Vertigo? Did you know that vertigo, dizziness, BPPV, nausea, disembarkment syndrome and other abnormal 'tipsy' feelings are based in the same 3 areas of the brain? The 3 areas are the visual system, the cerebellum and the vestibular system. These 3 systems need to work together for a person to have balance and be able to resist gravity (walk) without feeling strange. In most cases, these disorders have to do with the cerebellum firing at different frequencies on one side compared to the other. This is not difficult to determine during an examination. If the cerebellum is the cause, usually the symptoms improve within 3 weeks and can oftentimes be cured within several months. This can be done by creating neuroplastic changes in the part of the brain that is weak. If the problem is in the vestibular system in the inner ear, the cause could be varied. For example, it could be due to an ear infection or injury to the head or ears. Some good news is that the other 2 systems, the cerebellum and visual systems, can adapt to many physical problems in the inner ear so people can have good function even if there is a vestibular problem.