Vertigo / Balance Disodrer

Balance disorder are very common in the elderly population it has a very crippling effect on the QOL.

Symptoms - Spinning sensation, which can be positional, persistent associated with nausea / vomiting

Causes - Can range from simple inner ear viral infection to tumor. Multifactorial in elderly. Neurological causes needs to be ruled out by proper evaluation.

Diagnosis - Detailed history and special investigation are needed to make the diagnosis starting from thorough ear examination like PTA (Pure tone audiometry), positional test, ENG


Treatment - Depending on the cause.

  • Medical – Labyrinthine sedatives
  • Vestibular rehabililatative exercises
  • Special partical repositioning maneuvers - Epley’s maneuver