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What Causes Dizziness And Balancing Issues In A Sinus Patient?

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Posted on Tue, 12 Jul 2016
Question: can sinus problems cause unsteadiness and balance problems?I have also had ringing in my ears for around three years now and my balance hasn't been right for a few years when I walk I sometimes feel unsteady. I've never fallen over but sometimes I feel like I'm going to fall over. I have had MRI on head in April 2015 which showed no brain abnormality but there were polyps within my sinus. I have seen a neurologist and he doesn't think there is a neurological cause of my dizziness. it almost. feels like my legs are sometimes uncoordinated.
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Answered by Dr. Ishu Bishnoi (48 minutes later)
Brief Answer:
Cause of dizziness and management

Detailed Answer:
Hi XXXX, thanks for asking from HCM.


I can understand your concern. If your dizziness, imbalance is more during darkness or night, it is more likely to be due to

: Vestibular system of ear - This system is required for balance, steadiness and gait. It works along with cerebellum of brain and posterior sensory cord (spinal cord). Damage to this system can occur due to ear infection. As you are a known case of sinus infection and sinuses, nose are connected to middle ear via "Eustachian tube".

Blockade of this tube due to nasal and sinus infection can cause middle ear infection and later on vestibular system damage.

For confirmation, you need to consult ENT specialist. He will examine your vestibular function by

: Hallpike manœuvre
: Dynamic visual acuity
: Spinalveutibualr reflex
Investigation
: Electronystagmography
: NCCT head with mastoid cuts

Further treatment can be given spending upon severity and involvement of vestibular system.

If imbalance is persistent and same during day and night, it is most probably due to Cerebellar system.
It can be affected due to
: Alcohol intake
: Cerebella mass
: Spinocerebllar atrophy

You should consult neurologist for evaluation of its function
: Finger-nose test
: Heel-shin tets
: Nystagmus

the doctor may repeat MRI brain to know
: Mass lesion
: Cerebellar atrophy
: Cerebellar infarct

Kindly correlate your symptoms and consult accordingly. If you have any doubt, do let me know. Final treatment will be decided after confirmation of diagnosis.

Hope it will help you. Thanks. Take care.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
Dr.
Dr. Ishu Bishnoi

Neurologist, Surgical

Practicing since :2007

Answered : 901 Questions

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What Causes Dizziness And Balancing Issues In A Sinus Patient?

Brief Answer: Cause of dizziness and management Detailed Answer: Hi XXXX, thanks for asking from HCM. I can understand your concern. If your dizziness, imbalance is more during darkness or night, it is more likely to be due to : Vestibular system of ear - This system is required for balance, steadiness and gait. It works along with cerebellum of brain and posterior sensory cord (spinal cord). Damage to this system can occur due to ear infection. As you are a known case of sinus infection and sinuses, nose are connected to middle ear via "Eustachian tube". Blockade of this tube due to nasal and sinus infection can cause middle ear infection and later on vestibular system damage. For confirmation, you need to consult ENT specialist. He will examine your vestibular function by : Hallpike manœuvre : Dynamic visual acuity : Spinalveutibualr reflex Investigation : Electronystagmography : NCCT head with mastoid cuts Further treatment can be given spending upon severity and involvement of vestibular system. If imbalance is persistent and same during day and night, it is most probably due to Cerebellar system. It can be affected due to : Alcohol intake : Cerebella mass : Spinocerebllar atrophy You should consult neurologist for evaluation of its function : Finger-nose test : Heel-shin tets : Nystagmus the doctor may repeat MRI brain to know : Mass lesion : Cerebellar atrophy : Cerebellar infarct Kindly correlate your symptoms and consult accordingly. If you have any doubt, do let me know. Final treatment will be decided after confirmation of diagnosis. Hope it will help you. Thanks. Take care.