Brief Answer:
A detailed description of the dizziness and more tests are required.

Detailed Answer:
Hi,

Thank you for your query.

1. Check with her if the dizziness is true vertigo (spinning) or just unsteadiness. Unsteadiness is seen with cervical spondylosis and gastritis.

2. If it is true spinning vertigo , check if it is positional. If it occurs when the head is moved against gravity, such as while lying down from a sitting/upright position or sitting/standing up from a lying down position, it is likely to be ear related (such as BPPV-Benign Paroxysmal Positional Vertigo). BPPV is very common at her age. It can be cured without any medication.

3. Peripheral (ear related) vertigo tends to last for a short duration while central (brain related) vertigo can last all day. Hence the duration of the episodes of dizziness is important.

4. In BPPV, the hearing is usually normal. Her hearing problem may be age related. Get a PTA (Pure Tone Audiogram) done and upload the image here.

5. With hearing loss, Meniere's Disease must be ruled out. This involves, vertigo, tinnitus (abnormal sounds), fluctuating hearing loss and fullness in the ear. Hearing loss is common.

6. Since her MRI is normal, most serious causes are ruled out. The most important thing is to avoid a fall due to the vertigo. Hence get her a walking support and let a caretaker help support her walk till this is sorted out.

7. Her cervical spondylosis needs treatment from an Orthopedic specialist.

8. I would suggest an examination by an ENT specialist or a Neurologist with an interest in Vertigo because many sign such as nystagmus (abnormal eye movements), neurological test and other balance tests are only possible on direct observation.

9. Vertigo is a complex subject and it will take a vertigo specialist at least half an hour to 45 minutes to evaluate her dizziness.

If you have any more questions I will be available to answer them.

Regards.

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