Dizziness Depot

Featured image for “Modifications of the Dix-Hallpike Test for BPPV”
Dec. 11, 2024

Modifications of the Dix-Hallpike Test for BPPV

Alan Desmond
Editor’s Note: This blog was written by Carrie Nuss, BS. Carrie is a fourth -year AuD student at the University of Louisville, doing a vestibular (among other things) residency at Atrium Wake Forest Medical Center. –Alan Desmond, AuD by Carrie Nuss BPPV is common, bothersome, potentially disabling, but generally quickly resolved once a specific diagnosis has been established.  The gold
Featured image for “Diagnostic Assessment of Vestibular Schwannoma/Acoustic Neuroma”
Nov. 04, 2024

Diagnostic Assessment of Vestibular Schwannoma/Acoustic Neuroma

Brady Workman
Vestibular schwannoma, also known as acoustic neuroma, refers to a benign tumor that arises from the Schwann cells or nerve sheath on the vestibulocochlear nerve. For consistency and brevity, I will refer to these tumors as VS for the remainder of this blog. Other masses can occur within the internal auditory canal, however, VS are the most prevalent and for
Featured image for “Rediscovering Hope in Meniere’s Management: An Audiologist’s Personal Journey”
Oct. 28, 2024

Rediscovering Hope in Meniere’s Management: An Audiologist’s Personal Journey

HHTM
Since the writing of my previous article about Meniere’s Disease in 2014, I had not experienced a Meniere’s episode for eight and a half years. Not even one symptom of hearing loss, tinnitus, recruitment, dizziness, or nausea had been present. I firmly believe that Meniere’s episodes occur based on food and beverage consumption. In May of 2022, I violated my
Featured image for “Initial Case History Interview with Vestibular Patients”
Oct. 15, 2024

Initial Case History Interview with Vestibular Patients

Alan Desmond
Most vestibular disorders cannot be diagnosed by testing alone. With the exception of BPPV, patient’s test findings must be placed in context with the medical history and symptoms. Some common disorders, such as vestibular migraine, suffer from no diagnostic tests, and diagnosis is primarily based on patient report of symptoms.  Financial pressures which affect both generalists and specialists alike, have
Featured image for “Mal de Debarquement Syndrome update”
Sep. 03, 2024

Mal de Debarquement Syndrome update

Brady Workman
Mal de Debarquement Syndrome (MdDS) is a French term that is utilized to describe a chronic vestibular disorder where individuals feel as if they are almost constantly rocking or swaying.  Additional symptoms can include fatigue, spatial disorientation, visual motion intolerance, headache, and anxiety. The name, when translated to English, means “sickness on dis-embarkment”. The condition is often triggered by traveling
Featured image for “vHIT Tracks Compensation Following Acute Vestibular Neuritis”
Jun. 19, 2024

vHIT Tracks Compensation Following Acute Vestibular Neuritis

Alan Desmond
In the Fall of 2017, I experienced an episode of acute right vestibular neuritis (VN). I joke that I likely have the most well documented case of VN on record. I am often the first live patient most of our students test as I am a willing example of “abnormal.” Seven years later, my permanent vestibular dysfunction has faded to
Featured image for “Post-Earthquake Related Dizziness”
May. 31, 2024

Post-Earthquake Related Dizziness

Brady Workman
I recently read an article from the New York Times about individuals experiencing persistent dizziness symptoms after an earthquake. This is not something I have encountered at a clinical level, but I found it interesting. It seems unlikely that an earthquake would directly cause an organic issue with vestibular system without any physical trauma involved. It would, however, seem plausible
Featured image for “Video Based Education in the Vestibular Clinic”
May. 01, 2024

Video Based Education in the Vestibular Clinic

Alan Desmond
I am a “late career” audiologist that specializes in vestibular disorders. It is never boring, as each patient brings with them some mystery, some challenge. There is little that is more rewarding than solving that mystery in a patient that has given up hope after months or years of symptoms with prior incorrect diagnosis and ineffective treatments. On the other
Featured image for “Hearing Loss and Increased Risk of Falling”
Feb. 28, 2024

Hearing Loss and Increased Risk of Falling

Brady Workman
Falls are the leading cause of injury related death in adults 65 or older. In the United States, around $50 billion is spent annually on medical care related to falls in older adults. Data from the World Health Organization estimates that more than 680,000 people die and 172 million suffer from falls related disabilities annually worldwide. Hearing loss is also
Featured image for “Migraine Causes Symptom Overlap with Ear Conditions: A Clinical Conundrum”
Jan. 30, 2024

Migraine Causes Symptom Overlap with Ear Conditions: A Clinical Conundrum

Brady Workman
Vestibular disorders are amongst the most common causes for dizziness accounting for around 40% of all dizziness. In recent years it has become apparent that vestibular migraine is one of the most common vestibular disorders and may even be the most common cause of recurrent episodic spontaneous vertigo. There is not a diagnostic test for vestibular migraine and the diagnosis