>

Specific

Dietary Concerns (Vestibular Disorders Association)

Coping

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Evestibular%2Eorg%2Fdining%2Ehtml>

Dining

Out (Vestibular Disorders Association)

Rehabilitation

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Evestibular%2Eorg%2Frehab%2Ehtml>

Vestibular

Rehabilitation (Vestibular Disorders Association)

Genetics

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theORG=%4E%49%44%43%

44&theURL=http%3A%2F%2Fwww%2Enidcd%2Enih%2Egov%2Fnews%2Freleases%2F03%2F03%5

F24%5F03%2Easp>

Researchers

Find Gene Important for Helping Body Maintain Balance (National Institute

on Deafness and Other Communication Disorders)

Dictionaries/Glossaries

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theORG=%4E%49%44%43%

44&theURL=http%3A%2F%2Fwww%2Enidcd%2Enih%2Egov%2Fhealth%2Fglossary%2Fglossar

y%2Easp>

NIDCD

Glossary (National Institute on Deafness and Other Communication Disorders)

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Evestibular%2Eorg%2Fvestsystem%2Ehtml>

Peripheral

Vestibular System (Vestibular Disorders Association)

Directories

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theORG=%4E%49%44%43%

44&theURL=http%3A%2F%2Fwww%2Enidcd%2Enih%2Egov%2Fhealth%2Fdirectory%2Findex%

2Easp>Directory

of Organizations (National Institute on Deafness and Other Communication

Disorders) - lists organizations that focus on health issues relating to

hearing, balance, smell, taste, voice, speech, and language

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Eentnet%2Eorg%2Fent%5Fotolaryngologist%2Ecfm>

Find

an Otolaryngologist (American Academy of Otolaryngology--Head and Neck

Surgery)

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Evestibular%2Eorg%2Fresource%2Ehtml>

Resource

Lists by Geographic Region (Vestibular Disorders Association)

Organizations

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Eamerican%2Dhearing%2Eorg%2F>American

Hearing Research Foundation

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theORG=%4E%49%44%43%

44&theURL=http%3A%2F%2Fwww%2Enidcd%2Enih%2Egov%2F>National

Institute on Deafness and Other Communication Disorders

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Evestibular%2Eorg%2F>Vestibular

Disorders Association (VEDA) (Vestibular Disorders Association)

Children

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Evestibular%2Eorg%2Fchildren%2Ehtml>Children

and Vestibular Disorders (Vestibular Disorders Association)

Seniors

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Evestibular%2Eorg%2Faging%2Ehtml>

Aging

Vestibular System (Vestibular Disorders Association)

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theORG=%4E%49%44%43%

44&theURL=http%3A%2F%2Fnihseniorhealth%2Egov%2Fbalanceproblems%2Ftoc%2Ehtml>

Balance

Problems (National Institute on Deafness and Other Communication Disorders)

http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2F

www%2Eapta%2Eorg%2FConsumer%2Fptandyourbody%2Fbalance%5Fand%5Ffalls>What

You Need to Know about Balance and Falls (American Physical Therapy

Association)

------ End of Forwarded Message