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What Causes Vertigo?

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Posted on Sat, 26 Apr 2014
Question: I have been diagnosed with moderate to severe mucoperiosteal thickening left maxillary sinus. have rather severe vertigo. Cannot walk well. I had sinus surgery on the same sinus back in 1988. The vertigo came on suddenly, combined with vomiting. I was wondering what (aside from seeing an ENT) sort of treatment I could do at home to help relieve this. I have 500mg. Cipro for bladder infections and I began taking that last night. This has been going on since last Tuesday evening when I was rushed to the ER. I really have had no relief from the Epley exercises that were suggested. They also prescribed Meclizine, which seems to have had no affect either. Suggestions? When I went in to the ER this is what they discover on the CT scan
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Answered by Dr. Sumit Bhatti (49 minutes later)
Brief Answer: As below: Detailed Answer: Hi, Thank you for your query. 1. The first thing to do is to differentiate the type of vertigo. 2. Epley's Maneuver is designed to treat BPPV (Benign Paroxysmal Positional Vertigo). Hence,m if your vertigo is not positional (occurs with change of position with respect to gravity), then it is unlikely to be of use, as in your case. 3. Other common causes of sudden onset vertigo with vomiting, nausea include Meniere's Disease, Gastritis and so on. 4. It is important to note that tests for abnormal eye movements (nystagmus) and tests for balance, vertigo and hearing cannot all be done on your own. Your neurotologist must determine whether you have true (spinning) vertigo, and differentiate between central and peripheral vertigo. A Head impulse test, test for skew deviation may be done. Gait testing is important. A general check-up (blood pressure, blood sugar etc.) is required. 5. Usually, ear related vertigo will be of short duration, less likely to be present while walking. A Videonystagmography (VNG) may help. 6. If Meclizine is not effective, request for a change to Betahistine (Vertin) or Cinnarizine (Stugeron). 7. If you can upload a few scan images, I will be able to suggest treatment for the sinuses. You may follow up with the test results for further advice. I hope that I have answered your query. If you have any further questions, I will be available to answer them. Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2685 Questions

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What Causes Vertigo?

Brief Answer: As below: Detailed Answer: Hi, Thank you for your query. 1. The first thing to do is to differentiate the type of vertigo. 2. Epley's Maneuver is designed to treat BPPV (Benign Paroxysmal Positional Vertigo). Hence,m if your vertigo is not positional (occurs with change of position with respect to gravity), then it is unlikely to be of use, as in your case. 3. Other common causes of sudden onset vertigo with vomiting, nausea include Meniere's Disease, Gastritis and so on. 4. It is important to note that tests for abnormal eye movements (nystagmus) and tests for balance, vertigo and hearing cannot all be done on your own. Your neurotologist must determine whether you have true (spinning) vertigo, and differentiate between central and peripheral vertigo. A Head impulse test, test for skew deviation may be done. Gait testing is important. A general check-up (blood pressure, blood sugar etc.) is required. 5. Usually, ear related vertigo will be of short duration, less likely to be present while walking. A Videonystagmography (VNG) may help. 6. If Meclizine is not effective, request for a change to Betahistine (Vertin) or Cinnarizine (Stugeron). 7. If you can upload a few scan images, I will be able to suggest treatment for the sinuses. You may follow up with the test results for further advice. I hope that I have answered your query. If you have any further questions, I will be available to answer them. Regards.