Brief Answer:
There is no cause for worry.
Detailed Answer:
Hi,
Thank you for your query.
1. Your description seems to fit the diagnosis of BPPV (Benign Paroxysmal Positional Vertigo). BPPV is very common.
2. This is a normal part of the compensation and imbalance process. Patients recovering from BPPV also experience dullness. Some refer to it as 'brain fog', which improves and disappears within a few days or a couple of weeks.
3. Sometimes, a few particles may remain or enter other semicircular canals causing persistent unsteadiness. You may insist on an ENG (Electronystagmography) if your unsteadiness persists.
4. Sometimes, a few particles may remain stuck to the cupula of the semicircular canal.
Ultrasound assisted Epley's may be used to dislodge these particles.
5. An Epley's maneuver can convert a posterior canal BPPV into an Anterior Canal BPPV which is more difficult to treat.
6. You may do Brandt-Daroff and Semont's exercises/maneuvers at home in addition.
7. I usually use a DizzyFix device, and then ENG aided Epley's if there is incomplete relief. You may have to sleep upright for two days after an Epley's (which is a difficult proposition). The Omniax System is like a computerized astronaut chair, which is used in resistant cases.
8. If you are not better in a couple of weeks, I would advise a re-evaluation, preferably with an ENG (ElectroNystagmoGraphy). BPPV is known as 'Benign' as it usually subsides in a few months even without treatment. With the Epley's maneuver, recovery should be quick. There is no way of predicting another attack. Many patients have no recurrence.
9. Meniere's disease is diagnosed on the following criteria:
a. Vertigo
b. Fluctuating
hearing loss
c.
Tinnitus
d. Fullness in the ear.
There is usually nausea and
vomiting, the hearing usually worsens during an attack and the tinnitus also worsens. This condition develops suddenly or slowly and erratically and varies from person to person. There is initially a hearing loss in the lower frequencies in Meniere's Disease (slope to left). Get a PTA (Pure Tone Audiogram) done.
10. In
Labyrinthitis, there is hearing loss in addition to vertigo. There is usually no hearing loss in BPPV.
11. Remember that multiple causes may co-exist and must be treated for complete relief.
Cervical spondylosis and central causes (such as
mild hypertension) can intervene, causing slow recovery.
I hope I have answered your query. If you have any further questions I will be available to answer them.
Regards.