The diagnosis and treatment of vertigo and common clinical misconceptions are explored (I)

  The prevalence rate of vertigo is 7%. Doctors are not aware of vertigo diseases and the diagnosis is vague, so patients with vertigo have no clear direction of consultation and are scattered to many disciplines such as emergency medicine, cardiovascular medicine, otorhinolaryngology, acupuncture and massage, which often delay patients’ treatment. Long-term unknown diagnosis and inappropriate treatment cause great psychological burden to patients, seriously affecting the lives of patients and their families and increasing the onset of anxiety and depression in patients and family members.  The word “Vertigo” comes from the Latin word “Verto”, which means spinning or whirling, a kind of motion hallucination, and dizziness, a sense of unsteadiness, falling tendency. Dizziness is a sense of unsteadiness, falling tendency, faintness, etc. Vertigo: a sensation of rotation or oscillation of the self or the environment. It is an episodic motion hallucination caused by damage to different parts of the vestibular system from the ridge of the semicircular canal to the vestibular system, resulting in a decrease in its function, overstrength or asymmetry on both sides, and an objective non-existent but subjective belief in the sense of rotation, tumbling, floating or lifting of oneself or (and) external objects in a certain direction. Dizziness is a broad, non-specific term that refers to disorientation, an illusion of swaying and instability. Its onset is mainly due to a single or combined lesion of proprioception, vision or otolithography, resulting in distortion of information afferent from a single or multiple systems of peripheral sensory nerves, and uncoordinated and inconsistent, as well as a sense of swaying and instability in linear motion or visual objects caused by uncontrolled brain regulation. Dizziness appears or intensifies only during movement or visualization, and may decrease or disappear automatically once the movement or visualization stops or after sitting, lying down or closing the eyes. Vertigo is a subtype of dizziness that refers to a misinterpretation of oneself and objective moving objects or an unpleasant distortion of the direction of gravity, due to a dissonance between any two aspects of vestibular, visual, and somatic deep sensation. Short-term dizziness remains after an attack in patients with severe vertigo, and dizziness accompanies patients with prolonged vertigo, and can also be caused by psychiatric and systemic diseases.  Pre-syncope is mainly a feeling that the patient is about to fall, which is an acute attack, and occasionally a chronic course with an acute attack, often accompanied by weakness of the legs, cerebral tinnitus, reduced visual field, pallor, and sweating, mostly caused by cardiovascular disease.