Clinical ServicesStanley Ear Nose Throat & Sinus Centre
Vertigo, Dizziness, Tinnitus Management
Vertigo - Roller Coaster Ride
Vertigo and tinnitus (sounds in the ear) are common ENT complaints. These symptoms are evaluated by a thorough history, physical examination, audiometry and vestibular tests. An MRI of the internal auditory canal may also be requested to rule out an acoustic neuroma.
The diagnostic Dix-Hallpike Maneuver for Benign Paroxysmal Positional Vertigo (BPPV) is normally performed in the clinic. If positive an Epley Manoeuvre to reposition the Otoconia can be performed immediately with excellent results.
MRI for Acoustic Neuroma
Hearing loss and Dizziness due to an Acoustic neuroma pressing on the brain stem
If a unilateral sensory-neural hearing loss is found on pure-tone audiometry, an MRI of the internal auditory canal would be done.
Acoustic neuroma or benign tumours of the vestibulo-cochlear nerve can be diagnosed early by MRI of these nerves when indicated. These tumours are silent and present early with just tinnitus or unilateral sensory-neural hearing loss.
Depending on size, radiosurgery or surgical removal or regular follow up can be appropriately advised for acoustic neuromas.
Hearing and Dizziness Acoustic neuroma pressing on the brain stem