Vertigo Treatment in Hyderabad
Vertigo is not just dizziness — it is the false sensation of movement. Most causes are completely treatable, often in a single clinic visit.
Vertigo is one of the most common reasons people visit a neurologist in India. The sensation that the room is spinning — often accompanied by nausea, difficulty walking, or nystagmus (eyes flickering) — is distressing but rarely dangerous. Dr. Anand Karnam accurately diagnoses the cause using clinical examination, Dix-Hallpike manoeuvres, and targeted investigations, and treats most cases effectively without long-term medication.
Key Points
- BPPV (displaced inner ear crystals) is the most common cause of vertigo — often resolved in 1–3 clinic visits with the Epley manoeuvre.
- True vertigo (spinning sensation) differs from lightheadedness — a neurologist can distinguish peripheral from central causes at the bedside.
- Red flags requiring emergency care: vertigo + severe headache, facial droop, double vision, or arm/leg weakness.
- MRI brain is NOT needed for typical BPPV — clinical examination with Dix-Hallpike test is sufficient.
- Vestibular exercises after treatment reduce recurrence rates significantly.
90%
BPPV cure rate with Epley manoeuvre
Source: Cochrane Review
1–3
clinic visits to resolve most BPPV cases
Source: Clinical evidence
<1%
of isolated vertigo cases indicate stroke
Source: Neurology literature
Types of Vertigo — How to Recognise Them
BPPV — Most Common Cause
Benign paroxysmal positional vertigo (BPPV) causes brief spinning episodes triggered by head movement — lying down, rolling over in bed, or looking up. Caused by displaced calcium crystals in the inner ear. Treated with the Epley manoeuvre, often resolving within 1–3 sessions.
Central Vertigo
Caused by problems in the brain (cerebellum or brainstem) — such as a TIA, stroke, multiple sclerosis, or cerebellar lesion. Typically persistent, accompanied by neurological signs, and requires brain imaging.
Vestibular Neuritis / Labyrinthitis
Often follows a viral infection. Causes sudden, severe vertigo lasting days to weeks. Distinguished from stroke by careful clinical examination — and treatable with vestibular exercises and short-term medication.
Menière's Disease
Attacks of spinning vertigo, fluctuating hearing loss, tinnitus (ringing in ears), and a feeling of fullness in the ear. Caused by excess fluid in the inner ear. Managed with dietary changes and medication.
Cervicogenic Vertigo
Neck-related dizziness caused by problems in the cervical spine — especially in people with cervical spondylosis or after a whiplash injury. Physiotherapy is often the primary treatment.
How We Treat Vertigo
Accurate Cause Identification
The treatment is entirely different depending on whether vertigo is peripheral (inner ear) or central (brain). We conduct thorough neurological and vestibular examination before treating.
Epley Manoeuvre for BPPV
For the most common cause of vertigo (BPPV), the Epley manoeuvre repositions displaced crystals in the inner ear. Most patients feel significant relief within 1–3 sessions.
Short-Term Medication
For acute vestibular neuritis or labyrinthitis, a short course of prochlorperazine or cinnarizine helps manage symptoms while recovery occurs. We avoid long-term use as it can slow recovery.
Vestibular Rehabilitation Exercises
Specially designed exercises re-train the brain to compensate for vestibular imbalance. Highly effective for chronic dizziness and ongoing balance problems.
Brain Imaging When Indicated
If clinical examination suggests a central cause (stroke, cerebellar lesion), we arrange urgent CT or MRI brain to rule out serious pathology.
Why Choose Sri Anand Hospital?
Treated by: Dr. Anand Karnam · DrNB (Neurology) · Vestibular Disorders Specialist
"Most patients with sudden vertigo are terrified they are having a stroke. The great majority have BPPV — a completely benign inner-ear problem that I can treat effectively in one session. The skill is in the clinical examination: the eye movement patterns tell me exactly what I am dealing with."
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Sri Anand Child & Neuro Hospital · Open 24/7 · Chanda Nagar, Hyderabad