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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Sudden Attack Of Vertigo?

1. recent sudden attack vertigo ( medical dx, ( room rotate, vomit, decreased balance)) 2. ct scan without contrast showed: gray matter white matter well preserved, an air fluid level noted within right maxillary sinus, right maxillary sinus air fluid level correlate acute sinusitis, mild mucosal thickening ethmoid air cells, opacified left maxillary sinus likely consistent with chronic sinusitis 3. hearing test showed right hearing loss ( below what is considered border line for hearing, ex can hear man voice, child level and higher nope) left ear ok 4. vertigo has subsided, balance better, tinnitus and decreased hearing left ear remain 5. question is don t know what could be Labyrinthitis, maxillary inflamm disease, Meniere s ., how to manage it
Tue, 24 Mar 2015
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Neurologist, Surgical,  's  Response
Hello. I have been through your question and understand your concern.

It seems to be Menieres syndrome. The CT scan is within normal features and the sinusitis is definitely not the cause. Labyrinthitis could be the cause but you need an MRI to diagnose it. I think it is Menieres disease because it has all the features.

You should go directly to the ENT to manage this situation.

Hope this helps.

Please feel free using HCM again
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How To Treat Sudden Attack Of Vertigo?

Hello. I have been through your question and understand your concern. It seems to be Menieres syndrome. The CT scan is within normal features and the sinusitis is definitely not the cause. Labyrinthitis could be the cause but you need an MRI to diagnose it. I think it is Menieres disease because it has all the features. You should go directly to the ENT to manage this situation. Hope this helps. Please feel free using HCM again