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Treatments

The form of treatment prescribed for vestibular disorders depends upon symptoms, medical history and general health, a physical examination by a qualified doctor, and diagnostic test results. In addition to being treated for any underlying disease that may be contributing to the balance disorder, treatment can include:

– Vestibular rehabilitation therapy (VRT)
– Canalith repositioning maneuvers
– Home-based exercise
– Dietary adjustments
– Medication
– Surgery
– Psychological therapy
– Complementary and alternative medicine (CAM)

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Cervicogenic Dizziness

Neck pain and dizziness Many people experience neck pain and dizziness. It may be difficult to tell whether the dizziness and the neck pain are related or just coincidental. Neck position has been known to

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Secondary Endolymphatic Hydrops (SEH)

Endolymphatic hydrops is a disorder of the inner ear and can affect the endolymphatic fluid of the cochlea, the vestibular apparatus, or both. Although its underlying cause and natural history are unknown, it is believed to result from abnormalities in the quantity, composition, and/or pressure of the endolymph (the fluid within the endolymphatic sac, a compartment of the inner ear).

In a normal inner ear, the endolymph is main­tained at a constant volume and with specific concentrations of sodium, potassium, chloride, and other electrolytes. This fluid bathes the sensory cells of the inner ear and allows them to function normally. In an inner ear affected by hydrops, these fluid-system controls are believed to be lost or damaged. This may cause the volume and concentration of the endolymph to fluctuate in response to changes in the body’s circulatory fluids and electrolytes.

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Ménière’s Disease

In 1861 the French physician Prosper Ménière theorized that attacks of vertigo, ringing in the ear (tinnitus) and hearing loss came from the inner ear rather than from the brain, as was generally believed at the time. Once this idea was accepted, the name of Dr. Prosper Ménière began its long association with this inner ear disease and with inner ear balance disorders in general.

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Bilateral Vestibular Hypofunction

Reduction or loss of vestibular function bilaterally results in difficulty maintaining balance, especially when walking in the dark or on uneven surfaces, and in a decrease in the patient’s ability to see clearly during head movements. In addition, patients with bilateral vestibular hypofunction or loss (BVH or BVL) also complain of intense feelings of being off-balance and of strange but disturbing sensations in their heads with head movement. Because of these problems, patients with BVH may restrict their activities and can become socially isolated.

Primary Complaints include:
– Balance and Risk for Falling
– Oscillopsia (visual blurring that occurs during head movements)
– Sense of Disequilibrium, Imbalance, and Dizziness
– Physical Deconditioning

Vestibular rehabilitation can improve postural stability, decrease the sense of disequilibrium, and improve visual acuity during head movements enabling people with BVH to resume a more normal life. Unfortunately, most patients have residual functional problems and subjective complaints. The exercises used for patients with BVL are aimed at fostering the substitution of alternative strategies to compensate for the lost vestibular function and at improving any remaining vestibular function.

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The Dizziness, Vertigo and Imbalance Patient Registry

Join the Registry Download instructions for how to register and complete the registry questionnaires. Registry Login For Researchers The Dizziness, Vertigo and Imbalance Patient Registry is sponsored by the Vestibular Disorders Association (VeDA). Vestibular disorders

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Vestibular Compensation

The vestibular system includes the inner ear balance organs and the parts of the brain that coordinate and process balance information. The balance organs contribute vital sensory information about motion, equilibrium, and spatial orientation. In

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Cholesteatoma

What is a cholesteatoma? A cholesteatoma is a skin growth that occurs in an abnormal location, the middle ear behind the eardrum. It is usually caused by repeated infection that causes an ingrowth of the

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About Vestibular Disorders

The vestibular system includes the parts of the inner ear and brain that process the sensory information involved with controlling balance and eye movements. If disease or injury damages these processing areas, disorders of dizziness or balance can result. Vestibular disorders can also result from, or be worsened by, genetic or environmental conditions, or occur for unknown reasons.

The most commonly diagnosed vestibular disorders include:
– Benign paroxysmal positional vertigo (BPPV)
– Vestibular migraine
– Labyrinthitis or vestibular neuritis
– Ménière’s disease
– Age-related dizziness & imbalance
– Vestibular damage due to head injury

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Vision Challenges with Vestibular Disorders

Explains the link between the vestibular system and vision, describing the vestibulo-ocular reflex (VOR) in detail with information on evaluation, treatment, and coping strategies. Details the special considerations required for vision correction, including glasses and contact lenses.

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Acoustic Neuroma

The following information is provided by the Acoustic Neuroma Association. This information appears in the organization’s “Newly Diagnosed Handbook”. Additional information can be found at anausa.org. What is an acoustic neuroma? Acoustic neuromas, also referred to

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Vestibular Paroxysmia

Vestibular paroxysmia is an episodic vestibular disorder which usually presents with a high frequency of attacks. This disorder was first described by Jannetta in 1975 as “disabling positional vertigo.” It is also known as microvascular

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