Central vertigo due to demyelinating disease - Central vertigo due to multiple sclerosis

Medium urgency
-Moderately severe
It is an unreal feeling that our body or the objects around us are spinning. There is also a feeling of instability when walking with tiredness, tingling and other sensations but no hearing problems. In multiple sclerosis, there is a progressive disappearance of myelin, a layer of neurons that allows communication between them by electrical pulses. It is suspected based on the symptoms and neurological examination but a study with imaging tests and various analyses are required. So far there is no known cure for multiple sclerosis but they are treatments that can slow its progression. There are anti-vertigo drugs that help to fight symptoms and improve quality of life. You should consult a general physician or neurologist to be diagnosed and start treatment.
Bibliographic references
  1. Hauser SL. Goodin DS. Esclerosis Múltiple y otras enfermedades desmielinizantes. Harrison. Principios de Medicina Interna. Volumen 2. 19º Edición: 2663-2664.
  2. Michael J Olek, DO. Ram N Narayan, MD. Elliot M Frohman, MD, PhD. Teresa C Frohman, PA-C. Clinical features of multiple sclerosis in adults. UpToDate. May 13, 2016.
  3. Michael J Olek, DO. Clinically isolated syndromes suggestive of multiple sclerosis. UpToDate. Feb 25, 2016.
  4. Helmchen C, Klinkenstein JC, Krüger A, et al. Structural brain changes following peripheral vestibulo-cochlear lesion may indicate multisensory compensation. J Neurol Neurosurg Psychiatry 2011; 82:309.
  5. Dieterich M, Brandt T. Functional brain imaging of peripheral and central vestibular disorders. Brain 2008; 131:2538.
Author
Dr. Sara Vitoria
Copyright
© TeckelMedical 2026

Symptoms

    Spinning sensation


    Involuntary, repeated eye movement


    Tingling feeling in your hand


    Difficulty standing up due to unsteadiness


    Difficulty coordinating movements

Pre-hospital care recommendations

Use antiemetics if vomiting occurs.