Dizziness Clinic - BPPV, Vestibular Neuritis, Cerebrovascular Vertigo Treatment | OSANG Neurosurgery

BPPV is characterized by brief (seconds to 1 minute) rotational vertigo triggered by position changes such as turning the head or lying down. If dizziness occurs even at rest or lasts for hours, it may be due to vestibular neuritis, Meniere's disease, cerebrovascular issues, or other causes.

Yes. Dizziness may originate from structural problems in the brainstem, cerebellum, or cervical spine, making neurosurgical evaluation essential. OSANG Neurosurgery diagnoses both structural and functional aspects through collaborative neurosurgery-neurology care.

Vestibular neuritis is a condition where viral inflammation of the vestibular nerve causes sudden severe rotational vertigo, nausea, and vomiting. The acute phase is managed with medication, followed by vestibular rehabilitation for recovery. Without treatment, it can lead to chronic imbalance.

BPPV causes a spinning sensation lasting seconds to 1 minute with position changes and does not affect hearing. Meniere's disease involves dizziness lasting minutes to hours accompanied by tinnitus, hearing loss, and ear fullness. Vestibular function tests and audiometry are needed for accurate differentiation.

Yes. Orthostatic hypotension is often caused by autonomic nervous system dysfunction. OSANG Neurosurgery identifies the cause through autonomic testing (HRV, etc.) and improves dizziness through a combination of autonomic stabilization therapy and lifestyle modification.

When dizziness and headache occur together, central causes such as vestibular migraine and cerebrovascular abnormalities must be ruled out. Immediate specialist consultation is needed especially if accompanied by visual disturbance, speech difficulty, or unilateral paralysis.

Canalith repositioning is a physical treatment that returns displaced otoliths (calcium crystals in the ear) to their original position. About 70-80% of patients improve with 1-2 sessions, and it can be repeated if recurrence occurs.

Vestibular rehabilitation is an exercise-based therapy that utilizes the brain's adaptive ability (plasticity) to compensate for damaged vestibular function. It gradually improves dizziness and imbalance through eye exercises, balance training, and gait training.

Although elderly patients often have multiple contributing factors such as vestibular function decline, multisensory loss, and medication side effects, improvement is achievable through cause-specific treatment and vestibular rehabilitation. Active treatment is important as neglect increases fall risk.

While clinical diagnosis is possible in some cases like BPPV through characteristic nystagmus (eye tremor), MRI/MRA imaging is recommended to rule out central causes. OSANG Neurosurgery performs nystagmus tests, vestibular function tests, autonomic nerve tests, and precision imaging when necessary.

Tests include nystagmus testing (Dix-Hallpike, Head impulse), vestibular function testing (VNG/ENG), autonomic testing (HRV, tilt table test), audiometry, and brain MRI/MRA when needed. Results are comprehensively analyzed to differentiate peripheral and central causes.

Neurosurgery specializes in evaluating structural causes such as the brainstem, cerebellum, and cervical spine, while neurology focuses on functional causes including the vestibular nerve, autonomic nerves, and cerebral blood flow. When both specialists work together, peripheral and central causes are simultaneously differentiated, improving treatment accuracy and speed.