$Unique_ID{PAR00061} $Pretitle{} $Title{Medical Advice: Dizziness} $Subtitle{} $Author{ Editors of Consumer Guide Chasnoff, Ira J} $Subject{Dizziness Spinning sensation balance Loss eye Jerking movements Nausea Vomiting rotating sensations faintness light-headedness vision problems vertigo balanced Meniere's disease semicircular inner ear canals infection canal middle infections concussion concussions skull fracture fractures eighth cranial nerve tumor cerebellum brain tumors meningitis encephalitis neurologist nervous system specialist computed tomographic CT scan electroencephalogram EEG Dizzy Dizzying eyes movement nerves specialists} $Log{} Your Child: A Medical Guide Dizziness Quick Reference SYMPTOMS - Spinning sensation - Loss of balance - Jerking movements of the eyes - Nausea - Vomiting HOME CARE - Have the child lie down to rest, with the feet higher than the head. - If rest does not relieve dizziness, see your doctor. - Have the child sit with the head lowered to the knees. Place your hand on the back of the child's head and have the child push up slightly against your hand. If the dizziness is not relieved, have the child lie down to rest, with the feet raised higher than the head. PRECAUTIONS - See your doctor if dizziness occurs often. - See your doctor if dizziness lasts more than one or two hours. - Before calling your doctor, be sure the child is describing a sense of rotating. - Children sometimes confuse dizziness with faintness, light-headedness, nausea, or vision problems. Dizziness (vertigo) is the sensation that one is rotating or that one's surroundings are spinning around. It can be experienced normally by twirling rapidly in one spot until the room seems to be reeling. Dizziness makes it difficult for a person to keep balanced. If dizziness continues, it may cause nausea and vomiting. If possible, try to find out exactly what a child means when complaining of dizziness. Children often use the word "dizzy" to describe faintness, light-headedness, nausea, and vision problems. Each of these problems can have many causes. True dizziness has few causes. The most common cause is Meniere's disease (infection of the semicircular canals of the inner ear). This condition usually is harmless and clears up without treatment, but it may last for weeks. Dizziness may also accompany middle ear infections, concussions, and fractures of the base of the skull. Dizziness occurs with tumors that involve the eighth cranial nerve or the cerebellum (a part of the brain). It may also occur in cases of meningitis and encephalitis. SIGNS AND SYMPTOMS if your child complains about feeling dizzy, ask him to describe the feeling as clearly as possible. Be sure the child is describing a spinning sensation and not some other sensation (faintness, light-headedness, nausea, or vision problems). Look at the child to see if there is a loss of balance. Also look for jerking motions of the eyes when they are turned to one side or the other (this is another sign of true dizziness). A long period of dizziness may cause nausea and vomiting. HOME CARE Have a dizzy child sit down with her head lowered to her knees. Place your hand on the back of her head and have her push up slightly against your hand. If the dizziness is not relieved, have the child lie down to rest, with the feet raised higher than the head. If rest does not relieve the dizziness, the cause must be determined by a doctor for proper treatment. PRECAUTIONS - Try to be sure that the child is describing a sense of rotation before reporting the condition to your doctor. - See your doctor if dizziness occurs often or if dizziness lasts longer than one or two hours. MEDICAL TREATMENT The doctor will perform careful physical and neurologic (nervous system) examinations. X-ray studies of the skull and blood tests may be required. An ear, nose, and throat specialist may be asked to test the functioning of the inner ear, as well as the child's hearing. Your doctor may also consult a neurologist (a specialist in diseases of the nervous system). A computed tomographic (CT) scan and an electroencephalogram (EEG) may be necessary. RELATED TOPICS: Concussion; Earaches; Encephalitis; Fainting; Meningitis; Vomiting