Dizziness is an often disabling and distressing condition. In its first acute presentation, it may be surprising and very concerning to patients, as well as extremely uncomfortable.
While there are many possible causes, the role of the ENT surgeon is to determine whether the cause is related to the balance system of the inner ear. Testing one’s hearing may provide an indicator of an inner ear problem. Further work up may involve physical exam of the hearing, neurologic, and balance systems as well as testing of the balance system and movement of the eyes. Management is based on these findings and may involve physical movement of the head and body, medications, or consideration of surgery. We often partner with colleagues in neurology if evaluation suggests that the inner ear may not be the prime concern.