About Vertigo & Dizziness
Dizziness can mean spinning, imbalance, light-headedness or a sense of motion. A careful neurological assessment helps determine whether symptoms arise from the inner ear, nervous system or another medical cause.
Common Symptoms
Symptoms vary from person to person. A neurological review is useful when symptoms are persistent, recurrent, progressive or difficult to explain.
When should you consult a neurologist?
- Sudden severe dizziness with weakness, numbness or speech difficulty
- Dizziness with double vision or inability to walk
- New persistent vertigo
- Repeated episodes affecting daily activity
- Dizziness after head injury
- Associated hearing, headache or neurological symptoms
Evaluation & Diagnosis
Testing is selected according to the clinical picture rather than using the same investigations for every patient.
Detailed description of the type and duration of dizziness
Eye-movement, balance and neurological examination
Positional testing when appropriate
Hearing or vestibular evaluation if indicated
Brain imaging or other tests when central neurological causes are suspected
Treatment & Management
Cause-specific treatment
Short-term symptom control when appropriate
Vestibular exercises or rehabilitation
Migraine-related vertigo management where relevant
Fall-prevention and follow-up guidance