Unilateral Vestibular Dysfunction
This is a weakness on side of the vestibular
system. Symptoms you may suffer from could be unbalance and
or dizziness when turning your head. In early stages there can
be vertigo and the sensation of spinning. Vestibular rehabilitation
can provide significant benefits to patients with these symptoms.
Bilateral Vestibular Dysfunction
A weakness on both sides of the vestibular system.
A person with his disorder may suffer imbalance and or dizziness
when turning the head. They may also suffer oscillopsia, or
the illusion that things are bouncing up and down with movement.
There can be significant benefit to patients with this disorder
by using vestibular therapy. Balance exercises, and compensatory
techniques.
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Benign
Paroxysmal Position Vertigo (BVPV)
This disorder is caused when some very small crystals
of calcium carbonate, located in the inner ear, become dislodged.
When a person lies down, these crystals can float down into
one of the three canals that are located in the inner ear.
The person then stands up, the crystals can move furthest
into the canals, and become trapped. If the person moves
in certain ways the crystals can move, giving the person a
sensation of spinning repeatedly. BPPVs most common symptom
is spinning (Vertigo) shortly after lying down or rolling
over in bed. The symptoms usually last only a few seconds
to a minute, but can actually wake a person up at night. The
symptoms can occur with other head movements and cause brief
periods of severe imbalance.
A
head injury is the most common cause of BPPV in people under
the age of 50. In older people the most common cause is degeneration
of the vestibular system of the inner ear. A noninvasive positional
procedure called the Dix-Hallpike test can be used to diagnose
BPPV. If the Person is determined to have BPPV, a non invasive
procedure can in most cases be used to treat it. Most times
only one treatment is all that's required to cure BPPV. This
procedure is called the "Canalith Repositioning Maneuver"
and can be done in the office in less then one half hour.
It is a series of head positioning done by a physical therapist,
audiologist, or physician to clear the crystals from the canal
and deposit them back in therapist of the inner ear called
the "Utricle", where they belong. This is a painless
procedure, however the patient may need to endure some feelings
of dizziness.
Vestibular Labyrinthitis
This disorder is caused by bacterial and viral
infection of the inner ear causing inflammation of the labyrinthitis.
Symptoms may include sudden hearing loss on one side along
with nystagmus, vertigo, nausea and vomiting. Acute episodes
usually are resolved within 5-6 weeks if treated by a physician.
If the patients episode is not fully resolved, using vestibular
therapy can assist patients with managing their symptoms.
Menier's Disease, Episodic Vertigo
Meniers's Disease is a disorder of the inner
ear due to the fluctuating pressure of the fluid of the inner
ear. Its symptoms may include episodes of vertigo, a feeling
of fullness or pressure in the ears, tinnitus (noise in the
ears), and fluctuating hearing levels. Unlike BPPV, the vertigo
that occurs with Menier's Disease can occur at any time, no
matter what position the patient is in and can last for several
hours.
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Episodic
Vertigo is also associated with a temporary decrease in hearing
and inner ear noise. Menier's attacks may be controlled with
diet, and or medication. If this combination of treatment
does not offer adequate relief, your ENT physician may offer
surgical intervention. Patients with Menier's Disease may
be referred for vestibular rehabilitation for the associated
balance problems. Tinnitus is not caused by a vestibular
disorder but it can be one of the symptoms of Menier's disease.
If it is associated with Menier's disease controlling the
attacks of vertigo may help control the tinnitus.
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