
Lo stress può causare vertigini?
Revisione paritaria di Dr Krishna Vakharia, MRCGPUltimo aggiornamento di Victoria RawUltimo aggiornamento 28 gen 2025
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Ti capita a volte di sentirti così stordito da avere difficoltà a controllare l'equilibrio? Potresti essere affetto da vertigini - una sensazione strana e spesso debilitante che può avere diverse cause possibili. La maggior parte delle cause sono fisiche, ma qual è la connessione con il benessere emotivo e lo stress può causare vertigini?
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Che cos'è la vertigine?
Vertigini is when you feel like you, or the world around you, is constantly moving or spinning. This can make you feel dizzy and off balance. It may be mild and barely noticeable, or it could be so severe that it completely debilitates you - like being unable to stand without falling over.
Symptoms of vertigo
Vertigo is itself a symptom of an underlying health problem. If you experience vertigo, it may feel like you are tilting, swaying, spinning, or being pulled in one direction.
Other vertigo symptoms may also accompany this:
Unusual eye movements - jerking or twitching, known as nystagmus.
Your vertigo symptoms could last anywhere between a few seconds to days at a time.
The link between stress and vertigo
Of the various possible causes of vertigo, a problem with the inner ear - which is responsible for our sense of balance - is the most common. Several physical health problems can affect your inner ear, from an infezione all'orecchio per Malattia di Ménière.
But can lo stress cause vertigo? While more scientific evidence is needed to prove whether stress or ansia can directly cause vertigo, what is clear is that vertigo, stress, and the parts of your body that control your balance are all intricately connected.
These parts - collectively known as the vestibular system - include an organ in your inner ear.
This controls:
Your balance.
Specific areas of your brain.
The nerves that transit messages between the two.
Part of your inner ear sends information to your brain about your body position relative to gravity. Your brain then uses this message to determine if you're balanced.
How can feeling stressed negatively affect your vestibular system, and therefore your sense of balance?
Stress hormones and nerve signals
If you're feeling stressed, you may notice that your heartbeat and breathing speed up. These are some of the physical changes that can take place when stress or anxiety triggers the release of stress hormones - such as adrenaline and cortisol.
These stress hormones activate your autonomic nervous system, which prepares your body for a fight-or-flight response to a stressful situation. Alongside a quickened heart rate and sweating, this can also set off vertigo symptoms.
Adrenaline and cortisol - as well as other stress-triggered chemicals like histamine - may also disrupt the messages sent between your inner ear and brain. This means that vital information related to your sense of balance - like the exact position of your body - gets confused. For example, cortisol may do this by changing the activity in the nerve cells responsible for carrying this message.
Balance and stress in the brain
The parts of your brain that control stress and balance are also connected through a network of signals. This could explain the two-way relationship between stress and vertigo - when one part of the brain has heightened activity, this triggers more activity in the other.
In this theory, having vertigo or feeling off-balance can directly cause stress, and inversely feeling stressed could disrupt how your brain interprets your balance. This could help explain why higher rates of vertigo are found in people with disturbi d'ansia.
Stress and injury recovery
Many accidents and health conditions can injure your vestibular system and cause vertigo - from common ear infections to rare and serious conditions like tumours.
It may be that stress can also prolong vertigo caused by something else, slowing down how long it takes the vestibular system to heal itself.
How to manage your stress
If you have vertigo, the first thing you should do is visit your doctor to check for the underlying cause. Whether another cause is identified or not, if you're feeling stressed research suggests that stress management techniques may help your vertigo symptoms - on top of improving your quality of life.
Recognise and address your source of stress if you can.
Try relaxation techniques - for example, esercizi di consapevolezza e esercizi di respirazione.
Find a support network.
Set reachable goals.
Si rivolga a un professionista - if self-help tips aren't making things better.
Other causes of vertigo
Experts may not be clear on the exact relationship between vertigo and stress, but there is strong evidence for many other direct causes.
Questi includono:
Infezioni dell'orecchio o interventi chirurgici all'orecchio - that damages the inner ear.
Vertigine parossistica posizionale benigna (VPPB) - tiny calcium particles collect in the inner ear.
Malattia di Ménière - a build-up of fluid and changing pressure in the inner ear.
Neurological disorders - for example, ictus e sclerosi multipla.
Vestibular migraines - a neurological condition triggering vertigo symptoms.
Head injuries or trauma - affecting the area of brain responsible for balance.
Neuroma acustico - a non-cancerous tumour that develops along the nerve connecting the brain and inner ear.
Your chances of developing vertigo also increases with age - more than 1 in 4 people over 72 years of age experience dizziness and vertigo. This is because your likelihood of vertigo-causing health problems - like BPPV - is much higher.
When to see doctor
Treating vertigo depends on its underlying cause. For this reason, it's always worth visiting your doctor. However, vertigo may also require urgent medical attention if you have other symptoms alongside feeling dizzy.
Parla con un medico se:
You have a severe headache.
It comes on suddenly and persists or gets worse.
You're sick or feel very nauseous.
You have a high temperature.
If it is accompanied by acufene in one ear.
There is sudden and complete hearing loss.
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Dr Krishna Vakharia, MRCGP
Direttore Sanitario per la Salute, Optum UK
MBChB, MRCGP(2013), BMedSci (hons), DFSRH, DRCOG, PGDipDerm (Distn)
La Dott.ssa Krishna Vakharia è un medico di base del NHS. È anche un'esaminatrice regolare per il Diploma post-laurea in Dermatologia Pratica presso l'Università di Cardiff, oltre ad essere il Direttore Medico per la salute presso Optum UK.
Storia dell'articolo
Articolo disponibile anche in Inglese, Tedesco, Spagnolo, Francese, Italiano, Portoghese, Hindi, Ebraico, Arabo, and Svedese.
Prossima revisione prevista: 28 gen 2028
28 gen 2025 | Ultima versione
5 Apr 2023 | Pubblicato originariamente
Autore:
Amberley Davis
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