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Vertigo, right inner ear vestibular functional disoreder, anxiety. Guide - Online Doctor Chats

Date : 11-Jun-2013
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
Doctor:Dr XXXXXXX here
Doctor:How can I help you?
User:Hi, My Brother XXXXXXX XXXXXXX suffering from Vertigo, Right inner ear vestibular functional disorder, balance problem anxiety and tension. He was treated by Dr XXXXXX but typically still problem exists. He has undergone several tests including otoneorologist and consultant_psychiatrist. Please advise permanent medication and cure.
Doctor:May I know what was the otoneurologist opinion about the cause of vertigo?
User:Sir, He is telling basis Vestibular Functional Test.
Doctor:Was the cause of vertigo diagnosed.
User:Sir, both the right ear caloric responses are hyporeactive while both left ear caloric responses are normal. It indicates a right peripheral vestibular lesion. It may at times be accompanied by a left beating spontaneous nystagmus. If this is strong , its additive effect
Doctor: XXXXXXX vertigo and vestibular dysfunction are caused by various condition. The treatment depends on the condition.
Doctor:A few conditions are managed with medications. Some require surgery and most require physiotherapy (vestibular exercises).
Doctor:Now which of the above treatment is necessary can only be determined by knowing the condition.
Doctor:As a general physician I do not have enough experience to interpret vestibular functional test.
Doctor:If the cause of his symptoms has not been mentioned to you, I would suggest you to post the details on Ask a doctor/Ask a specialist provided to you.
Doctor:An ENT surgeon can be able to read and assess the report well and will be able to explain it better.
Doctor:Hope that is Ok with you?
User:The abnormality found on ENG Test is 100% canal paresis(normally range from 0 to 20% on the right side on estimation of nystagmus intensity by slow phase. The non chaloric ENG tests are all normal. This suggest a VERY SEVERE RIGHT PERIPHERAL VESTIBULAR LESSION.
Doctor:You will be able to get a more precise and clear response from an ENT surgeon.
Doctor:Therefore please leave your query on Ask a doctor/specialist.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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