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How can you tell the difference between dizziness and vertigo? Vertigo (a feeling of spinning or whirling when you are not actually moving). Unsteadiness (a sense of imbalance or staggering when standing or walking). Lightheadedness or feeling as if you are about to faint (presyncope). This may mean there is a heart problem or low blood pressure. How do they test you for vertigo? The Dix-Hallpike test (also called Nylen-Barany test) determines whether vertigo is triggered by certain head movements. Your doctor will carefully observe any involuntary eye movements (nystagmus) that may occur during this test to determine if the cause of your vertigo is central or peripheral. How can you tell the difference between vertigo and dizziness? The sensation of movement is called subjective vertigo and the perception of movement in surrounding objects is called objective vertigo. Vertigo usually occurs as a result of a disorder in the vestibular system (structures of the inner ear, the vestibular nerve, brainstem, and cerebellum).
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