Gleichgewichtsstörung

Gleichgewichtsstörung, also known as imbalance or disequilibrium, refers to a sensation of unsteadiness or feeling off-balance. This can range from mild dizziness to severe vertigo, a sensation that the person or their surroundings are spinning. It is a symptom rather than a disease itself, and can arise from various underlying causes.

The vestibular system, located in the inner ear, plays a crucial role in maintaining balance. Issues within this system, such as benign paroxysmal positional vertigo (BPPV), Meniere's disease, or vestibular neuritis, are common culprits. However, Gleichgewichtsstörung can also stem from problems in the brain, including stroke, head injury, or neurological conditions like Parkinson's disease or multiple sclerosis.

Furthermore, certain medications, vision problems, anxiety, low blood pressure, dehydration, and even age-related changes can contribute to feelings of imbalance. The symptoms can manifest as lightheadedness, feeling woozy, a floating sensation, or a true spinning sensation (vertigo). In some cases, accompanying symptoms like nausea, vomiting, headaches, or hearing loss may be present.

Diagnosis typically involves a thorough medical history, a physical examination, and specific tests to assess balance, eye movements, and hearing. Treatment strategies depend entirely on the underlying cause. This might include medication, vestibular rehabilitation therapy, dietary changes, or addressing the primary medical condition.