Hi

Thanks for the query and a detailed history.

The symptoms described by you seem to be of either benign paroxysmal positional vertigo (BPPV) or cervical vertigo.

BBPV is characterized by brief episodes of mild to intense dizziness. Symptoms of benign paroxysmal positional vertigo are triggered by specific changes in the position of your head, such as rolling over the bed, turning your head up or down, lying down, and sitting up in bed. Occasionally, one may also feel out of balance when standing or walking. This can be confirmed by Hallpike's test (an out office procedure) and can be corrected at the same time depending upon the affected side by Epley's maneuver. This does not require any medicines.

Secondly, cervical vertigo is a type of dizziness caused by neck problems. This is due to transient blockage in the flow of the blood to the brain. Various conditions such as trauma to the neck, arthritis, neck surgery, chiropractic manipulation, etc. can lead to cervical vertigo.

Both the above conditions require a complete examination by a good ENT specialist and a neurologist. And, the doctor may order for a MRI of the spine if required, to diagnose any compression problems in the spinal cord.

Hope I have answered your query: I will be available for the follow-up queries.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

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