Dizziness and Vertigo (Neuro-Otology)
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Dizziness and Vertigo (Neuro-Otology) At uurja, we understand the impact that dizziness and vertigo can have on your daily life. Our neuro-otology section is dedicated to diagnosing and treating a wide range of vestibular disorders, providing comprehensive care tailored to your individual needs. From thorough evaluations to personalized treatment plans, our team of experienced neuro-otologists is here to help you regain your balance and improve your quality of life. Common Conditions in Neuro-Otology 1. Benign Paroxysmal Positional Vertigo (BPPV) BPPV is one of the most common causes of vertigo, characterized by brief episodes of intense spinning sensations triggered by changes in head position. It occurs when calcium crystals (otoconia) become dislodged and migrate into the semicircular canals of the inner ear. Our neuro-otologists utilize specific maneuvers such as the Epley maneuver to reposition the displaced crystals and alleviate symptoms. 2. Meniere's Disease Meniere's disease is a chronic inner ear disorder characterized by episodes of vertigo, fluctuating hearing loss, tinnitus (ringing in the ears), and a sensation of fullness or pressure in the affected ear. Treatment may involve dietary modifications, medication management, vestibular rehabilitation, and in severe cases, surgical interventions such as intratympanic therapy or labyrinthectomy. 3. Vestibular Migraine Vestibular migraine is a type of migraine headache that is associated with vestibular symptoms such as vertigo, dizziness, and imbalance. It can significantly impact daily activities and quality of life. Our neuro-otologists work closely with patients to identify triggers, manage symptoms with lifestyle modifications and medication, and develop strategies to prevent migraine attacks. 4. Labyrinthitis and Vestibular Neuritis Labyrinthitis and vestibular neuritis are inner ear conditions characterized by inflammation of the labyrinth or vestibular nerve, respectively. They can cause sudden-onset vertigo, dizziness, nausea, and imbalance. Treatment may involve medication to alleviate symptoms and vestibular rehabilitation to promote central compensation and improve balance function. Treatment Interventions in Neuro-Otology Our neuro-otologists are skilled in performing a variety of treatment interventions to manage vestibular disorders. Some of the treatment interventions commonly adopted in neuro-otology include: Epley Maneuver The Epley maneuver, also known as canalith repositioning procedure, is a therapeutic technique used to treat benign paroxysmal positional vertigo (BPPV). It involves a series of head movements that aim to reposition displaced calcium crystals (otoconia) within the semicircular canals of the inner ear, thereby alleviating vertigo symptoms. Intratympanic Therapy Intratympanic therapy involves the administration of medications directly into the middle ear space through the eardrum. This approach is commonly used to deliver steroids or other medications to the inner ear for the treatment of conditions such as Meniere's disease or sudden sensorineural hearing loss. Labyrinthectomy Labyrinthectomy is a surgical procedure used to treat intractable vertigo associated with Meniere's disease. It involves the removal of the labyrinth (the balance organs) on one side of the inner ear to eliminate vestibular function and alleviate vertigo symptoms. Labyrinthectomy is considered when conservative treatments fail to provide relief. Vestibular Nerve Section Vestibular nerve section, also known as vestibular neurectomy, is a surgical procedure used to treat severe vertigo that is refractory to medical management. It involves selectively cutting or ablating the vestibular nerve to disrupt vestibular input from the affected ear and alleviate vertigo symptoms.