{"id":7252,"date":"2024-10-11T14:41:16","date_gmt":"2024-10-11T12:41:16","guid":{"rendered":"https:\/\/ivrt.de\/?p=7252"},"modified":"2025-08-25T17:22:22","modified_gmt":"2025-08-25T15:22:22","slug":"schwindel-nach-einem-schaedel-hirn-trauma","status":"publish","type":"post","link":"https:\/\/ivrt.de\/en\/schwindelerkrankungen\/schwindel-nach-einem-schaedel-hirn-trauma\/","title":{"rendered":"Dizziness after a traumatic brain injury"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"7252\" class=\"elementor elementor-7252\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3a669e56 e-flex e-con-boxed e-con e-parent\" data-id=\"3a669e56\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-6585c73a e-con-full e-flex e-con e-child\" data-id=\"6585c73a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-106e3da5 elementor-widget__width-inherit elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"106e3da5\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Vestibular disorders<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4c9db6cd elementor-widget__width-inherit elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"4c9db6cd\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:200}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Dizziness after a traumatic brain injury<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bdeaed0 elementor-widget elementor-widget-text-editor\" data-id=\"bdeaed0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><i>This information is intended as a general introduction to the topic.<\/i> <i>Since every person is affected differently by balance and dizziness problems, you should consult your doctor for individual advice.<\/i><\/p><p><i>For reasons of readability, the generic masculine form is used and the simultaneous use of the male, female, and diverse (m\/f\/d) forms is omitted. Unless otherwise specified, the personal designations used in this patient information refer to all genders.<\/i><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4aadb673 elementor-invisible elementor-widget elementor-widget-image\" data-id=\"4aadb673\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:400}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"533\" src=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/SHT-1024x682.jpg\" class=\"attachment-large size-large wp-image-14057\" alt=\"\" srcset=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/SHT-1024x682.jpg 1024w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/SHT-300x200.jpg 300w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/SHT-768x512.jpg 768w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/SHT-1536x1023.jpg 1536w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/SHT.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-55f9932b elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"55f9932b\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">What are dizziness and balance disorders after a TBI?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-185a100 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"185a100\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A mild traumatic brain injury (TBI) is a violent impact to the head, either directly (e.g. a blow to the head) or indirectly (e.g. a force transmitted from the body to the head). You do not have to hit your head or lose consciousness to suffer a TBI. A TBI is also called a concussion.<\/p><p>TBI is one of the main causes of disability. People who suffer a TBI can suffer damage to the vestibular system. The damage can occur to the peripheral (inner ear), central (brain) vestibular structures or both.<\/p><p>\"Vestibular\" refers to the movement sensors in the inner ear and the parts of the brain that interpret the signals from these sensors. These sensors in the inner ear and the brain control our balance and how we perceive the space around us. If these sensors don't work properly or the brain misinterprets the signals, it can lead to a range of symptoms such as dizziness and balance problems.<\/p><p>Different terms are used depending on which part of the vestibular system is affected by a TBI. A disorder of the inner ear sensors or the vestibulocochlear nerve (8th cranial nerve) leading to the brain is referred to as a peripheral vestibular disorder. A disorder in the brain is called a central vestibular disorder. Some people have both a peripheral and a central vestibular disorder after a TBI.<\/p><p>In people who have suffered a TBI, dizziness is the second most common symptom after headaches. Almost 8 out of 10 people suffer from dizziness after a TBI.<\/p><p>Although awareness is growing in clinics, damage to the vestibular system caused by TBI is often undiagnosed or underestimated.<\/p><p>Most people make a full recovery from a TBI. A minority suffer from persistent symptoms known as post-commotion syndrome. Dizziness after a TBI can have a negative impact on well-being and is a known risk factor for post-commotion syndrome.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-61c9686c e-con-full e-flex e-con e-child\" data-id=\"61c9686c\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div class=\"elementor-element elementor-element-278c4f9a e-flex e-con-boxed elementor-invisible e-con e-child\" data-id=\"278c4f9a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4c83fc7f elementor-widget elementor-widget-heading\" data-id=\"4c83fc7f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">Summary<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-541c049 elementor-icon-list-ico-position-0 elementor-widget__width-inherit elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"541c049\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-search-3\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">A mild traumatic brain injury (TBI) can damage the vestibular system (balance system).<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-brain\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">A TBI can damage the vestibular structures of the inner ear, the brain or both.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-clipboard\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">The symptoms depend on which structure(s) of the vestibular system has been damaged.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-doctor\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">The assessment and treatment of dizziness after a TBI must be individualized.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-users\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Most people make a full recovery.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-medicine-1\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">A minority have persistent symptoms known as post-commotion syndrome.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2a1cb7b4 elementor-widget__width-inherit elementor-align-justify elementor-widget elementor-widget-button\" data-id=\"2a1cb7b4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/ivrt.de\/wp-content\/uploads\/2025\/07\/IVRT-Patienteninformation-Schwindel-nach-Schaedel-Hirn-Trauma.pdf\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Download as PDF - German<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c1b63cc elementor-widget__width-inherit elementor-align-justify elementor-widget elementor-widget-button\" data-id=\"c1b63cc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/ivrt.de\/wp-content\/uploads\/2025\/06\/IVRT\u00ae-patienteninformatie-Duizeligheid-en-Evenwichtsstoornissen-na-LHT.pdf\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Download as PDF - Dutch<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-43ef592a e-flex e-con-boxed e-con e-parent\" data-id=\"43ef592a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-55cc4507 e-con-full e-flex e-con e-child\" data-id=\"55cc4507\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6a9f9fb1 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"6a9f9fb1\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">What causes dizziness and balance disorders after a TBI?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-582b34b4 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"582b34b4\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The causes of SCT include sports injuries, collisions with motor vehicles, falls, accidents at work, physical attacks and the effects of explosions.<\/p><p>The force applied to the head during a TBI moves the brain within the skull bone. This sudden jolt can cause injury to the brain's white matter and long nerve fibers (axons). This process is called a 'diffuse axonal injury' in medicine. The result is changes in brain tissue at the cellular level. This leads to a rapid onset of neurological changes. The vestibular system (balance system) can also be damaged, causing dizziness and balance disorders.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-135c4d1f elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"135c4d1f\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">The main causes of dizziness and balance disorders after a TBI include\n<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6afb6394 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"6afb6394\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>Central vestibular dysfunction<\/li><li>Dysfunction of the vestibulo-ocular reflex (VOR)<\/li><li>Visually induced dizziness<\/li><li>Vestibular migraine<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-61ee11f8 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"61ee11f8\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Peripheral causes of dizziness and balance disorders after a TBI include<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3ed0dc51 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"3ed0dc51\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>Benign paroxysmal positional vertigo (BPLS)<\/li><li>Perilymph fistula<\/li><li>Labyrinthine concussion<\/li><li>Secondary endolymphatic hydrops (SEH)<\/li><li>Bilateral vestibulopathy (BVP)<\/li><li>Dysfunction of the vestibular nerve<\/li><li>Semicircular canal dehiscence<\/li><li>Petrous bone fracture<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5fe307c elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"5fe307c\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Non-vestibular causes of dizziness and balance disorders after a TBI include<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4df3ffa elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"4df3ffa\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>Physical deconditioning<\/li><li>Anxiety and post-traumatic stress<\/li><li>Side effects of medication<\/li><li>Low blood pressure when standing up from a sitting or lying position (orthostatic hypotension)<\/li><li>Pituitary dysfunction and resulting pituitary hormone deficiency<\/li><li>Autonomic dysfunction leading to cardiovascular dysregulation<\/li><li>Dissection of the vertebral artery<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4ea9d450 elementor-invisible elementor-widget elementor-widget-elementskit-accordion\" data-id=\"4ea9d450\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:400}\" data-widget_type=\"elementskit-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\n        <div class=\"elementskit-accordion accoedion-primary\" id=\"accordion-69d38992f038f\">\n\n            \n                <div class=\"elementskit-card\">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-0-4ea9d450\">\n                        <a href=\"#collapse-a6e330569d38992f038f\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-a6e330569d38992f038f\" aria-expanded=\"false\" aria-controls=\"Collapse-a6e330569d38992f038f\">\n                            \n                            <span class=\"ekit-accordion-title\">Symptoms such as dizziness and balance disorders after a TBI<\/span>\n\n                            \n                                <div class=\"ekit_accordion_icon_group\">\n                                    <div class=\"ekit_accordion_normal_icon\">\n                                        <!-- Normal Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-plus\"><\/i>                                    <\/div>\n\n                                    <div class=\"ekit_accordion_active_icon\">\n                                        <!-- Active Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-minus\"><\/i>                                    <\/div>\n                                <\/div>\n\n                            \n                                                    <\/a>\n                    <\/div>\n\n                    <div id=\"Collapse-a6e330569d38992f038f\" class=\"collapse\" aria-labelledby=\"primaryHeading-0-4ea9d450\" data-parent=\"#accordion-69d38992f038f\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <p>Some vestibular symptoms may appear immediately after a TBI. Others may not appear immediately. And some symptoms change over time.<\/p>                        <\/div>\n\n                    <\/div>\n\n                <\/div><!-- .elementskit-card END -->\n\n                \n                <div class=\"elementskit-card\">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-1-4ea9d450\">\n                        <a href=\"#collapse-d14d6b569d38992f038f\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-d14d6b569d38992f038f\" aria-expanded=\"false\" aria-controls=\"Collapse-d14d6b569d38992f038f\">\n                            \n                            <span class=\"ekit-accordion-title\">Symptoms of central vestibular disorders after a TBI:<\/span>\n\n                            \n                                <div class=\"ekit_accordion_icon_group\">\n                                    <div class=\"ekit_accordion_normal_icon\">\n                                        <!-- Normal Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-plus\"><\/i>                                    <\/div>\n\n                                    <div class=\"ekit_accordion_active_icon\">\n                                        <!-- Active Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-minus\"><\/i>                                    <\/div>\n                                <\/div>\n\n                            \n                                                    <\/a>\n                    <\/div>\n\n                    <div id=\"Collapse-d14d6b569d38992f038f\" class=\"collapse\" aria-labelledby=\"primaryHeading-1-4ea9d450\" data-parent=\"#accordion-69d38992f038f\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <p><span style=\"text-decoration: underline\">Central vestibular dysfunction<\/span><br \/>Central vestibular dysfunction is usually related to a concussion of the vestibular structures in the brainstem and cerebellum. Symptoms include:<br \/>\u2022 Nausea with dizziness and balance problems<br \/>\u2022 Spatial disorientation, making it difficult to determine body position, movement and height relative to the ground<\/p><p><span style=\"text-decoration: underline\">Dysfunction of the vestibulo-ocular reflex (VOR)<\/span><br \/>The VOR ensures gaze stabilization during head movements. It is controlled by the cerebellum. Symptoms include some or all of the following:<br \/>\u2022 a feeling of \"lag\" during rapid head movements<br \/>\u2022 oscillopsia, giving the impression that objects in the field of vision are jumping back and forth<br \/>\u2022 dizziness<br \/>\u2022 balance problems<br \/>\u2022 spatial disorientation, making it difficult to determine body position, movement and height in relation to the ground<br \/>\u2022 nausea and vomiting<\/p><p><span style=\"text-decoration: underline\">Visually induced dizziness<\/span><br \/>Visually induced vertigo is a collective term for a group of symptoms caused by certain disorders of the vestibular system. It refers to chronic dizziness or balance disorders that are usually triggered by being in a busy visual environment or observing movement. Symptoms include some or all of the following:<br \/>\u2022 dizziness<br \/>\u2022 unsteadiness<br \/>\u2022 lightheadedness<br \/>\u2022  disorientation<br \/>\u2022 nausea<br \/>\u2022 vomitting<br \/>\u2022 sweating<br \/>\u2022 salivation<br \/>\u2022 fatigue<br \/>\u2022 pallor<\/p><p><span style=\"text-decoration: underline\">Vestibular migraine<\/span><br \/>Headaches and migraine attacks are very common after a TBI, estimated to occur in around 60-80% of those affected. New symptoms can occur, the attacks can become chronic and develop into a vestibular migraine. Symptoms include some or all of the following:<br \/>\u2022 recurrent spontaneous attacks of dizziness lasting from minutes to several days<br \/>\u2022 dizziness when lying down (lying down, standing up from a lying position)<br \/>\u2022 visually induced dizziness<br \/>\u2022 nausea<br \/>\u2022 feeling of disturbed spatial orientation<\/p>                        <\/div>\n\n                    <\/div>\n\n                <\/div><!-- .elementskit-card END -->\n\n                \n                <div class=\"elementskit-card\">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-2-4ea9d450\">\n                        <a href=\"#collapse-417cba969d38992f038f\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-417cba969d38992f038f\" aria-expanded=\"false\" aria-controls=\"Collapse-417cba969d38992f038f\">\n                            \n                            <span class=\"ekit-accordion-title\">Symptoms of peripheral vestibular disorders after a TBI:<\/span>\n\n                            \n                                <div class=\"ekit_accordion_icon_group\">\n                                    <div class=\"ekit_accordion_normal_icon\">\n                                        <!-- Normal Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-plus\"><\/i>                                    <\/div>\n\n                                    <div class=\"ekit_accordion_active_icon\">\n                                        <!-- Active Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-minus\"><\/i>                                    <\/div>\n                                <\/div>\n\n                            \n                                                    <\/a>\n                    <\/div>\n\n                    <div id=\"Collapse-417cba969d38992f038f\" class=\"collapse\" aria-labelledby=\"primaryHeading-2-4ea9d450\" data-parent=\"#accordion-69d38992f038f\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <p><span style=\"text-decoration: underline\">Benign paroxysmal positional vertigo (BPPV)<\/span><br \/>Studies suggest that BPPV is the most common vestibular disorder after a head injury (TBI). The characteristic symptom of BPPV is vertigo lasting less than 60 seconds. A head injury can cause otoliths (tiny calcium carbonate crystals) to become dislodged from their normal position in the inner ear and fall into one of the fluid-filled semicircular canals. This disrupts the normal interaction between the fluid and the hair cells in the canal. The inner ear then becomes sensitive to changes in head position that it would not normally respond to. This causes a spinning sensation (as if you or your surroundings are rotating). This sensation is called vertigo. Most often, only one ear is affected (unilateral BPPV).<br \/>The vast majority of BPPV cases are resolved in a single session using so-called repositioning maneuvers. Usually, such a maneuver only needs to be repeated 2\u20133 times before BPPV is corrected. If the symptoms are not resolved, other causes and treatments need to be considered.<\/p><p><span style=\"text-decoration: underline\">Perilymph fistula<\/span><br \/>Even a mild TBI can result in a tear or rupture in one or both oval or round windows of the inner ear. A perilymphatic fistula can cause both balance and hearing symptoms, usually occurring shortly after the head trauma, including some or all of the following:<br \/>\u2022 Vertigo<br \/>\u2022 Impaired balance<br \/>\u2022 Dizziness when sneezing, coughing or propping up (pressure-induced)<br \/>\u2022 Dizziness with loud noises (sound-induced)<br \/>\u2022 Discomfort with movement<br \/>\u2022 Nausea and\/or vomiting<br \/>\u2022 Sudden or progressive sensorineural hearing loss, that sometimes gets better or worse (fluctuating)<br \/>\u2022 Tinnitus<br \/>\u2022 Sensitivity to everyday sounds (hyperacusis)<br \/>\u2022 Sensation of fullness or pressure in the ears<\/p><p><span style=\"text-decoration: underline\">Labyrinthine concussion<\/span><br \/>A labyrinthine concussion is an injury to the fluid-filled canals and chambers in the inner ear. It usually improves as the brain adapts and regains balance control over weeks or months. This process is called vestibular compensation. A labyrinthine concussion causes dysfunction in the inner ear on one (unilateral) or both (bilateral) sides. Symptoms may include some or all of the following:<br \/>\u2022 Vertigo<br \/>\u2022 Postural or gait unsteadiness<br \/>\u2022 Sensorineural hearing loss<br \/>\u2022 Tinnitus<br \/>\u2022 Nystagmus (rapid involuntary eye movements), often worsened by rapid head movements<br \/>\u2022 Nausea and\/or vomiting<\/p><p><span style=\"text-decoration: underline\">Secondary endolymphatic<\/span> hydrops (SEH)<br \/>A TBI can cause an accumulation of fluid in the inner ear called SEH. It can occur weeks or months after the injury. Symptoms may come and go and include some or all of the following:<br \/>\u2022 Vertigo<br \/>\u2022 Sensorineural hearing loss<br \/>\u2022 Tinnitus<br \/>\u2022 Sensation of fullness or pressure in the ears<\/p><p><span style=\"text-decoration: underline\">Bilaterale Vestibulopathie (BVP)<\/span><br \/>A TBI can damage the vestibular system in both inner ears. \"Bilateral\" means that the damage occurs on both sides. The main symptoms of bilateral vestibulopathy (BVP) are:<br \/>\u2022  severe balance problems and unsteadiness<br \/>\u2022 blurred or jumpy vision when the head moves quickly (oscillopsia)<\/p><p><span style=\"text-decoration: underline\">Dysfunction of the vestibular nerve<\/span><br \/>A TBI can cause an injury to the vestibulocochlear nerve (8th cranial nerve). As a result, the nerve impulses to the brain do not function properly. As a result, the brain no longer receives important information from the balance sensors in the inner ear. Previous research suggests that the head movement associated with TBI may cause stretching and injury to the vestibulocochlear nerve.<\/p><p><span style=\"text-decoration: underline\">Semicircular canal dehiscence<\/span><br \/>The force of a TBI can lead to a tiny hole (known as a dehiscence) in one or more of the semicircular canals in the inner ear. This is called semicircular canal dehiscence. Symptoms include a sudden onset of hearing and balance problems. People with semicircular canal dehiscence often hear internal sounds such as their own voice, heartbeat or even the movement of the eyeball.<\/p><p><span style=\"text-decoration: underline\">Fracture of the petrous bone<\/span><br \/>The petrous bone (also known as the temporal bone) is a hard, thick bone at the base of the skull. It is the most complex bone in the human body. It protects many vital structures, including the hearing and balance sensors in the inner ear. Balance and hearing disorders are common, especially in the case of a transverse fracture, and can be accompanied by other symptoms:<br \/>\u2022 Vertigo<br \/>\u2022 Nystagmus<br \/>\u2022  Conductive or sensorineural hearing loss<\/p>                        <\/div>\n\n                    <\/div>\n\n                <\/div><!-- .elementskit-card END -->\n\n                                        <\/div>\n    <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-73351f3 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"73351f3\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Diagnosis of dizziness and balance disorders after a TBI\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fe0cd6b elementor-invisible elementor-widget elementor-widget-elementskit-accordion\" data-id=\"fe0cd6b\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:400}\" data-widget_type=\"elementskit-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\n        <div class=\"elementskit-accordion accoedion-primary\" id=\"accordion-69d38992f1579\">\n\n            \n                <div class=\"elementskit-card\">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-0-fe0cd6b\">\n                        <a href=\"#collapse-75926e169d38992f1579\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-75926e169d38992f1579\" aria-expanded=\"false\" aria-controls=\"Collapse-75926e169d38992f1579\">\n                            \n                            <span class=\"ekit-accordion-title\">Who diagnoses the disease?<\/span>\n\n                            \n                                <div class=\"ekit_accordion_icon_group\">\n                                    <div class=\"ekit_accordion_normal_icon\">\n                                        <!-- Normal Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-plus\"><\/i>                                    <\/div>\n\n                                    <div class=\"ekit_accordion_active_icon\">\n                                        <!-- Active Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-minus\"><\/i>                                    <\/div>\n                                <\/div>\n\n                            \n                                                    <\/a>\n                    <\/div>\n\n                    <div id=\"Collapse-75926e169d38992f1579\" class=\"collapse\" aria-labelledby=\"primaryHeading-0-fe0cd6b\" data-parent=\"#accordion-69d38992f1579\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <p>Although clinical awareness is growing, vestibular disorders following TBI are often undiagnosed or underestimated.<\/p><p>Thanks to improved testing procedures for peripheral vestibular function, balance disorders in the inner ear can now also be diagnosed that would not have been recognized in the past. Unfortunately, the waiting times for an appointment with specialized doctors and clinics are usually very long. Many people are not diagnosed until many months after the onset of symptoms.<\/p><p>Doctors can have different opinions about what they mean by a TBI and how it is diagnosed. For people with TBI symptoms, it is an additional challenge to be confronted with these different approaches. Unfortunately, although TBI research is progressing rapidly, new information is not reaching doctors as quickly.<\/p><p>Vestibular disorders caused by TBI can be diagnosed by a neuro-otologist or otolaryngologist who specializes in dizziness. These specialized doctors will take a thorough medical history, perform a neurological examination and various tests to assess the function of your vestibular system.<\/p>                        <\/div>\n\n                    <\/div>\n\n                <\/div><!-- .elementskit-card END -->\n\n                \n                <div class=\"elementskit-card\">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-1-fe0cd6b\">\n                        <a href=\"#collapse-a6e330569d38992f1579\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-a6e330569d38992f1579\" aria-expanded=\"false\" aria-controls=\"Collapse-a6e330569d38992f1579\">\n                            \n                            <span class=\"ekit-accordion-title\">How is the diagnosis made?<\/span>\n\n                            \n                                <div class=\"ekit_accordion_icon_group\">\n                                    <div class=\"ekit_accordion_normal_icon\">\n                                        <!-- Normal Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-plus\"><\/i>                                    <\/div>\n\n                                    <div class=\"ekit_accordion_active_icon\">\n                                        <!-- Active Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-minus\"><\/i>                                    <\/div>\n                                <\/div>\n\n                            \n                                                    <\/a>\n                    <\/div>\n\n                    <div id=\"Collapse-a6e330569d38992f1579\" class=\"collapse\" aria-labelledby=\"primaryHeading-1-fe0cd6b\" data-parent=\"#accordion-69d38992f1579\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <p>Depending on your symptoms, you can have some of the following diagnostic tests carried out:<\/p><ul><li>Examination of eye movements<\/li><li>Hearing tests and vestibular function tests<\/li><li>Balance tests<\/li><li>Blood tests<\/li><li>Imaging (CT or MRI scans), which are usually used to rule out a more serious brain injury<\/li><\/ul><p>The symptoms of vestibular dysfunction caused by a TBI overlap. Therefore, your doctor must consider all possibilities before making a diagnosis.<\/p>                        <\/div>\n\n                    <\/div>\n\n                <\/div><!-- .elementskit-card END -->\n\n                                        <\/div>\n    <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7e56d0d1 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"7e56d0d1\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Treatment of dizziness and balance disorders after a TBI<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-740f0d6 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"740f0d6\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Each assessment and treatment of dizziness after a TBI must be individualized. Assessment by a doctor with expertise in TBI is necessary to find the best treatment method for you.<\/p><p>A TBI can lead to many symptoms, some primary, some secondary. Due to the widely varying types and severity of symptoms and underlying causes, there is no single treatment or cure for dizziness and balance disorders following a TBI. Treatment by an interdisciplinary team is most effective.<\/p><p>Depending on the diagnosis, treatment may include the following:<\/p><ul><li>Repositioning maneuvers for BPPV<\/li><li>Vestibular rehabilitation therapy<\/li><li>Physiotherapy for injuries to the cervical spine<\/li><li>Use of virtual reality (VR)<\/li><li>Lifestyle changes<\/li><li>Medication<\/li><li>Injections into the ear<\/li><li>Surgery<\/li><\/ul><p>Dizziness is considered a risk factor for prolonged recovery after a TBI. However, once a treatment plan is started, all peripheral and most central vestibular symptoms usually improve over time. This is attributed to functional recovery or central compensation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-553f2444 e-con-full e-transform e-flex elementor-invisible e-con e-child\" data-id=\"553f2444\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;,&quot;animation_delay&quot;:500,&quot;_transform_translateY_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:-5,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_list&quot;:[],&quot;_transform_translateX_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7eb3d1f7 elementor-widget elementor-widget-heading\" data-id=\"7eb3d1f7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Vestibular rehabilitation therapy<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4e5bb9d7 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"4e5bb9d7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5834df3b elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"5834df3b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>There is growing evidence that vestibular rehabilitation therapy for balance disorders and dizziness after TBI reduces symptoms and contributes to a faster recovery in most patients.<\/p><p>Cognitive behavioral therapy combined with vestibular rehabilitation therapy can improve its effectiveness.<\/p><p>However, vestibular rehabilitation therapy does not help with acute, active, recurrent, spontaneous vertigo - e.g. in the early stages of secondary endolymphatic hydrops (SEH) and vestibular migraine - because the brain cannot adapt to the changing nature of these disorders.<\/p><p>Vestibular rehabilitation therapy can be effective in helping to normalize vestibular responses when symptoms such as dizziness, gait unsteadiness or nausea persist for more than a few days. Referral to a <a href=\"https:\/\/ivrt.de\/en\/fuer-betroffene\/therapeutensuche\/\">zertifizierten IVRT\u00ae Schwindel- und Vestibular-Therapeut<\/a> should usually be made after a thorough medical evaluation of the concussion by your primary care physician or emergency room physician. Your doctor will decide if clinical tests need to be performed before starting vestibular rehabilitation therapy.<\/p><p>For most people, vestibular rehabilitation therapy helps to strengthen the connection between the body, eyes, brain and inner ear. During vestibular rehabilitation therapy, your symptoms may be deliberately provoked in a safe and controlled way to gradually accustom your brain to the stimuli. The overall goal is to improve your quality of life by adapting to your condition, reducing your symptoms and improving your overall functioning.<\/p><p>Research shows that vestibular rehabilitation therapy is most effective when it is individualized. The type, frequency and intensity of effective exercises vary from person to person.<\/p><p>Vestibular rehabilitation therapy is tailored to your condition and your symptoms. Some exercises are specific and reduce your reaction to certain movements or visual stimuli, for example. Other exercises aim to reduce your limitations in everyday life (self-care, household activities, sports, driving) and at work. A <a href=\"https:\/\/ivrt.de\/en\/fuer-betroffene\/therapeutensuche\/\">certified IVRT\u00ae Dizziness and Vestibular Therapist<\/a> can help you create treatment goals and an appropriate exercise program.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7b64c756 e-grid e-con-full e-con e-child\" data-id=\"7b64c756\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div class=\"elementor-element elementor-element-59c4d100 e-con-full e-transform e-flex elementor-invisible e-con e-child\" data-id=\"59c4d100\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;,&quot;animation_delay&quot;:400,&quot;_transform_translateY_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:-5,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_list&quot;:[],&quot;_transform_translateX_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1aa3b18a elementor-widget elementor-widget-heading\" data-id=\"1aa3b18a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Problems that can prolong recovery<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3f0709fe elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"3f0709fe\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1a52e343 elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"1a52e343\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Some problems may overlap with TBI symptoms or make your symptoms worse. For example, if you've suffered a TBI before, it's not uncommon for recovery to take longer.<\/p><p>Talk to your healthcare professional about this to make sure you are on the right path to recovery.<\/p><p>Factors that can prolong recovery include<\/p><ul><li>a previous SHT<\/li><li>History of migraine<\/li><li>Learning disabilities or attention deficit hyperactivity disorder (ADHD)<\/li><li>Depression or anxiety<\/li><li>older age<\/li><li>Visual and vestibular disorders<\/li><\/ul><p>\u00a0<\/p><p>\u00a0<\/p><p>\u00a0<\/p><p>\u00a0<\/p><p>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-16ab2fc e-con-full e-transform e-flex elementor-invisible e-con e-child\" data-id=\"16ab2fc\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;,&quot;animation_delay&quot;:500,&quot;_transform_translateY_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:-5,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_list&quot;:[],&quot;_transform_translateX_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-75a17764 elementor-widget elementor-widget-heading\" data-id=\"75a17764\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Post-commotion syndrome<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3ef7dcbf elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"3ef7dcbf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3d041e8b elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"3d041e8b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Most TBIs resolve within the first three months. Around 15-30% of those affected still have dizziness and other symptoms after three months. They may develop post-commotion syndrome and suffer from persistent TBI symptoms.<\/p><p>Post-coma syndrome can include the emotional, mental, physical and sleep-related symptoms listed above, as well as some or all of the following symptoms:<\/p><ul><li>Constant rocking sensation or swaying dizziness<\/li><\/ul><ul><li>Visually induced dizziness - episodic dizziness triggered by movements (e.g. windshield wipers) or complex visual cues (e.g. shopping aisles)<\/li><li>Social withdrawal or isolation<\/li><li>Unpredictable emotional reactions that are disproportionate to the situation, such as intense anxiety, fear and apprehension<\/li><li>Balance disorders<\/li><li>Memory problems<\/li><li>Language problems<\/li><li>Dysregulation of heart rate and blood pressure (exercise intolerance)<\/li><\/ul><p>Vestibular rehabilitation is the basis for the treatment of dizziness caused by post-commotion syndrome.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1f01ac4f e-flex e-con-boxed e-con e-parent\" data-id=\"1f01ac4f\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-706f85 e-con-full e-flex e-con e-child\" data-id=\"706f85\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-125a4cda elementor-widget__width-inherit elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"125a4cda\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>What happens next?<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e2a6e54 elementor-widget__width-initial elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"e2a6e54\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:200}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What you can expect in the future.\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b952bbc elementor-widget elementor-widget-text-editor\" data-id=\"b952bbc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Diffusion-weighted magnetic resonance imaging (MRI) sometimes shows subtle brain changes in people with TBI. Further studies are needed to clarify whether it is useful for the diagnosis of balance problems after TBI.<\/p><p>Evidence-based research on vestibular rehabilitation therapy for TBI is consistent across studies, but the quality of research is weak. Although vestibular rehabilitation is promising, high quality studies are needed to determine which treatment strategies are most effective.<\/p><p>Advances in virtual reality (VR) hold great promise for enhancing the effects of traditional vestibular rehabilitation therapy.<\/p><p>It is being investigated how aerobic training can alleviate the symptoms of post-commotion syndrome.<\/p><p>Recovery from dizziness and balance disorders after TBI remains an important area of research. Current rehabilitation therapies are limited in their ability to treat persistent symptoms.<\/p><p>Although new therapies are being researched for the treatment of TBI in general, there are few treatments that specifically address damage to the vestibular system. These include, among others:<\/p><ul><li>Neuromodulation to promote adaptive neuroplasticity of the brain<\/li><li>Use of wearable sensors that provide visual and auditory biofeedback to improve balance<\/li><li>Transcranial magnetic stimulation (TMS)<\/li><li>Gene therapy<\/li><li>Stem cell therapy<\/li><li>Nanoparticles<\/li><\/ul><p>\u00a0<\/p><p><strong>In order to keep this patient information as short as possible, we have not included a detailed list of references. However, this can be requested at any time at info@ivrt.de.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a312143 elementor-widget__width-auto elementor-align-center elementor-invisible elementor-widget elementor-widget-button\" data-id=\"a312143\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:600}\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"\/en\/vestibulaere-erkrankungen\/\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Other disorders<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Vestibul\u00e4re Erkrankung Schwindel nach einem Sch\u00e4del-Hirn-Trauma Diese Informationen sind als allgemeine Einf\u00fchrung in dieses Thema gedacht. Da jeder Mensch anders von Gleichgewichts- und Schwindelproblemen betroffen ist, solltest du mit deinem Arzt oder deiner \u00c4rztin sprechen, um dich individuell beraten zu lassen. Aus Gr\u00fcnden der besseren Lesbarkeit wird das\u00a0generische Maskulinum verwendet und auf die gleichzeitige Verwendung [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":14057,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_surecart_dashboard_logo_width":"180px","_surecart_dashboard_show_logo":true,"_surecart_dashboard_navigation_orders":true,"_surecart_dashboard_navigation_invoices":true,"_surecart_dashboard_navigation_subscriptions":true,"_surecart_dashboard_navigation_downloads":true,"_surecart_dashboard_navigation_billing":true,"_surecart_dashboard_navigation_account":true,"_jf_save_progress":"","iawp_total_views":4381,"footnotes":""},"categories":[297],"tags":[],"class_list":["post-7252","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-schwindelerkrankungen"],"_links":{"self":[{"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/posts\/7252","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/comments?post=7252"}],"version-history":[{"count":0,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/posts\/7252\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/media\/14057"}],"wp:attachment":[{"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/media?parent=7252"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/categories?post=7252"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/tags?post=7252"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}