Dizziness and Vertigo (Neuro-Otology)
Neuro-otology focuses on disorders of the inner ear and balance system. The inner ear plays a crucial role in maintaining stability, spatial orientation, and coordination. Any disturbance can cause dizziness, imbalance, or spinning sensations known as vertigo.
Common Symptoms
Spinning or swaying sensation
Unsteadiness or imbalance
Lightheadedness
Nausea or vomiting
Blurred vision
Ringing in the ears (tinnitus)
Ear fullness or hearing fluctuations
Difficulty concentrating
Common Causes of Dizziness & Vertigo
1. BPPV (Benign Paroxysmal Positional Vertigo)
2. Ménière’s Disease
3. Vestibular Neuritis / Labyrinthitis
4. Vestibular Migraine
5. Age-related Balance Problems
6. Trauma or Ear Injury
7. Acoustic Neuroma
Diagnosis
A complete neuro-otologic evaluation may include:
Clinical examination
Videonystagmography (VNG)
Dix–Hallpike test
Audiometry (hearing test)
Vestibular function testing
Imaging (MRI/CT) when needed
Treatment Options
1. Repositioning Maneuvers (Epley/Semont)
2. Medication
3. Vestibular Rehabilitation Therapy (VRT)
4. Lifestyle Modifications
5. Surgical Options
