DIZZINESS, IMBALANCE AND HEARING DISORDERS

Timothy C. Hain, MD

Please read our disclaimer • Return to index. •Page last modified: May 7, 2023

This list is not always current and we advise using the search tool on this page and all of the pages on this site. The search tool is confined to this site, it doesn't have advertisements, and it has no bias regarding the position of pages.

Dizziness -- broadly

• An overview of dizziness
• Evaluation of the dizzy patient (for clinicians)
• Dizziness in special groups
  • Dizziness in the elderly
  • Children
  • Pilots
• Unlocalized dizziness and ataxia

Dizziness or vertigo caused by inner ear problems

• Benign Paroxysmal Positional Vertigo (BPPV)
  • Posterior canal BPPV
  • Lateral Canal BPPV
  • Controversies
  • Dix-Hallpike test
  • Recent articles with comments
• Meniere's Disease
  • Epidemiology (distribution in the population)
  • Causation
  • Alternative Treatments
  • Recent articles with comments
• Infections
  • HIV-1 infection
  • Otic tuberculosis
  • Otosyphilis
  • West Nile
  • Vestibular Neuritis and Labyrinthitis
• Bilateral Vestibular Loss (including Gentamicin toxicity)
  • Causes of bilateral loss
  • Ototoxic drugs
  • Ototoxic ear drops
  • Prevention
  • Recent articles with comments
• Pressure Sensitivity
  • Perilymph Fistula
  • Superior Canal Dehiscence
• Tumors and other masses
  • Acoustic Neuroma
  • Glomus Tumor
  • Meningioma
  • subarachnoid cyst
• Microvascular compression syndrome
• Utricular Dysfunction

 

Dizziness caused by Neurological Problems

• Basilar invagination
• Brainstem strokes (pathophysiology and presentation)
• B12 deficiency
• Cerebellar degenerations
• Cervical vertigo
• Chiari Malformation
• Epilepsy
• Lithium toxicity.
• Low CSF pressure
• Mal de debarquement (MDD)
• Migraine associated vertigo
• Motion sickness
• Multiple Sclerosis (MS)
• Parkinsonism and related disorders
• Periventricular white matter lesions
• Primary Orthostatic Tremor (POT)
• Oculopalatal myoclonus
• Opsoclonus
• Stroke and Transient Ischemic Attack (diagnosis and treatment)

Dizziness caused by low blood pressure, medication, intoxications, or chemicals

• Alcohol intoxication
• autonomic neuropathy
• Medication induced dizziness
• Orthostatic Hypotension
• Positional orthostatic tachycardia (POTS)
• Solvents
• Syncope

Hearing problems

• Hearing loss (general discussion)
• Autoimmune inner ear disease
• Auditory neuropathy and carbon monoxide hearing loss
• Acoustic Neuroma, cholesteatoma and Glomus tumor (see tumors page for others)
• Conductive hearing loss, sensorineural hearing loss, noise induced hearing loss, central hearing loss, and presbyacusis (age related)
• Low frequency sensorineural hearing loss and cookie-bite hearing loss
• Menieres Disease
• Otosclerosis
• Otitis media and Otitis externa
• Sudden hearing loss and Progressive bilateral hearing loss
• Superficial siderosis
• Tinnitus and Hyperacusis
• Ear Wax
• Dry or itchy ears

Miscellaneous -- mainly situational or particular symptoms of dizziness

• Postraumatic syndromes
  • airbag deployment
  • concussion
  • Havana syndrome
  • Inversion tables
  • Lightning and electrical injuries
  • Post-traumatic hearing loss
  • Post-traumatic Vertigo
    • Temporal bone fracture
  • Postpartum (pregnancy related) vertigo
  • Radiation
  • whiplash
• Events or disorders with a tenuous connection to dizziness
  • Amyloidosis and dizziness/hearing
  • TMJ (temporomandibular joint) induced symptoms
  • Fibromyalgia
• Dizziness associated with various activities
  • Dental work
  • Drinking alcohol
  • Exercise induced dizziness
  • Flying
  • Motion sickness
  • Positional vertigo
  • Pressure sensitivity
  • Sexual activity
  • Sound sensitivity (Tullio's)
  • Visual dependence and visual sensitivity (grocery store syndrome)
• Symptoms
  • Rocking
  • Drop attacks
  • Fluctuations
  • Inversion illusions and Palinopsia (repeated images)
  • Room tilt illusions

Treatment of Vertigo

• Medical treatment
• Vestibular Rehabilitation
• Surgical Treatment (general)
  • Intratympanic gentamicin
  • Intratympanic steroids
• Tai Chi for balance

Practice related material for the dizzy clinician

• Bedside recording of eye movements
• Drug treatment of dizziness
• Evaluation of the dizzy patient
• Eye movement testing

History of otoneurology

Glossary

Research topics (also see many research project suggestions within material)

• Temporal bone donations

Material not related to dizziness

• Images of laryngeal disorders

Acknowledgements.

• This is a big site and while Dr. Hain has done most of the work, there have been many other contributors to this material over the years. Many of the graphics were originally funded by an NIH educational center grant to Northwestern University in the 90's. For persons in the USA, here is your tax dollar at work !