The otolith in the semicircular canal moves, causing rotational dizziness for a few seconds to a minute when you turn your head or lie down.
- Totolith reduction surgery
- Dix-Hallpike
- Relapse Management
OSANG SPECIALTY CENTER
Brain & Neurology Clinic
DIZZINESS CLINIC
QSuddenly the world is spinning. Is
it otolithiasis or a brain problem?
- Simultaneously distinguish between peripheral vestibular and central nerve causes
- We design a different balance recovery path for each patient
ANSWER
The cause of dizziness is not limited to the ears. The
brain and autonomic nervous system are also examined.
First, distinguish between peripheral and central causes by checking posture, duration, auditory symptoms, and neurological signs.
Medical illustration depicting balance and connection between cranial nervesBODY SIGNAL CHECK
If you experience recurring
dizziness, you need specialized care
01Just by turning your head, the world spins and it's scary.
02When I stand up, my vision is dark and I feel like I'm about to collapse.
03Tinnitus and ear fullness appear along with dizziness.
04Leaning to one side or having difficulty with balance when walking.
KNOW YOUR DIZZINESS
You must first identify the
exact cause of your dizziness
If you look at the feeling and duration of dizziness, whether it causes posture, and hearing and neurological symptoms, the priority of necessary tests and treatment will change.
NEUROSURGERY × NEUROLOGY
Dizziness: Why should two
specialists look at it together?
Not only the vestibular organ, but also structures such as the brainstem, cerebellum, and cervical spine, as well as vestibular nerves, autonomic nerves, and cerebral blood flow functions may be involved.
Neurosurgery
Brainstem/cerebellum lesions, cervical spine structures, cerebrovascular and intracranial structural danger signs are checked.
- Brain MRI/MRA
- Cervical spine evaluation
- Cerebrovascular differentiation
Neurology
We evaluate nystagmus, vestibular function, migraine, orthostasis, and autonomic factors and design rehabilitation and medication.
- nystagmus test
- vestibular rehabilitation
- Autonomic nervous system evaluation
Peripheral differentiationCentral differentiationvestibular rehabilitationemergency judgment
QUICK COMPARISON
Comparison of typical peripheral dizziness
| division | otolithiasis | vestibular neuritis | Meniere's disease |
|---|---|---|---|
| aspect | Short feeling of rotation when changing posture | Sudden strong spinning sensation | Repetitive spinning sensation and tinnitus |
| duration | seconds to 1 minute | Hours to days | tens of minutes to several hours |
| hearing effects | Usually none | Usually none | Decreased hearing/ear fullness |
| main approach | Totolith reduction surgery | Drugs and vestibular rehabilitation | Diet, medication, and hearing management |
EVALUATION & RECOVERY
Identify the cause
and restore balance
Rather than just looking at test results, we look at symptom-causing conditions and daily functioning to connect the necessary diagnosis and rehabilitation.
01
Nystagmus/posture provocation test
We check symptoms caused by eye movements and changes in posture to evaluate peripheral causes such as otolithiasis.
- Dix-Hallpike
- Head impulse
02
Vestibular and hearing evaluation
Vestibular function and auditory symptoms are examined together to distinguish between vestibular neuritis and Meniere's disease.
- VNG/ENG
- hearing test
03
Orthostatic/autonomic nerve evaluation
Check for changes in blood pressure, pulse, and palpitations when standing up.
- Standing tilt
- HRV
04
vestibular rehabilitation
Eye and head movement and balance training are implemented step by step to help the brain compensate and return to daily life.
- gaze stability
- balance
- walking
SELF CHECK
If the same symptoms repeat
Record the pattern
The items below are not a diagnostic tool, but rather a guide to organizing symptom patterns before treatment.
00
/ 08selected item
The check results are not diagnostic. Please record when the dizziness began, how long it lasted, and any changes that occurred along with it.
FAQ
in the doctor's office
Frequently Asked Questions
This is general guidance and individual diagnosis and treatment will depend on medical history and test results.
Q01How do I know if I have otolithiasis?
Otolithiasis often causes a spinning sensation that lasts from a few seconds to a minute when changing posture. If it persists for a long time or is severe even at rest, other causes should be checked.
Q02Can vestibular neuritis recover naturally?
Some recover, but may require acute symptom control and timely vestibular rehabilitation. Resting too long can delay rewards.
Q03What is the difference between Meniere's disease and otolithiasis?
Meniere's disease causes dizziness that lasts longer and is often accompanied by tinnitus and hearing changes. It is divided into vestibular and hearing evaluation.
Q04Can you also treat orthostatic dizziness?
When standing up, changes in blood pressure and pulse and autonomic symptoms are evaluated, and water, salt, medication, and lifestyle patterns are adjusted to suit the individual's condition.
Q05Can the cause be determined without an MRI?
In some cases, otolithiasis can be determined through clinical examination, but if there are central danger signals or the appearance is atypical, imaging tests may be necessary.
Q06What kind of treatment is vestibular rehabilitation?
It is a graded exercise therapy that helps the brain adapt to altered vestibular signals through eye exercises, head movements, balance and gait training.
OSANG COLLABORATIVE CARE
Even within the word “going round and round,” there are different causes. Sharing the duration and accompanying symptoms is the first step.
Neurosurgeons and neurologists examine the structural and functional causes of symptoms together.