What is it?
Dizziness is not a single disease but a symptom with different possible causes. Vertigo, described as the feeling that the surroundings are spinning, usually originates in the balance system of the inner ear; circulatory, neurological or metabolic causes may also play a role.
The assessment covers the duration of dizziness, its relation to head movements and any accompanying hearing changes. Positional tests observing eye movements and hearing tests are carried out. In crystal-related positional vertigo, repositioning manoeuvres can be performed in the clinic.
If the findings suggest a cause outside the inner ear, you are referred to the relevant specialty. The response to treatment and the course of episodes vary from person to person; the plan is formed together after the examination and tests.
Who is it assessed for?
- Those with brief spinning when turning in bed or lifting the head
- Those with dizzy spells along with ringing and fullness in the ear
- People who feel unsteady when walking
- Those with recurring complaints after a previous vertigo episode
Step by step
- 1
Detailed history
Duration of episodes, triggers and accompanying symptoms are noted.
- 2
Balance examination
Eye movements, positional tests and walking are assessed.
- 3
Hearing tests
Audiometry is done to assess inner ear involvement.
- 4
Procedure or referral
A manoeuvre is applied if suitable; if another cause is suspected, you are referred accordingly.
- 5
Follow-up
A follow-up visit is planned according to the course of symptoms.
Questions
When should dizziness be treated as an emergency?
If dizziness comes with speech difficulty, facial drooping, weakness in an arm or leg, severe headache or altered consciousness, call 112 without delay.
Can I drive on the day of the examination?
Brief unsteadiness may occur after positional tests and manoeuvres. Coming with a companion is advised if possible.
Does a single manoeuvre work?
For some people one session is enough, while others need repeats. The response varies and is reviewed at follow-up.
This page is for general information and does not replace a medical examination. Results and the suitable approach vary from person to person.