A sudden sensation of spinning is one of the first signs of vertigo.Often times, it is caused by an inner ear problem including BPPV or benign paroxysmal positional vertigo, Meniere's disease and Vestibular neuritis or labyrinthitis. Also, it can be associated with head or neck injury, brain problems, certain medications, and migrain headaches. Symptoms that accompany vertigo include feelings of spinning, tilting, swaying, unbalanced, and being pulled to one direction. It may also include nausea, nystagmus, headache, sweating, tinittus, or hearing loss. According to research or other evidence, the following self-care steps may be helpful.