Pearls Of Wisdom

Posts for tag: dizzy

By Great Hills ENT
December 03, 2013
Category: Vertigo
Tags: VNG   ENG   dizziness   dizzy   Epley Manuver   BPPV  


Dizziness is a distressing problem. When your ability to enjoy normal movement is suddenly taken away, you feel helpless. And, some dizziness may be a warning sign of serious problems.

Fortunately, there is one type of dizziness that is fairly easy to treat. It is called B.P.P.V. , or, Benign Paroxysmal Positional Vertigo. The symptoms usually occur when you are lying in bed and turn your head. Suddenly you feel like you are spinning. It only lasts a few seconds, but who is counting! With the attack, there are no other symptoms. This important distinction separates BPPV from dizziness caused by more serious problems.

When we evaluate you, we test you by putting your head in a position that recreates your symptoms while examining your eyes for the tell-tale rapid, involuntary movement of the eyes called nystagmus. If it is proven that you have BPPV, we use a simple maneuver to treat it. No medications, no surgery.

The underlying problem in BPPV comes down to loose microscopic particles, in the inner ear, called 'otoliths'. The movement of a loose otolith is similar to when you shake one of those snow-scenes in a lucite globe. Imagine the snow floating slowly down. Until it all settles, this is the force that is causing your dizziness. The maneuver to treat it depends on recognizing which ear has the 'loose snow', then moving the 'globe' in such a manner that the particles are secured from random movement.

If you have more questions please refer to the Vestibular Disorders Association.


Barry Castaneda, PA-C

Barry Castaneda, PA-C is a Physician Asssitant at Great Hills ENT in Austin, TX. Barry Castaneda treats disoders or the Ear,Nose and Throat for adult and pediatric patients. Great Hills ENT serves the greater Austin area including Georgetown, Cedar Park, Lago Vista, Jonestown, Steiner Ranch, Lakeway, Spicewood and Point Venture. We are proud to provide excellent care to our patients for general Ear, Nose and Throat (ENT) services, hearing loss, dizziness/vertigo and sleep disorders.