Dizziness Depot

Featured image for “Ramsay Hunt Syndrome – Symptoms, Evaluation, Diagnosis and Treatment”
Feb. 02, 2023

Ramsay Hunt Syndrome – Symptoms, Evaluation, Diagnosis and Treatment

Alan Desmond
Ramsay Hunt Syndrome (RHS) is a condition caused by the varicella-zoster virus (chicken pox), part of the herpesvirus family, which can remain dormant in cranial nerves or dorsal root ganglia after the initial infection, commonly known as chickenpox. Later in life, when the virus reactivates due to physiological stress or immunocompromise, it can result in herpes zoster or “shingles” anywhere
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
Featured image for “Positional Vertigo: Hula Hoops and Other BPPV Analogies”
Jan. 29, 2023

Positional Vertigo: Hula Hoops and Other BPPV Analogies

Alan Desmond
Last week, I told a story about my difficulty in getting a patient to understand the role of meclizine in the treatment of Benign Paroxysmal Positional Vertigo (BPPV). It got me thinking about some of the analogies we use to describe certain concepts about BPPV that may be more relatable to a patient than trying to help them understand things
Featured image for “Still Dizzy After the Epley Maneuver?”
Jan. 29, 2023

Still Dizzy After the Epley Maneuver?

Alan Desmond
A few years ago, I did a post here discussing patients that continued to complain of imbalance and “fleeting disorientation” after successful treatment using the Epley maneuver or some other form of canalith repositioning. So let’s revisit that and explore some related newer reports, as well as talk about people that do not improve after repositioning for BPPV type of
Featured image for “Dizziness from Drinking: Cerebellar Dysfunction and Chronic Alcohol Abuse”
Jan. 27, 2023

Dizziness from Drinking: Cerebellar Dysfunction and Chronic Alcohol Abuse

Alan Desmond
I recently saw a patient referred for the generic complaint of “Dizziness.” When he got up from the chair in the waiting room, he had an obvious gait disorder and used both a cane and a family member’s arm to make it back to the examining room. He did not complain of vertigo or lightheadedness, but reported that he had
Featured image for “What is Vertigo? Understanding the Different Types of Vertigo, Diagnosis and Treatment”
Jan. 26, 2023

What is Vertigo? Understanding the Different Types of Vertigo, Diagnosis and Treatment

Brady Workman
Just imagine, you wake up one morning and the entire room is spinning around you. You have no idea why this is happening or how to make it stop. You notice that if you remain still the spinning will stop, but whenever you move again, the spinning sensation starts again. Because the world appears to be spinning around, you become
Featured image for “Motion Intolerance from Vestibular Disorders”
Jan. 06, 2023

Motion Intolerance from Vestibular Disorders

Alan Desmond
After a unilateral peripheral injury, such as would occur with vestibular neuritis, there is a predictable set of clinical signs and symptoms that occur. In addition to an initial period of acute vertigo, there is often a period of motion intolerance that follows. The acute vertigo usually lasts for several hours, but gradually decreases over a period of three to
Featured image for “Smartphone Use in Vestibular Diagnosis”
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
Featured image for “A Simple, Quick, and Effective Tool to Help Diagnosis Dizziness and Vertigo”
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
Featured image for “Canal vs. Otolith Vestibular Dysfunction, is there a difference?”
Nov. 07, 2022

Canal vs. Otolith Vestibular Dysfunction, is there a difference?

Alan Desmond
Recently, I was reading an article discussing the differences in symptoms among adults with canal versus otolith vestibular dysfunction, which raises some important questions for the future of vestibular assessment. As most clinicians know, a detailed case history is essential in establishing a diagnosis of peripheral vestibular dysfunction, with the qualitative nature of the symptoms being important in reaching a