Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
157 Doctors are Online

Neck and shoulder pain with horrible vertigo.Took amoxicillian and bonine. Report said muscousal thickening in sphenoid sinus

User rating for this question
Very Good
Answered by

ENT Specialist
Practicing since : 1984
Answered : 1971 Questions
Hi there..i am a 41 year old female..for about 3 months i have had neck and shoulder pain..not sevre just bothersome...then three weeks ago on vacation i sat up in bed and had horrible vertigo...i laid back down only to have it return when i turned on my side..needless to say i went to ER..they did perform cat scan with no contrast..i didnt get the report at that doctor said i have chronic sinusitus and gave me a ten day supply of amoxicillian and told me to take bonine tabs when needed..i didnt have another spell the rest of vacation just felt off...when i returned i went to my md and he ran complete blood work and showed me exercises to help vertigo..said my ears were clear little fluid behind left and he was going to have cat scan report faxed to him..i got my bloodwork back next day all levels normal and i got copy of cat scan was normal except for muscousal thickening in sphenoid sinus and 9mm polyp in maxillary sinus..this morning i woke up and had vertigo again..and am very this vertigo caused by my sinus problem?? Are there any home remedies..i have been doing nasal flushes with neti pot but from what i read this does not help sphenoid sinus..
Posted Tue, 26 Mar 2013 in Bones, Muscles and Joints
Answered by Dr. A.K. Srivastava 1 hour later

Thanks for writing to H.C.M. for your query.

I have gone through your clinical history after considering all aspect of your problems, it appears that you have vertigo possibly due to vestibular origin. Since you have pain on back of neck, we should consider cervical spondylosis also in your disease process.

As you said that your C.T.scan indicates polyp in maxillary sinus and mucosal thickening in sphenoid sinus, all these findings are indicating sinusitis. But this little sinusitis usually does not produce vertigo. Truly speaking, sinusitis is when quite severe than it causes post nasal drip and thus sore throat develop. Infection from throat reaches to ear via Eustachian tube and thus vertigo may appear therefore in your case vertigo is possibly BPPV.

This BPPV is a self limiting and is due to vestibular insufficiency. Here spontaneous recovery takes place and this usually takes 2 to 3 weeks time. The same time you may take anti vertigo drugs like cinnarizine or betahistine along with some vestibular rehabilitation exercise after the consultation with your ENT doctor.

Though you have already being investigated by C.T.scan and complete blood testing but now there appears the need of vestibular function test in your case these tests are being done by ENT doctor, and this test will confirm the above possible diagnosis.

I hope in this way you will be vertigo free.

With Regards.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask an Orthopaedic Surgeon

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor