Dizziness Depot

Featured image for “Polypharmacy and Dizziness: More Medications, More Problems?”
Apr. 21, 2023

Polypharmacy and Dizziness: More Medications, More Problems?

Alan Desmond
Polypharmacy refers to the act of taking multiple medications concurrently. While there is no universally accepted threshold, polypharmacy is generally defined as taking 4 or more prescription drugs daily. Taking several medications is not inherently problematic, but it introduces uncertainties. An old principle of prescribing holds that the likelihood of adverse reactions and inability to predict interactions rises as the
Featured image for “Unwinding Episodic Dizziness: A Checklist for Front Line Practitioners”
Apr. 13, 2023

Unwinding Episodic Dizziness: A Checklist for Front Line Practitioners

Alan Desmond
Diagnosing episodic dizziness can be challenging as most patients are asymptomatic when they arrive for examination. Episodes of dizziness can be broken down into two broad categories based on two variables: Triggered vs. Spontaneous episodes Episodes of less than five minutes duration or more than five minutes duration. Fortunately, these categories align in that most short duration dizziness is triggered,
Featured image for “Vitamin D Deficiency: Can it Cause Vertigo and Hearing Loss?”
Mar. 22, 2023

Vitamin D Deficiency: Can it Cause Vertigo and Hearing Loss?

Brady Workman
Vitamin D is an essential nutrient, necessary for building and maintaining healthy bone structure by promoting calcium absorption in the body. Despite its importance, vitamin D is not found naturally in many foods. Also, with populations spending less time outdoors, vitamin D obtained naturally from sunlight is likely declining. As such, vitamin D deficiency is widespread with an estimated 1
Featured image for “VNG: An Incomplete Picture”
Feb. 22, 2023

VNG: An Incomplete Picture

Brady Workman
Vestibular disorders are the most common reason for symptoms of dizziness regardless of the clinical setting. A five study average reveals that vestibular disorders account for around 45% of all dizziness and are much more common than cardiovascular or potentially life threatening neurologic causes for dizziness. Despite the magnitude of individuals suffering from vestibular type dizziness, these disorders are historically
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