Comprehensive evaluation and management of all types of dizziness, vertigo, and imbalance.
VENG, balance training, canalyth repositioning (Epley maneuver), and vestibular habituating exercise are all available on the premises.
Dizziness is a sensation of lightheadedness, feeling unsteady, whereas vertigo is described as patient is being rotated or the environment is being rotated around the patient. Frequently, patients feel both dizziness and vertigo. These symptoms may be caused by many different factors and could be associated with nausea, vomiting, headache, ringing sound in the head or ears, partial or complete hearing loss, discoordination and imbalance and occasionally loss of consciousness.
The anatomical center of balance, called the vestibular apparatus, sits inside the inner ear on both sides. The system is filled with fluid and contains 3 canals, positioned at different angles. When the body or the head is moved, the movement of the fluid inside these canals is translated into information sent to the brain as to the direction and velocity of the movement. This information is processed through the "vestibular centers" in the brain and this is how the individual knows where his head and body is situated, even with eyes closed.
Dizziness and vertigo could be caused by abnormalities in the inner ear, nerves that connect the inner ear to the brain and brain itself.
Multiple conditions can cause dizziness or vertigo: inner ear abnormalities such as inflammation of the labyrinth (labyrinthitis), acoustic neuroma, vestibular neuritis (inflammation of vestlbular nerve), benign paroxysmal positional vertigo which has to do with the dislodging of microparticles from their normal position, Menier's disease, and others.
Migraine may be associated with dizziness and vertigo, and may present with or (paradoxically) without headaches. Anxiety and panic attacks may frequently produce dizziness and lightheadedness. Cerebellar lesions: such as stroke, multiple sclerosis and brain tumors are less frequent causes of dizziness.
Medical conditions such as low or high blood pressure, hypoglycemia, cardiovascular problems such as cardiac arrhythmia, and many drugs that are used to treat medical conditions.
Well-known agents such as alcohol, marijuana and opioids are also frequent causes.
Diagnostic tools that are used for precise diagnosis include a detailed medical history and physical examination, hearing and vestibular testing, a general medical work up, such as blood tests and EKG, ENT evaluation of the inner ear, MRI, EEG, sometimes a sonogram of the carotid arteries and transcranial doppler.
Many treatments are available for dizziness and vertigo. Of course, each treatment is directed to the particular cause or disease. If dizziness is caused by anxiety, then psychological counseling and anti-anxiety medications are used. If ear infection is involved, antibiotics will help. If migraine causes dizziness, anti-migraine agents will be effective. If benign paroxysmal positional vertigo is diagnosed, a Canalith repositioning procedure or vestibular habituating exercise give good relief and frequently abort symptoms altogether. Vestibular neuritis and labyrinthitis are usually self-limited within a few days or weeks, Acoustic neuroma and other tumors should be treated appropriately by a neurologist and neurosurgeon. Control of medical conditions such as hypoglycemia or blood pressure elevation effectively relieves dizziness in most of such patients.
The most frequent cause of dizziness is benign positional vertigo which is a benign disorder of the inner ear, and is easily and effectively treated with a Canalith repositioning procedure and some other modalities.
Dizziness and vertigo, in rare cases, may be a symptom of a serious neurologic condition which needs a thorough medical and neurological work up.
All Neurological Services, P.C.