Dizziness and vertigo are among the most frequently encountered symptoms in primary care, with benign paroxysmal positional vertigo (BPPV) being the commonest type of vertigo. Its clinical course may vary considerably from a self-treatable to a persisting and/or recurrent disabling problem, with as yet unidentified prognostic factors. Although it is named as such, there are a considerable numbe...

The article deals with the diagnosis of dizziness as one most common reasons for contacting primary care system. term “vertigo” refers to illusory sensation rotational movement objects around patient or himself. Traditionally, clinic distinguishes “systemic” and “non-systemic” dizziness. However, use these two terms (rotational) (presyncope, imbalance caused by a violation neural mechanisms mai...

Because the blood supply to the inner ear originates from the vertebrobasilar system, vertebrobasilar ischemic stroke can present with vertigo and hearing loss due to infarction of the inner ear (i.e., labyrinthine infarction). Sometimes vertigo and hearing loss are warning symptoms of impending vertebrobasilar ischemic stroke (mainly in the anterior inferior cerebellar artery territory). In th...

In vertigo, people experience an illusion of movement of the environment about them, or of themselves with respect to the environment. Vertigo usually originates in the peripheral nervous system (e.g. due to a disorder of the inner ear) but can, rarely, have a CNS origin (e.g. an intracranial tumour or brainstem lesion). It is commonly due to a peripheral disorder known as 'benign paroxysmal po...

Clockwise or counterclockwise, rotational, upbeating nystagmus is seen in patients with posterior canal benign paroxysmal positional vertigo during left or right head-hanging test, respectively. Rotating of nystagmus in opposite direction to the ear tested or even reversal of initial positioning rotational nystagmus is not usual and has never been reported before. We propose a new variant of po...

A 28-year-old patient presented with frequent episodes of clockwise whirling vertigo, with no ear symptoms or anxiety. He had a previous history of encephaloduroarteriosynangiosis from Moyamoya disease 3 years ago. We assumed that the ictus was a manifestation of vestibular epilepsy. Although the patient was monitored continuously with video and computerized electroencephalography equipment for...

This article provides an overview of the current methods of diagnosis and treatment of patients with vertigo, dizziness, or imbalance, as well as an analysis of ongoing problems besetting the field of neuro-otology. Aims and challenges are also described with the hope of stimulating basic and clinical research on these very frequent symptoms. Vertigo and dizziness are among the most frequent sy...

abstract background: in patients with cervical spondylosis, cord compression and impingement of cord vessels as well as the vertebral artery may be accompanied by vertigo. we evaluated improvement of vertigo in these patients after surgical and medical treatment. methods: in this prospective study we reviewed 16 patients with vertigo suspected of cervical spondylosis, admitted to our hospital b...

This study consists of a general review of benign paroxysmal positional vertigo and nystagmus. The main etiopathogenesis, diagnosis, and treatments are evoked. The author describes his experience on the subject.

BACKGROUND Benign Paroxysmal Positional Vertigo is a common cause of vertigo caused by dislodged otoconia. PURPOSE To study the therapeutic efficacy in Indian population and modify the Canalith repositioning procedure (CRP) into a simple, precise and easily reproducible out door procedure. METHODS All patients with Posterior canal BPPV were selected based on Dix Hallpike test and were subje...