
Suggest Treatment For Disequilibrium Along With Double Vision And Fatigue

double-vision, disequlibruium
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
A combination of double vision,ataxia (disequilibrium) won't be an ENT problem like acute peripheral vestibulopathy /vestibular neuronitis or BPPV(benign paroxysmal positional vertigo) for which Epley's maneuver will be useful.
Double vision goes in favour of ophthalmoplegia,which could be due to Multiple sclerosis which can cause INO (internuclear ophthalmoplegia )and ataxia(disequilibrium) or it could be due to Wernicke's encephalopathy (ophthalmoplegia ,ataxia and confusion),if you are alcoholic.
Vertebro-basialr migraine can also cause constellation of vertigo,dizziness,
The investigation of choice in suspected multiple sclerosis is MRI brain and not CT scan which may miss many things.
Regards
Dr. T.K. Biswas M.D. XXXXXXX

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