BPPV (Benign Paroxysmal Positional Vertigo
) may recur, however the frequency is unpredictable. Undergo an ENG (Electronystagmography). Usually, BPPV will occur in certain positions, like lying down, getting up from and rolling over in bed, with a latency and last for short durations and be fatigable (reduces in repeated movements). Once the offending labrynthine canal is identified by a Dix-Hallpike maneuver (preferably with an ENG), you may learn to use the Brandt-Daroff and Semont's exercises at home. If you need further help, the Epley's Maneuver may be used under medical supervision and ENG control. There are other maneuvers like the Vannucchi-Asprella , Lempert's and Gufoni techniques available. Other options are the Omniax and Dizzyfix.
If your only hearing ear is identified as the affected ear, surgery is ruled out. If your 'non-servicable' ear is involved, surgery is an option if conservative treatment fails to provide relief. You may also take a trial with a BAHA (Bone Anchored Hearing Aid
) to improve your hearing. If you have an HRCT
Temporal Bones, kindly share the images and your audiogram through a free file sharing site such as www.filesanywhere.com