Vestubular Paroxysmia

May 06, 2019 - by Preview - in About Dizziness, Ear Problems, Medical

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Vestibular Paroxysmia

This 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.

In addition to the above patients may alsopresent with the following symptoms: –

Short-lived spinning sensations which occur 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 sometimes also describe their vision bobbing up and down during an attack.

Vestibular Paroxysmia attacks can be triggered by the 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 Dizzy Doctor offer Ear Nose and Throat clinics in Central and West London. Clinics are run by Dr Paul Montgomery, specialist in Vertigo, Dizziness and Balance problems. We can help you with consultation and treatment of ENT conditions such as: Meniere’s Disease, Vestibular Migraine, Hearing Difficulties, Benign Paroxysmal Positional Vertigo and Difficulty Swallowing. 

For further information or to book an ENT appointment in London please get in touch. 

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