The Dizzy Patient Evaluation

by Dr. Christopher Chang, last modified on 8/17/17
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DISCLAIMER: We do NOT consider ourselves "dizzy" experts, but provide the following info as a service to patients. As we are an ENT practice, we will only perform the appropriate testing and evaluation to see if the ears and/or allergies are a cause of a patient's dizziness. Anything more needs to be arranged through your primary care physician or another specialist. Generally speaking, a neurologist is the specialist able to provide the most comprehensive evaluation of dizziness.

Dizziness described as sudden episodes that lasts only seconds to minutes (never more than 30 minutes) followed by periods of relative normalcy...

...that mainly occurs with nose blowing, loud noises, and/or ear popping.

Dizziness that occurs with nose blowing, loud noises, and/or ear popping is known as the Tullio Phenomenon and is suggestive of a perilymphatic fistula and/or semicircular canal dehiscence. Though in the past, syphilis and cholesteatoma was a common cause of this problem, nowadays, barotrauma is the most common scenario whether triggered by diving, SCUBA, excessive nose-blowing, sneezing, etc causing a sudden and excessive ear pressure change.

Definitive treatment is surgical. See your local neuro-otologic surgeon for treatment.

Read more about dizziness in general here.

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