Brief Answer: Descriptive Detailed Answer: Hi, Thanks for the query. Injury to the ear with an ear bud needs to be really severe to result in vertigo. It usually is not possible to cause such an injury while cleaning ear until and unless some inadvertent push from the outside happens. Still considering that you have caused such a severe injury while cleaning, there must have been a perforation of tympanic membrane and then injury to stapes and oval window area and may be round window area (structures of middle ear). These changes will be visible with otoscopic examination by an ENT at least the ear drum injury. if this is so, an examination under microscope and subsequent repair can be performed. If the ear examination is normal, then the ear bud leading to vertigo is an unlikely scenario. Also you have not stated any other symptom related to ear or any symptoms of any upper respiratory tract infection. So, your vertigo and other symptoms being related to ear is unlikely. Your MRI and MRA are also normal. So, any structural abnormality in the middle or inner ear is less likely though an High resolution CT scan of temporal bones will put more light on middle ear structures. Please take betahistine for few days along with adaptation exercises. Please discus these with your ENT as I am saying this empirically and your tests or findings do not point to the use of any specific drug. CT scan Para nasal sinuses reveals specific information about the anatomy of the sinuses and their drainage areas while MRI will put more light on the soft tissue shadows if any in the sinuses and involvement of orbital structures if any and intracranial involvement if any. Feel free to ask another query. Regards

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Brief Answer: Viral labrynthitis can be a possibility Detailed Answer: Thanks for the query. A possible explanation can be a subclinical infection in the inner ear can be a reason for vertigo and most of the times it is viral and is self limiting. I am saying this as there is no finding on imaging and usually there is no finding in viral labrynthitis. Otherwise during the period when you were having vertigo, a battery of tests to diagnose the cause of vertigo might have helped in reaching to a more conclusive diagnosis. Now that your vertigo has decreased markedly, these tests will not give any positive finding. Feel free to ask another query.

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Brief Answer: Six weeks Detailed Answer: Thanks for the query. Viral labyrinthitis usually resolves in six weeks but let me again reiterate that your symptoms do not entirely fit in to the spectrum of viral labyrinthitis but with not other finding on investigations, this can be a possibility. Rehabilitation exercises form a major part of treatment and patient willpower to overcome and compensate the symptoms is very important. So, relax as your symptoms are on the downwards course and it is a matter of time that the things will improve. Feel free to ask another query. Regards

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Brief Answer: Descriptive Detailed Answer: Thanks for the query. The other probable differentials keeping in mind your normal investigations reports can be benign paroxysmal positional vertigo (BPPV), anxiety disorders, migraine, cervical spine related causes and idiopathic. As Epley's manoeuver did offer you some relief, BPPV can be a possibility. Migraine without headache is a known entity. And many a times, even with a battery of tests, it is not possible to find the cause of vertigo. Feel free to ask another query. Regards

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Brief Answer: Such symptoms can be there duing settling vetigo Detailed Answer: Thanks for the query. The sensation you are describing can remain for sometime post settlement of vertigo as most of the time the settlement is with body compensation. So, this is not unusual and things will improve with time. Stroke usually has some finding on MRI of brain and your MRI is normal. If there is bulging disc at C 5 6 7, there is some element of stress at cervical spine level. But the bulging needs to be significant to cause symptoms. Your neuro will be a better person to answer your queries regarding cervical disc bulging. Feel free to ask another query. Regards

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