Brief Answer:
Ear examination, PTA, I/A.

Detailed Answer:
Hi,

Thank you for your query.

1. Echoing and dizziness is most commonly due to pressure changes in the ears due to dysfunction of the Eustachian tube that connects the ears to the nose.

2. Get your eardrums examined by an ENT Specialist. Earwax build-up is another common cause that should be ruled out.

3. An Impedance Audiogram (I/A or Tympanogram) and a Pure Tone Audiogram (PTA) are the tests that should be done if the ear canals are clear.

4. Other causes include fluid build-up behind the ear drum, patulous eustachian tube, BPPV (Benign Paroxysmal Positional Vertigo), Meniere's Disease and ear infections.

5. Upload your test results and examination notes for discussing further treatment options.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.

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Brief Answer:
Details as discussed below:

Detailed Answer:
Hi,

Thank you for writing back.

1. An acoustic neuroma (vestibular schwannoma) is a rare, benign, slow growing tumor which will usually cause progressive a one sided hearing loss, tinnitus and dizziness.

2. If there is a unilateral hearing loss on the PTA, an MRI Scan will not miss an acoustic neuroma. A contrast enhanced scan may be required to rule out smaller lesions.

3. Yes, there is a possibility, but it is remote if the earlier mentioned tests are normal.

4. Other symptoms of larger tumors include facial weakness, headaches, vomiting, swallowing or speech difficulties, problems in walking and mental disorientation.

5. Acoustic neuromas are tumors that would have been of no consequence elsewhere but cause symptoms in the narrow confines of the space between the ear and the brain.

6. Upload your test results to discuss further investigations and treatment options.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.

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