Living With Vestibular Migraine & Vertigo Cervical Headache | Are You Dizzy Unabalanced and Vertigo?
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- čas přidán 16. 07. 2024
- Vertigo Cervical headache, also known as Vertigo Migraine or Vestibular Migraine, is a common cause for symptoms such as dizziness, unsteadiness or vertigo. Head pain or migraine symptoms may also be present during an attack; however, they can be absent.
You are an absolutely lovely person for doing this. I got diagnosed with this almost a year ago and it’s made me feel insane. I actually feel as though my anxiety exacerbates it as well as bright lights and loud noises. This has affected my fitness life and social life greatly. I also have the absolute worst neck issues. I get a major migraine about once a week and it’s usually coupled with seeing spots and various auras. I started experiencing this after I got covid the first time 2 years ago. It’s incredibly debilitating.
It's been 7 months now. How is your situation? I hope it has improved for the better 🙏
This sounds very similar to my own experience after covid booster jab. I developed amplified sound issues (hyperacusis, tinnitus and vertigo, 8 months ago now. At present vertigo is managable, tinnitus I am getting on with it but I think I will always hear it when I think about it, I can now do washing upwithout the cutlery and crockery bothering me so much. Sometimes women's high pitched voices on the radio or tv do annoy me with the loudness. I agree it can be debilitating. I also have neck stiffness which I put down to having to jprop myself up with 4 pillows in bed 'cause of the vertigo.
This has got to be one of the most accurate and informative videos I have watched. I currently suffer from vestibular migraines and everything this video mentions is what I get. I go see my neurologist and get treatment but I don’t want to be on pills all my life. I am trying hard to stay positive and to be honest it helps me allot. But going to the shops or walking around fast can trigger my symptoms and many more things. I am glad that this video is out there if people want to understand what it is. Thanks you for doing this video
From someone who suffers dizziness-this is very good information indeed. Perhaps the best. Thanks
You're most welcome Scott!
Thanks for your definitions. I'm suffering from dizziness and imbalance.
Thank you! Structural imbalance makes so much sense! That would explain why the chiropractor just barely touches my occiput and it triggers the vestibular symptoms I never thought of the brain stem being overstimulated
Absolutely Tyra, that's very common with our patients, especially on the C1 medial arch I've found. If I was in your position, having your neck assessed by a headache clinician would be a great first step to getting on top of the vestibular migraines, we seem them often in our clinic.
Hello, I don't know where to begin. I have experienced all these symptoms and disorders for 2 1/2 years. It is very debilitating. I felt dizzy while eating food, brushing my teeth, combing my hair, washing dishes, getting up to walk, and doing the normal day to day activities were more than a chore and must I mention the fatigue. I couldn’t receive disability bc it would be hard to tell that anything was wrong with me physically. Walking into new environments and spaces seemed like some sort of pressure in my head was pushing me down and legs become a little weak was very scary, depressing, and very uncertain and on top of everything my breathing changed to shallow breathing still to this day. I was referred to an ENT Therapist by a neurologist for vestibular therapy, which seem to save my life to a certain extent, but then things got worse where the floor seemed as though it was coming closer; very disturbing! I was then recommended to a higher up specialist where I was strapped in a chair that moved in a dark room for an hour and things seemed better once I finished the same day. The specialist said that the crystals in my inner ear must have got of whack and that I also might have grown a sensitivity to caffeine, and others.. All said, thank you so much for sharing this awareness! Are there any support groups online?
Sounds like you had BPPV, Mer, and I'm happy to hear you're doing better after the chair/dark room therapy! Very interesting treatment. If it continues after those treatments, then you may want to consider seeing a headache consultant, but if it's fixed that would more likely mean it was BPPV. Headache Australia have a headache support group, give that a Google and I hope it helps!
You were strapped to a chair and put in a dark room..and that helped?
Fantastic information, thanks so much!
You're most welcome! I'm glad you found it helpful.
I would urge great caution when manipulating the neck. I have had vestibular migraine and left sided Ménière’s for 32 years. Came from a thyroid storm due to my dr giving me too much med. As a last resort, I had the neck manipulation you are referring to. Ended up in the ER due to severe BBPV, first time ever. Now I have three issues instead of two. They seem to be mostly permanent.
This is very interesting. I've had migraines and bad headaches for years. Just three years ago (I'm 58) I started getting more prominent balance problems, some nausea, and general difficulty...especially in the morning. Doing things like working on my car, fixing things, golfing or even holding a fishing pole have become near impossible. I often get bad headaches on the weekend in the afternoon when I go out. My head feels like a lead weight, hurts somewhat when I move it, and it hurts my entire head when I press my fingers into my upper neck and move my head up and down. I have always had bad posture (I hunch forward a little) and people told me to straighten up. I was like "well I feel fine like this".
I will definitely see a headache clinician about it (doctors have gotten me nowhere).
Hi John, thank you for your comment and sharing your experience. I'm sorry to hear you've suffered from migraines for quite a long time! I'm glad to hear this has hopefully given some more information. I hope you are able to find a headache clinician near you and work towards resolving your symptoms- Best of luck!
Best information on vestibular migraine
Thankyou Jocelyn, I'm glad you found it useful.
You understand me completely. Wish my ENT understood my condition better.
It's very new science and research Nick - the biomedical approach to treating these headaches hasn't yet caught up in a lot of clinics. If your ENT isn't producing the effects you want, have you tried seeing a headache consultant who has trained under the Watson Headache approach? Vestibular migraines is one of the more common presentations we see in our clinics.
What treatments do you recommend? Much thanks for this very clear explanation! It helped me so much!❤
Thanks for mentioning shadows through the trees…that’s a big trigger for me and yet doesn’t show up on the relevant intake questionnaires where I’ve gone. Whereas grocery aisles and other examples that don’t apply to me are listed.
love this video, I have been dealing with all these symptoms mentioned for 5 months now and my neurologist diagnosed me yesterday 8 Feb 2021 with Vestibular Migraines.. So happy to finally have answers and what steps are next for treatment.. If you've been suffering from this I am very sorry, it sucks!
Hi Jaye, Sometimes having a diagnosis can help people deal with it. It's better to know than not. You are very correct that this condition can be incredibly debilitating. I hope you've had some success with your treatment.
Did you seek treatment? I’ve been suffering with this for years now alongside vasovagal problems, and this is the first time I’ve heard about the top 3 vertebrae’s and brain stem. I will book an appointment with a headache clinic ASAP, how do they assess if there is pressure on the brain stem and if so how is it treated? This is a beacon of light at the end of a tunnel for me potentially after exhausting all other options.
Since COVID I’ve had tinnitus and then onset of dizziness and vertigo. Headaches and migraines every day now for six months, seeing a chiropractor twice a week. Every day I live in fear of how bad I am going to feel. My Brain MRI was clear, but it’s been so debilitating.
Any better ? , I either have VB or meniers
@@joshuamatos7923 sorry to hear. In the last week, I haven’t had one dizzy spell, so first time in months. I started acupuncture a few weeks ago, so maybe down to that. Will see how I go…
Hi Sean, I'm so sorry to hear you've been experiencing this- that sounds very difficult. I hope you've been recovering and have been able to find some relief from your symptoms!
@@brisbaneheadacheandmigrain3863 thanks and vertigo has eased in recent weeks, but headaches remain. My GP has prescribed Amitriptyline and if that doesn’t work, referral to a neurologist. Quite debilitating…
Hope you're better now, man.
Great information!
Trying to understand what I have:
A week long dizziness episodes when everything goes up and down. Sudden onset migraine followed by nausea only happens at night.
One morning I had sudden nosebleed when I got out of bed after I tried standing up straight followed by days of dizziness when I was in my early twenties. Wasn’t always great balancing either.
Hi Melanie, Thanks for your comment and question! Glad to hear your found this information useful! I recommend consulting your GP regarding onset of dizziness and the sudden nosebleed to rule out the presence of any other underlying conditions and determine the cause of these symptoms. Feel free to get in touch if you have any other question.
It's been 1 year now. Do you have any update? Hope you're better 🙏. And did you ever end up going to the doctor? Did they say anything?
not many videos of real people with Vestibular Migraine testimonials more people need to make videos
Yes, this can be useful for sufferers to see. Sometimes it's helpful just to know that you're not alone.
I’ve been diagnosed with Vestibular Migraine this year… I’m still learning my symptoms… I’m tired of this I get depressed and sad but you have to keep pushing..if you feel bad it’s ok sit down chill out…just know your not alone maybe it will go away one day but til then you’re strong.. and you’re not alone
Thanks for this video, Dr. Just a quick queston: I was under the impression that cervicogenic headaches and vestibular migraine were different pathologies. is this not the case?
I have a degenerative breakdown in my neck through wear and tear. I'm 55 now and experienced my first vestibular migraine when I was 46. They didn't know what it was at the time.
I was only diagnosed with Vestibular migraine a couple of years ago.
What I didn't make a connection with was I've had neck problems since early 2000. but was receiving private treatment so it didn't show up in my medical records.
After watching this video I mentioned to my doctor about my neck. However, they don't offer this de-sensitive treatment here in the UK. Typical NHS.
Do you have an email I can discuss this with you?
I get this throbbing sensation which gets worse when I close my eyes. Never any pain associated. It's ongoing too, like it can last weeks for me.
I want to thank you for the fantastic information finally I believe I can understand the difference between Libyrinthitis and Vistibular neuritis. Now you have to tell me how to cure my Libyrinthitis which I believe I Neva but also fluid in the ear.
Hi Wayne, I'm glad you've found the video helpful! Unfortunately in order to cure your labyrinthitis, we are probably not the best people to see. I would recommend speaking to your local doctor, and being referred to either an Ear, Nose and Throat specialist, or a Vestibular Physiotherapist.
Excellent video. I live in calgary Canada and I don’t think we have a headache specialist here. We have neurologist and I am being treated by one but his approach is medication only , nothing mechanical to the 3 vertebrates in the neck. Would you have someone you recommend that I could see ? Thank you
@findyourchappiness5246 Thank you for your comment! Here is a link to a directory of Watson-trained headache clinicians who might be able to help with your symptoms. You can search your location and this will show you the closest practitioner to you: watsonheadache.com/directory
Hi ! I've been trying to figure out if what I'm experiencing could be a vestibular disorder. Sometimes randomly I get super dizzy looking at any screen whether it's a laptop, TV or phone, and when my boyfriend plays video games like grand theft auto or when I play the sims I get extremely sick , nauseating almost like motion sickness to the point where I just have to lay down because I cant watch him play.
Hi Bri, there is certainly a chance that this is vestibular migraine. In some cases, if you're someone that experiences extreme motion sickness, this could also explain your symptoms, particularly when sitting close to a screen or when watching something on a large screen. It may be worthwhile having your eyes tested to see if there's any issues there, and then having your neck assessed for migraines.
Can you have hearing loss with VM?
Mine was diagnosed because I am in menopause and the neurologist said it is due to a drop in hormone levels. Never know when they will come on. Very frustrating!
I've started to get this after a car accident but don't know if It was because of the whiplash or the massages being too aggressive while in therapy. What's a headache clinician?
Not certain if you'll reply, over the holidays I believe I had an attack. I was in the shower with my partner (TMI but they witnessed my attack) I was looking at them when all of a sudden there seemed to be a bright light almost purple I was unable to focus on their face because it became blurry. I got extreme dizziness and felt nauseous. I immediately had to sit down and had trouble doing so. Sitting didn't help I eventually had to put my head into my lap and keep my eyes closed. It just felt like the room was spinning and my eyes couldn't focus. This lasted for at least five minutes until I didn't feel sick. As it was passing my limbs felt like static, I can't find another way to describe it. My partner couldn't see my eyes but he said I looked extremely dizzy and looked like I was going to throw up any minute.
Hi Destiny. It does sound like you may have suffered from a vestibular migraine attack. There are other sources of dizziness, such as BPPV, though. If you've been a migraine sufferer in the past, then it makes it more likely to have been a vestibular migraine. The bright light in your vision also does suggest migraine over other conditions. If this is your first migraine attack, it would be worth being assessed to check for other possible causes. Having a chat to your local doctor can put you on the right path for all of that. Otherwise, it would be worth having your spine assessed by someone trained in treating a sensitised brainstem.
Very helpful information!! Thank u for sharing !!
Hi Karson, I'm so glad you found this information helpful! Please don't hesitate to contact us if you have any questions.
Can forward head posture(from work) cause these issues ?also can lack of sleep trigger symptoms ,I feel horrific when I don't get a full night sleep ,dizzy nauseous ,neck pain,sometimes my neck feels so stiff ,pain radiates in to my ear
Thanks very much for your question. We're sorry to hear you have been experiencing these symptoms. A forward head posture and your sleep posture/position can indeed contribute to these symptoms. The best recommendation is to see a health professional such as a GP or Watsons Headache Clinician to determine if these factors are what are contributing to your specific symptoms. Please feel free to get in touch if you have more questions.
he doesnt say how to fix it
thank you, saved me some time
I have loss of cervical lordosis and symptom suddenly dizznes blury vision ringing ear is same to vestibular migraine how different between vestibular migraine and çervicogenic dizznes
Thanks for this video. What exacty is the test for an over-active brain stem? What do you ask a specialist for?
Hi Sid, no problem! The main features of a hypersensitive brainstem are reproduction of symptoms (in this case, dizziness, vertigo or head pain) when pressing on particular joints in the top three vertebrae of the cervical spine. There is a particular method to it, and we would recommend seeing a headache clinician who is up to date with the Watson Headache approach for best results 👍
@@brisbaneheadacheandmigrain3863 how is it then treated if it’s found to be this?
So how do we fix this issue?
I have recently been diagnosed with vestibular migranes. I have suffered with this from childhood. During an attack I feel like I am on a waltzer.....I cannot walk and have to crawl if I need the bathroom. I have severe sickness and have had in a few attacks severe jaw pain (almost lockjaw) and when I have this symptom I get an almost unbearable headache.
My consultant prescribed me metoprolol but I do not have high blood pressure and was wondering is there any natural medications I could try instead as I dont want to take pharmaceutical medication.
Hi Rachel, apologies for the slow reply. Hyper tension medications are commonly prescribed for migraine conditions, usually in a low dose. If you're still finding that it's not working, I would recommend that you speak to your consultant regarding your concerns. It should have taken affect by now. There are some natural remedies that can work for some people, but the evidence for them is fairly poor. Some people find things like peppermint oil on the temples may help, but it's different from person to person. The technique that we use in the clinic is medication free, and focuses on treating the neck and brainstem as the source of the problem. It may be worth you having your neck assessed by someone that is trained in treating the brainstem.
I have all of these symptoms and I have ringing in the ears.
Hi George, thank you for sharing your experience. I'm terribly sorry to hear that you have been experiencing all of these symptoms! That sounds quite difficult.
I've been experiencing this all day everyday since i was in primary school. Now im 25. Untill now i was diagnosed with this vestibular migraine. No one would understand me why i don't want to go the mall, supermarket, walking long distance. They thought i was playing. Kinda sad tbh.
@Fat Joe - You are right, people don't understand how this limits us and how scary it is to try to go out when you're easily triggered to suffer an episode of vertigo. It is literally the worst sensation.
Hi. Interested in some sort of direction for treatment. I had a vestibular schwannoma removed about a year ago. Surgery was a success with complete removal however have been still dealing with balance issues, retinal slip, neck stiffness and headaches. Don't know if it's the new normal?
Hi Nathan, Thanks for your comment. That's a good question- it would be best to discuss these symptoms with your surgeon or GP to determine if this is common after surgery. Following this, they'll hopefully be able to determine what is causing these symptoms and help you manage them.
Could my contraceptive pill be causing my VM? I recently changed my pill four months ago and this month and the last month I noticed whenever I got my period I would feel vertigo. I would never get such symptoms on my periods normally. If it was being caused by my pill, if I went off it would my body return back to normal or is it something I’m going to have to live with forever now?
Ask your doctor about switching pills again. Dizziness is definitely a side effect of the pill
Thanks very much for your question. It would be best to discuss this with your GP to determine what's causing the vertigo. It may be indeed be a side-effect of the pill or it could potentially be due to migraines. If you chat to a health professional, they'll hopefully be able to understand what is causing the vertigo.
I have headache imbalanced dizziness blurry vision and tinnitus but not over symptoms
I have been having this for 4 days 24 /7 and have nausea in the morning or when ever I my stomach get emty
Hi Mikel, I can imagine that is very concerning. I would recommend that you have your neck and brainstem assessed to check whether there is a fault there. This is most often a treatable condition!
I had a headache last Monday which I believe could be due to neck pain on my left side of the head .
I’m not sure but I took a nap as it helps ease headaches but after the nap I woke up with dizziness.
And I’m feeling dizzy/ lightheaded off and on from that day onwards although I don’t feel headache any more
Another thing is I bent to clean my car seat as there was something on it and I felt a dizzy/ lightheaded spell so I’m not sure what is causing it but Im having difficulty because of it
Do you know what could be a possible cause and any possible ways to get rid of this.
Thanks
Hi Zak, from the information you've given, there's a higher chance that you're suffering from vestibular migraines, originating from the neck. I'd recommend booking an appointment with a headache clinician so they can check for brainstem sensitisation, and BPPV as well, although it's not as likely.
I have been dealing with attacks of dizziness and vertigo for a while but sure what it was and have only recently been seeing a neurologist. This video has checked almost all my boxes of symptoms except I have one question can you have Vestibular Migraines while laying down and drifting off into sleep as that is when I have 99% of my attacks? Does anyone else have this happening to them?
Hi Brody, yes you absolutely can. The fact it comes on when you're not moving is another check in the boxes, regarding vestibular migraines, as opposed to balance issues or BPPV. How has treatment gone with your neurologist? If it seems to be ineffective, the next step would be to have an appointment with a headache clinician who is trained in assessing brainstem sensitivity.
@@brisbaneheadacheandmigrain3863 I have not been formally diagnosed by my neurologist although he wants me to take nortriptyline which I’m not really interested in taking. I really appreciate the reply because most doctors have been stumped when I tell them it only happens when sleeping. I think I’ll take your advice and see a headache clinician asap. Thank you
Hi … I am going through this from last year and on medication from India… but would love to hear what would be treatment if the issue lies in neck?
Hi @archanakadam, I'm sorry to hear you've been experiencing vestibular migraines! The best option is to first discuss these symptoms with a doctor. You may also benefit from seeing a Watson-trained headache clinician who may be able to determine whether your symptoms are coming from any neck-related issues. I hope this helps! Please feel free to get in touch if you have any further questions.
Those sound like ALL the same issues that regular migraines cause. How do you know the difference??
Thanks very much for your question! You're correct in that there are some overlapping symptoms between Vestibular Migraines and common migraines and even some other types of migraines. Health professionals such as GPs, Neurologists and Watson Headache clinicians are usually able to assess and determine which type of migraine you are suffering. But, many of these different types of migraines stem from a common root cause, which is a sensitized brainstem. Please visit this link below if you'd like further information about the relationship between Migraines and a sensitized brainstem: czcams.com/video/G3A1DGhyaEI/video.html
I have vestibular migraines, but I have the feeling that it is not triggered by food. On vacation I eat everything pizza and pasta and haven't had a single attack. Is that also possible?
There can be a lot of reasons why vestibular migraines can be triggered, including foods, but there are loads of others, such as bright lights, certain smells, loud sounds, stress and exercise, just to name a few! Thank goodness pizza and pasta isn't one of them, phew! I hope you enjoyed your vacation.
I get this everyday of my life plus meniers disease ear pain everyday all day can’t wash my hair I get dizzy forever nauses rapid eye movement dizzy and attacks
I'm sorry to hear about your symptoms Maddy, which treatment options have you tried for this so far?
Hello Dr .I have thight upper neck since 2013 I feel unsteady .I feel like I am on a boat . My dr said that I have bppv problem . Why do I feel unsteady all the time like I am on a boat ? I have shoulder pain too my Dr diagnosed cervical rediculopathy.
Hi Dolly, there's a chance that the symptoms are unrelated, but they could also be completely related. From what you've described, I suspect that BPPV is not your condition. You've described fairly classic symptoms of vestibular migraine. It doesn't always involve pain. I would recommend that you mention vestibular migraine to your doctor. They may be able to show you where you can find treatment locally.
@@brisbaneheadacheandmigrain3863 your reply is very helpful to me .can you tell me exercises for bppv is also use ful for vestibular migraine? Are they same?
@@sonaraisingstar320 Hi Dolly, they are going to be different, however you may feel slight relief from the BPPV exercises. For vestibular migraines, treatment can consist of manual therapy as well as exercises for correcting the position of the upper cervical spine, and generally this will include improving your posture.
I had an attack June 2020
Come from nowhere
Had massive vertigo and was so sick
Went to Er
Docs ruled out a stroke
Eventually after tests went to see a specialist for a diagnosis they said I got vestibular neauritis
First 6 months was hell
I’m way better today but still suffer balance issues headaches and also anxiety
I’ve not had vertigo since the attack
But the specialist told me that if my vestibular nerve system was chronically damaged then ill have this rest of my life and to manage it best I can through rehabilitation
Most concerns me is the nerve sensations or jolts as I call them that randomly hit any part of my body
My other concern is it’s worse when I close my eyes and turn my head side to side I get so motion sickness after that but apparently that’s an exercise I need to daily do so my brain can try compensate the wrong nerve signals it’s sending to my brain?
You did tinitus ?
So basically we are screwed
I am still trying to figure out weather I have vertigo or not. I randomly get the feeling of everything spinning, probably two times a year and it lasts for several days, feeling is not constant, it only happens when I move my head. It always starts when I sleep, then move in my bed and boom here it is and during day I feel nauseous. I do not suffer as much as people with confirmed vertigo so I am still confused what it is.
I get this too. Have you tried doing the epley maneuver?
@@moonmama95 I have never heard it before. I will try it next time I will have an attack
Hi Nino and Danielle, that's interesting to hear that it happens very infrequently, but intensely when it does. Do either of you have accompanying neck tightness/pain or headaches when it does occur?
Personally I do not have anything like this.
How to distinguish between labrynthitis and vestibular migrain
Great question Arun. Labrynthitis is an inflammatory disorder, and will normally go away on its own, with medications being a great, researched way to treat the cause. However with Vestibular Migraines, medication is a bandaid effect and will not treat the cause, due to their being an issue of brainstem sensitisation. Often times if you get accompanying headaches or migraines, and/or have a slumped posture, and/or have accompanying neck pain/tightness, and have had the vertigo/dizziness for a long time, VMs are a fairly strong differential diagnosis. I hope that helps!
@@brisbaneheadacheandmigrain3863 thanks for your explanation
When im eating 2minutes i got a vertigo....can you plss tell ne why?
Hi Jireh, thanks very much for your comment. I recommend chatting to your GP about this to determine what the cause of these symptoms are. It may be due to the position of your head and neck (i.e. looking down) when you're eating, but it could also be due to another underlying condition. So the best option is to discuss this with a health professional.
Who should I search in my area to see if its due to my neck and brain stem?
If you google "Find a practitioner Watson Headache", it will come up with the website of practitioners who are proficient and up to date with treating the brainstem. Hopefully there'll be one close to you!
@@brisbaneheadacheandmigrain3863 is an upper cervical chiropractor capable of diagnosing and treating this as well?
@@dinok7098 Hi Dino, I know a very select few who do, but it's not as common. Ask them if they have had training in the Watson Headache Approach to find out.
It was really helpful for me to understand about vesibular migrane...Could you please tell about non phamacological treatment..because i have been adviced to take proponolol.which i am afraid to start with. I am feeling dizzy when going out like groccery or even social gathering...Could you please guide me..
I can't cope anymore
Dont givee up ❤
Is safe to take covid-19 vaccine for those who suffers from vestibule migraine!?
That's a very interesting question, HELATube - there's such limited research done on the vaccine so far, however dizziness has been one of the reported side effects that the vaccine MAY cause after administration. My advice would be to make sure you're well hydrated when you're having the vaccine, and do not plan much physical exertion in the day following to try and mitigate the potential for side effects. Please let us know how you go!
@@brisbaneheadacheandmigrain3863 took my first dose of moderna covid vaccine 14days ago... dizziness as same as before like someone pulling or pushing from behind when I walk. Fever and body ache first two days. That's it so far
@@helatube7218 Good to hear it didn't exacerbate your symptoms, thankyou for letting us know! However, not good that you're still getting the symptoms, from my perspective having your middle ear or brainstem assessed would be the next step to getting on top of it.
@@brisbaneheadacheandmigrain3863 MRI done to check the functioning of inner ear. Let's see how it's gonna end up
Developed terrible headaches, stiff neck and dizziness and balance problems especially when walking in daylight. This all came after a horrible reaction to Pfizer covid19 jab, so I wouldn't advise anyone to get these experimental genetic drugs
I have loss of cervical lordosis and symptom suddenly dizznes blury vision ringing ear is same to vestibular migraine how different between vestibular migraine and çervicogenic dizznes