What would a neurologist do for dizziness?

In a general sense, vertigo-associated disease is commonly treated using vestibular blocking agents or VBAs. These include medications such as antihistamines (promethazine or betahistine), benzodiazepines (diazepam or lorazepam), or antiemetics (prochlorperazine or metoclopramide).
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What kind of neurological problems cause dizziness?

The most common conditions are benign paroxysmal positional vertigo (BPPV), vestibular migraine, Menière's disease and vestibular neuritis/labyrinthitis.
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What tests does a neurologist do for dizziness?

Imaging Tests

Testing such as MRI, CT scans and X-rays are often used to discover if additional medical conditions may be the cause of your dizziness.
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Is dizziness a neurological symptom?

Dizziness can also be a symptom in the case of an injury, or an infection, or owing to poor circulation of the blood. Some instances of dizziness are also attributed to neurological causes, like injured nerves.
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What doctor should I see for constant dizziness?

Your family doctor or primary care provider will probably be able to diagnose and treat the cause of your dizziness. He or she you may refer you to an ear, nose and throat (ENT) specialist or a doctor who specializes in the brain and nervous system (neurologist).
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Balance and Dizziness Problems Addressed at Penn Medicine



When should you see a neurologist?

See a neurologist if you or a loved one experience any of the following but have not been diagnosed with a seizure disorder like epilepsy: Violent shaking. Uncontrollable stiffening of the body, especially the arms and legs. Staring spells (the person isn't connecting or responding, or seems to be daydreaming)
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Does a neurologist treat vertigo?

If you have been experiencing vertigo for more than a day or two, it's so severe that you can't stand or walk, or you are vomiting frequently and can't keep food down, you should make an appointment with a neurologist.
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How do you know if dizziness is serious?

Get emergency medical care if you experience new, severe dizziness or vertigo along with any of the following:
  1. Sudden, severe headache.
  2. Chest pain.
  3. Difficulty breathing.
  4. Numbness or paralysis of arms or legs.
  5. Fainting.
  6. Double vision.
  7. Rapid or irregular heartbeat.
  8. Confusion or slurred speech.
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How do you treat chronic dizziness?

Steps people can take to relieve dizziness include:
  1. lying down and closing the eyes.
  2. acupuncture.
  3. drinking plenty of water and keeping hydrated.
  4. reducing stress plus alcohol and tobacco intake.
  5. getting plenty of sleep.
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How do you know if your inner ear is causing dizziness?

Dizziness caused by the inner ear may feel like a whirling or spinning sensation (vertigo), unsteadiness or lightheadedness and it may be constant or intermittent. It may be aggravated by certain head motions or sudden positional changes.
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What does a neurologist do on your first visit?

During your first appointment, a Neurologist will likely ask you to participate in a physical exam and neurological exam. Neurological exams are tests that measure muscle strength, sensation, reflexes, and coordination. Because of the complexity of the nervous system, you may be asked to undergo further testing.
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How does a neurologist check your balance?

The Romberg test is a test that measures your sense of balance. It's typically used to diagnose problems with your balance, which is composed of your visual, vestibular (inner ear), and proprioceptive (positional sense) systems during a neurological exam.
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Can MRI detect vertigo?

MRI Scans. In some people with vertigo—in particular those who also have hearing loss—doctors may recommend an MRI scan to obtain a closer look at the inner ear and surrounding structures.
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What part of the brain controls balance and dizziness?

And while your balance system engages several parts of your brain, the main part of the brain that controls balance is the cerebellum. Science American explains that the cerebellum – sometimes quaintly known as the “little brain“ – is located at the very back of your skull.
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Do neurologists treat vestibular disorders?

Inner ear disorders are common and patients with vestibular failure often present to a neurology clinic because of their dizziness, gait unsteadiness and oscillopsia. Vestibular disorders can be divided into peripheral and central vestibular disorders.
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Can you have permanent dizziness?

Chronic dizziness can result from a number of underlying health problems, most commonly involving neurologic, vestibular and cardiac diseases. For patients who have seen a variety of specialty physicians without reaching a diagnosis, a psychiatric referral may help them find relief, researchers noted.
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What causes long term dizziness?

Conclusions Chronic dizziness has several common causes, including anxiety disorders, migraine, traumatic brain injuries, and dysautonomia, that require different treatments. Key features of the clinical history distinguish these illnesses from one another and from active neurotologic conditions.
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Can brain Tumours cause dizziness?

Brain tumors may cause weakness on one side of the body or face, clumsiness, dizziness, loss of balance, or stumbling. 2 An abnormal gait can develop, and coordinated movements may become difficult. Difficulty swallowing may also be a symptom.
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What neurological disorders cause balance problems?

Causes of Balance Disorders
  • decreased blood flow to the brain due to stroke or a chronic condition such as aging.
  • traumatic brain injury.
  • multiple sclerosis.
  • hydrocephalus.
  • seizures.
  • Parkinson's disease.
  • cerebellar diseases.
  • acoustic neuromas and other brain tumors.
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What is the difference between vertigo and dizziness?

Dizziness can be a range of sensations including feeling light-headed, faint, woozy, unsteady or off-balance. Vertigo is a type of dizziness that feels as though you or your surroundings are spinning.
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Can neck problems cause dizziness?

Neck injuries, disorders and conditions sometimes cause more than pain. They can also cause dizziness and poor balance. Cervical vertigo (or cervicogenic dizziness) creates a sensation that an individual is spinning or the world around them is spinning. It also affects your sense of balance and concentration.
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Can a neurologist diagnose balance problems?

Our neurologists and neurosurgeons diagnose and treat balance dysfunction that is the result of neurologic disorders or neurologic impairment. While the vast majority of balance problems are caused by problems with the inner ear, there may be neurological causes for balance disorders which require neurological care.
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Why would someone be referred to a neurologist?

Neurologists are specialists who can assess, diagnose, manage, and treat conditions that affect your nervous system. Your doctor might refer you to a neurologist if you're having symptoms that could be caused by a neurological condition, such as pain, memory loss, trouble with balance, or tremors.
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What kind of tests do neurologists perform?

Some common diagnostic tests used by neurologists are:
  • Brain scan.
  • Neurological CT scan (brain) and spine CT scan.
  • Electroencephalogram (EEG)
  • Electromyogram (EMG)
  • Evoked potential (EP)
  • Visual evoked potential (VEP)
  • Brainstem auditory evoked potential (BAEP)
  • Somatosensory evoked potential (SEP or SSEP), lower and upper.
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What is the most common neurological disorder?

1. Headaches. Headaches are one of the most common neurological disorders and can affect anyone at any age. While many times a headache shouldn't be anything too serious to worry about, if your headache comes on suddenly and repeatedly, you should see a doctor, as these could be symptoms of an underlying condition.
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