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