February 24, 2020
Advice and Medication for Acute Vertigo and Nausea for all conditions other than BPPV
Vestibular Paroxysmia is a rare condition in which one of the arteries in the brain presses on the nerve to the inner ear – either on the right side or the left side.
The patient can experience the following symptoms: –
Short-lived spinning sensations, many times a day, lasting from under a second to less than five minutes and/or attacks of unsteadiness lasting a similar time.
Occasionally buzzing sounds and temporary hearing loss in one ear can occur either with the attacks or between the attacks.
Patients can also describe their vision bobbing up and do during an attack.
An attack can be triggered by their head being in a specific position.
There is usually nothing to find on clinical examination although occasionally the patient may have rapid eye movements (nystagmus) when asked to over breathe.
The suspected condition is confirmed by an arterial MRI scan demonstrating a loop of artery pressing on the nerve of hearing and obstructing CSF signal and/or seeing if there is any response to carbamazepine (CBZ) 200-600 mg per day.
Harley Street Ear Nose and Throat Doctor offer specialist ENT clinics in London. For more information about this condition or if you believe you may be experiencing symptoms, please contact us to arrange an appointment.