Dizziness Depot

Featured image for “Modified Epley Maneuver Update”
Jan. 31, 2023

Modified Epley Maneuver Update

Brady Workman
The most common vestibular disorder is the condition of Benign Paroxysmal Positional Vertigo (BPPV), which accounts for up to 40% of all patients experiencing vertigo. This condition is the result of otoconia (inner ear crystals) migrating into one of the semicircular canals (head turn sensors) of the inner ear. The majority of cases can be readily treated with canalith repositioning
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Dec. 27, 2022

Smartphone Use in Vestibular Diagnosis

Alan Desmond
Multiple sources agree that the most common causes of the complaints of dizziness and vertigo include benign paroxysmal positional vertigo, vestibular migraine, orthostatic hypotension, vestibular neuritis, and Ménière’s disease.  There are subtle differences in the symptom presentation, duration, provoking or exacerbating factors that guide the examiner to the diagnosis. Vestibular neuritis almost always presents as an isolated episode of vertigo
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Nov. 14, 2022

A Simple, Quick, and Effective Tool to Help Diagnosis Dizziness and Vertigo

Alan Desmond
As we and many others have discussed in previous blogs and articles, the word “dizzy” is a broad and ineffective descriptor of symptoms that might bring someone to a vestibular clinic. I did an eight part series on this topic about ten years ago. It is important to get additional information to venture any guess as to the possible cause of the
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Oct. 17, 2022

Scared Dizzy?

Brady Workman
As Halloween draws near we thought we would look into the question of “can you be scared dizzy?”. I will preface this post by stating that feeling fearful or being scared would not directly trigger dizziness symptoms associated with most inner ear conditions and in turn, the majority of the conditions discussed are outside of my area of specialty. The
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Sep. 26, 2022

Common Risk Factors for Falling

Brady Workman
September is falls prevention awareness month and as such we are going to discuss some of the more common risk factors for falling. Falls are an enormous problem that can impact one’s health, quality of life and financial stability. Falls are the second leading cause for unintentional injury death worldwide and cost over $50 billion in medical expenses in the
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Aug. 02, 2022

Questions from a Fellow Vestibular Neuritis Survivor

Alan Desmond
I received an email a couple of weeks ago from Deanne asking questions about Vestibular Neuritis (VN) and associated chronic symptoms. With her permission, because her questions are both relevant and typical of many patients with VN, I am responding through this blog in a Q and A format. Deanne’s questions in Italics. My responses in bold. Links to relevant
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Jul. 19, 2022

An Effective Approach to Acute Vertigo

Alan Desmond
My most recent blog discussed the state (or lack thereof) of the development of a Clinical Practice Guideline (CPG) for acute vertigo. I ended the blog with the following thought: “Is it possible that a Clinical Practice Guideline for acute vertigo could result in more accurate diagnosis and more effective treatment, while at the same time dramatically reducing cost? There
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Jun. 23, 2022

Clinical Practice Guideline for Acute Vertigo? It’s Past Time

Alan Desmond
When patients arrive in the Emergency Department with the complaint of dizziness or vertigo, there is a 40 to 50% chance that a cranial CT will be ordered. When that same patient is evaluated through telehealth by a specialist with advanced knowledge and skill in evaluating dizziness and vertigo, there is only a 2% chance that a cranial CT will
Featured image for “Migraine Causes Dizziness, and Impacts Vestibular Disorders”
May. 17, 2022

Migraine Causes Dizziness, and Impacts Vestibular Disorders

Alan Desmond
By Alan L. Desmond, AuD. Vestibular Migraine (VM) is one of the most common causes of dizziness and vertigo. Just like migraine headache, there is no specific diagnostic test, so the diagnosis is based on an agreed upon set of clinical signs and symptoms. In the case of VM, two professional societies, the International Headache Society and the Barany Society
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Apr. 25, 2022

Vestibular Screenings Prior to Cochlear Implantation: Cost vs. Benefit

Brady Workman
This month’s post is by Amanda Davis. Amanda is a 3rd year audiology doctoral student at UNC Chapel Hill completing her vestibular clinical rotation with us. She has a particular interest in cochlear implants and a recent patient that we saw inspired her to write this.  There are several hypothesized reasons for postoperative vestibular dysfunction, including but not limited to: