Our Vertigo Clinic evaluates and treats patients experiencing vertigo and dizziness problems that suggest the balance mechanism in the inner ear and vestibular nerves are not working properly. Please visit us if you are experiencing any of these symptoms: wooziness, combined with a whirling or spinning sensation; lightheadedness as though you are floating; dizziness so severe that you fear that you may lose your balance and fall; feelings of floating downward; or free-falling.

Vertigo and Dizziness

Vertigo is the sudden sensation that you are unsteady or that your surroundings are moving. You may feel like you are spinning around on a merry-go-round or that your head is spinning inside. In the first type the sufferer feels that his or her body or the environment is spinning. It is commonly caused by sudden disturbance by any illness of the organs of balance. Dizziness is characterized by weakness dull headedness, and is commonly caused by low blood sugar or low blood pressure as chronic illness.

Vertigo can occur after long flights or boat journeys where the mind gets used to turbulence, resulting in a person’s feeling as if he is moving up and down. This usually subsides after a few days. Vertigo can also occur when exposed to high levels of sound pressure rattling the inner ear in which throwing off ones balance and others. Benign paroxysmal positional vertigo (BPPV) is one of the most common disorders that can cause vertigo, and is characterized by brief episodes of mild to intense dizziness associated with specific changes in the position of your head.

Diseases that may cause Vertigo and deafness

There are many causes of Vertigo, including

1. Otitis media – inflammation of the middle ear, or middle ear infection.
2. Eustachian tube dysfunction (ETD) or Auditory tube dysfunction – occurs when the tube fails to open during swallowing or yawning.
3. Labyrinthitis – infection of the labyrinthitis of inner ear – the primary symptoms of labyrinthitis are Vertigo accompanied by hearing loss and a sensation of ringing in the ears called tinnitus.
4. Head injury – refers to trauma to the head which may effect the inner ear, which may or may not include injury to the brain (traumatic brain injury).
5. Meniere’s disease – is characterized by episodes of dizziness and tinnitus and progressive hearing loss, usually in one ear.
6. Positional Vertigo – Benign Paroxysmal Positional Vertigo (BPPV) (sometimes also referred to as BPV) is the most common cause of bouts of vertigo in the general population. This group also has Vertebrobasilar insufficiency (VBI), or vertebral basilar ischemia, referring to a temporary set of symptoms due to decreased blood flow in the posterior circulation of the brain.
7. CNS Degenerative Change Degenerative diseases of the central nervous system (CNS) – includes Alzheimer’s, Parkinson’s disease and senile dementia.
8. Vestibular neuronitis – acute, sustained dysfunction of the peripheral vestibular system with secondary nausea, vomiting, and vertigo. Vertigo usually last for two weeks.
9. Vestibular schwannoma – a vestibular schwannoma (also known as acoustic neuroma, acoustic neurinoma, or acoustic neurilemoma) is a benign, usually slow-growing tumor that develops from the balance and hearing nerves supplying the inner ear.
10. Other brain or CNS dysfunctional syndromes such as physical disease, Diabetes Mellitus, high blood pressure, infectious diseases, kidney disease, heart disease, dysfunctional thyroid.

Because of the different causes, diagnosis takes many factors into account, including:

• Patient’s History of Vertigo-types-on set-duration.
• Physical Examination

Special Diagnostic Methods

A. Hearing evaluation

1. Audiometry – for hearing agility
2. Tymparometry and acoustic reflex for middle ear function
3. Bekesy – automatic audiometry

B. Vestibular evaluation

1. Posturography
2. Caloric test
3. Positioning test
4. VNG

C. Physiology Test

1. Brainstem Electrical Response Audiometer (BERA – ABR)

Summary

Vertigo is the sudden sensation that you are unsteady or that your surroundings are moving. You may feel like you’re spinning around on a merry-go-round or that your head is spinning inside. The causes are many, but important, so anyone suffering with Vertigo should consult a specialist center to elucidate the cause, and correct it.

The Bangkok Otolaryngology Clinic specializes in the diagnosis and treatment of diseases and disorders of the ear, nose and throat (ENT) and related structures of the head and neck. Our highly experienced otolaryngologists and audiologists and support team of nurses and technicians provide a wide range of diagnostics and treatments, including:

• Allergies and hay fever.
• Acute and chronic sinus problems.
• Ear fullness and pain; tinnitus (ringing and noises in the ears); dizziness (vertigo) and other balance disorders; hearing impairment and hearing loss requiring the fitting of hearing aids; infection from otitis externa (swimmer’s ear); otitis media with discharge and chronic suppurative otitis media; audiologic evaluation of the newborn; middle ear barotraumas and vestibular function testing for professional divers and airline pilots.
• Snoring problems.
• Chronic sore throat and tonsillitis; tumors of the neck, throat, nose, mouth, thyroid and larynx.
• Childhood stuttering or slurred speech.

Our Services

The Hearing Center provides extensive evaluation and testing for people of all ages who suffer from hearing loss. If you are experiencing difficulty hearing conversations or require higher volume to hear properly, please stop by our Center for a complete diagnostic evaluation.

• Professional Audiology Services. Our audiologists provide hearing level and hearing aid consultation and evaluation.
• Otoacoustic Emissions (OAE) Testing : This procedure measures the echo of sounds produced by the ear when a stimulus is presented within an infant’s ear canal that helps to evaluate the hearing problems of the newborn and young children.
• Auditory Brainstem Response (ABR) Testing : This is a reliable, objective, non-invasive and painless way to measure how the brain responds to sound. Brain wave activity in the auditory centers of the brain is recorded in response to a series of clicks or tones presented to each ear, allowing the ABR test to indirectly estimate the level of hearing in the peripheral auditory system (middle ear and inner ear).
• Tympanometry Testing. This test detects disorders of the middle ear to help evaluate ear fullness and hearing loss.
• Microscopic External Ear Examination. This is an examination of the external and inner ear, and tympanic membrane, with an advanced video otoscope linked to a television monitor.
• Hearing Aid Fitting. Our Ear, Nose, Throat specialists are able to provide and fit you with the optimal Siemens or Widex high-definition hearing instruments from the U.S. and Europe.
• Hearing Aid Checking. We are always here to check, clean and repair all types of assistive listening devices.
• Ear Plugs. We can provide made-to-order, German-standard noise reduction and swimming plugs.
• Speech Therapy. Our language and speech pathologists identify and treat children who suffer from hearing impairment, speech sound disorders, stuttering, delayed speech or language development problems, voice disorders, and hoarseness. We also provide vocal training for those who suffer from alaryngeal speech, childhood apraxia of speech (a deficit in the ability to plan the motor movements necessary for speech that is believed to result from a neurological disorder that hampers the brain’s ability to send the proper signals required to move the muscles involved in speech), birth defects such as cleft palate and cleft lip, as well as swallowing and tongue thrust disorders.
• Cochlear Implants. This complex surgically implanted electronic device restores hearing in older patients who are profoundly deaf or severely hard of hearing by directly stimulating any functioning auditory nerves inside the cochlea with electrical impulses.