Peripheral and Neurologic Vertigo (Ear)- DRHC Dubai ENT Clinic

Vertigo can be either peripheral or related to neurological issues. We will try to explain the differences and how to manage vertigo.

Peripheral vertigo:

• Severe vertigo is mostly accompanied by nausea, vomiting, and sweating.
• Sometimes with hearing loss and tinnitus.
• Increases when eyes are closed.
• No other symptoms occur between attacks.

Neurological vertigo:

• Mild, continuous, not fatigable dizziness with weakness.
• Numbness on fall attacks.
• Feels better when eyes are closed.

The most frequent cause of peripheral vertigo is benign paroxysmal positional vertigo (BPPV).

Treatment:

• Repositioning of the canalith using clinical manoeuvres: Epley and Semont manoeuvres.
• Use of vibration in the repositioning procedure.
• Premedication for nausea and vomiting is recommended.
• Postural restriction following canalith repositioning.
  • The head should be positioned at 30 degrees for two nights.
  • Don’t place the head in a dependent position or sleep on the affected ear for one week.
• The success rate is 90%. Repetition of the manoeuvre is needed.
• The recurrence rate is 30% to 50%. Repetition of the manoeuvre is needed.
• 90% posterior, 10% to 13% horizontal, 2% anterior.

Contraindications for canalith repositioning manoeuvres:

1. Acute fractures that prevent lying down quickly or rolling over.
2. A recent neck fracture, surgery, or instability.
3. History of vertebral discectomy.
4. Unstable carotid disease.
5. Recent retinal detachment.

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Dubai ENT clinic - If you are in search of an ENT specialist in Dubai, then DRHC provides experienced and leading ENT doctors in Dubai for healthy treatment. To book your appointment, please call +97142798200 today!