The Medical Consumer's Advocate


 

Vertigo associated with head positioning

Q: Seeking information on above subject. Have had above for three months, only when putting head back or laying down. Had cat scan of sinuses, showing severe sinus infection which was treated. However still have initial vertigo. Will seek further ENT treatment, but am looking for some one in area XXXX specializing in above.

A: Take a look at my dizziness essay. When you finally see an ENT, be prepared -- read the essay first and have all of your facts together.

What you are describing sounds like benign positional vertigo. In benign positional vertigo, particular head movements provoke a whirling sensation (vertigo) which lasts only for a few seconds. It is fatiguable (in other words, if you keep making the same head movement, the intensity of the vertigo becomes less and less each time). Does this fit your symptoms?

There are also certain rarer conditions involving the arteries of the base of the brain ... in these conditions, neck movements can also provoke dizziness. Finally, "cervical vertigo" can occur in people with severe neck arthritis or a recent neck injury, such as whiplash.

I can't help you with finding an ENT in XXXX. Your best bet is to call the nearest medical school, ask for their ear, nose and throat department (otolaryngology department, but unfortunately many people have difficulty pronouncing otolaryngology), and then ask if they have an OTOLOGIST. That's your man/woman. If you are not sure where the nearest med school is, have your librarian help you.

 

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