Hello,

Thanks for the query,

Before I respond to your query, let me tell you the vertigo can be due to various reasons. Common conditions like paroxysmal vertigo and migraine can sometimes present like this. If you do not have another symptoms except vertigo of short duration, paroxysmal positional vertigo is the most likely possibility. If the duration is longer the other possibility of migraine need to be considered.

As the MRI and other investigations are normal in your case, it has ruled out serious problem in the brain which can present in the same way.

Let me tell you that your problem is not serious and you will certainly improve. A physical examination by a neurologist will be required to differentiate between the the possibilities. As the likelihood of having a positional paroxysmal vertigo is high, you will improve with exercises called LABYRINTHINE EXERCISES. This will be taught by a neurologist and demonstrated to you in the office. With due respect to your physician i want to say that there is no role of these medications in the management vertigo in patients with paroxysmal positional vertigo. In fact these medications should be avoided.
My advise will be to consult a specialist in vertigo.

I hope that I have clarified your query; Please let me know if you have any concern in this issue

Best wishes

Dr Gopal K Dash
Consultant Neurologist XXXXXXX Hrudayalaya hospital, Bangalore

---

Hello,

Thanks for the feedback,

I understand your concern

I advise you to follow the instructions and medications prescribed by your neurosurgeon.

With due respect to the physician at the Apollo Hyderabad, I feel that there is no need to be on NOOTROPIL. In fact there is no scientific evidence for a definite role of this particular medication in your case.

I will like to know the exact nature of infection and your other investigation data (including lumbar puncture, MRI finding if any) to say about the duration for your recovery.

Please provide me the data.

I will get back to you soon.

Best wishes,

---

Hello,

Thanks for your feed-back

I understand your problem

The good news is that your brain parenchyma is normal and you stay relaxed.

Infection in the sinuses listed will generally not produce the symptoms of vertigo.

You can do Brandt-Darrof exercises (will be guided by your local ENT specialist/neurologist). This exercises improves the vertigo in patients with paroxysmal positional vertigo, which is the commonest cause of vertigo. If this fails to improve, I advise you to get evaluated by a neurophysician with specialization in vertigo. Vertin may not help and the cause of vertigo needs to be identified.

I hope that I have clarified your query,
Please get to me in case you have any concern
Best wishes

---