A Systemic Review of Vertigo: Negligence in Pregnancy

Abstract

From conception to childbirth, there are many physical, hormonal, and psychological changes that a woman undergoes during pregnancy. During this time, balance is also affected, resulting in symptoms like vertigo and unsteadiness. These symptoms can lead to physical impairment and disability and can develop at any time. Vertigo in pregnancy has not been extensively written about. The subject of a narrative review is vertigo in pregnant patients. In pregnant women, hormonal alterations in the peripheral tissues and inner ear organs may contribute to vertigo. Meniere's disease, mild convulsive positional dizziness, and oculomotor migraines are all commonly exacerbated by pregnancy. Between the second and third trimesters of pregnancy, specific modifications to proprioception and hearing are also detected during physical examination. Patients who are pregnant typically experience these symptoms throughout this time. Some vertigo conditions can worsen during pregnancy, while others can appear at any time. Understanding audiovestibular symptoms' pathological and clinical relationship during pregnancy requires more study.

Marfanoid to Mortality: A Case Report on Sudden Cardiac Death Due to Aortic Dissection in a Young Male With Marfanoid Habitus

“…The compromised hemodynamics and the intricate vascular pathology in this case underscore the challenges faced by clinicians in stabilizing patients with such advanced cardiovascular complications [ 9 ]. The wide pulse pressure observed in the blood pressure readings further reflects the severity of the hemodynamic compromise and emphasizes the urgency for intervention [ 10 ]. The rapid clinical deterioration posed a considerable challenge, raising questions about the optimal timing and feasibility of operative intervention in such critical cases.…”

Vértigo en gestantes: presentación clínica, impacto en la calidad de vida y factores asociados

“…Tanto el vértigo como el mareo se han descrito en la literatura en pacientes gestantes, siendo más común el mareo que el vértigo, con prevalencias de este síntoma de hasta el 50% de las gestantes durante el primer y el segundo trimestres 7,8 . El vértigo se ha descrito principalmente durante la lactancia en un estudio, pero este ha sido más evidente en pacientes con antecedente de migraña vestibular o enfermedad de Ménière, observándose la presentación del vértigo en el 50-57% de las pacientes 9 . En otro estudio se encontró una cifra similar a la encontrada en nuestro estudio, indicando en el primer trimestre una prevalencia de vértigo del 22,72%, el cual es explicado principalmente por una posible desregulación hormonal además de una alteración en la habituación laberíntica 10 .…”

Coccydynia

“…The ganglion impar, or Walther ganglion, is a sympathetic ganglion in the retroperitoneal space located near the sacrococcygeal joint, and coccyx is a target of particular interest for injection therapy 8,17,[26][27][28][29][30][31] (Table II). This block can also be used to inhibit parasympathetic response for perianal sweating 32 .…”