Dizziness

Question 1

Define Vertigo

Answer 1

Sensation of movement. Usually spinning

Question 2

Compare and contrast Labyrinthitis and Vestibular Neuronitis

Answer 2

Both Viral aetiology and vertigo that lasts for days. Labrynithitis is associated with tinnitus and hearing loss

Question 3

What is the aetiology and symptoms of Benign Positional Paroxysmal Vertigo

Answer 3

Otolithiasis. Calcium particles enter semi circular ducts from utricle. Vertigo upon looking up, rolling over or bending down. Symptoms fast for minutes

Question 4

What are the symptoms of Menniere’s diseases

Answer 4

Vertigo that lasts for hours. Aural fullness and associated tinnitus and hearing loss

Question 5

Management of Menniere’s Disease

Answer 5

Tinnitus therapy- CBT
Hearing aids
Avoid caffeine, stress, alcohol, salt in diet
Medication- Bitahistine (reduces pressure of fluid in ear
Insert Grommet to reduce pressure
Intratympanic gentamycin to selectively destroy dysfunctional organs of balance
Destructive surgery- destroys entire ear