Dizziness/Vertigo

At Montefiore Einstein Otorhinolaryngology – Head and Neck Surgery, you can access exceptional care for dizziness/vertigo. As a global leader in otorhinolaryngology and head and neck surgery, we are an academic-based, national and international referral site for the most complex and high-risk cases. For over a century, we have been at the forefront of innovation, research and clinical care for ear, nose and throat (ENT) and head and neck conditions.

Ranked in the top 1% of all hospitals in the nation for complex specialty care according to U.S. News & World Report, Montefiore Einstein continues to make advances in the diagnosis and treatment of ENT and head and neck conditions. Our multidisciplinary team of world-renowned specialists has pioneered many of the otorhinolaryngological techniques used today and is passionate about uncovering the latest diagnostic approaches and treatments that can improve outcomes.

At Montefiore Einstein Otorhinolaryngology – Head and Neck Surgery, you can expect compassionate, personalized, research-driven treatment plans that meet the highest standards for quality and safety.

When you need dizziness/vertigo care, turn to our dedicated multidisciplinary team for a personalized treatment plan.

Dizziness and vertigo can arise from a variety of causes, including:

• Inner ear conditions: Issues such as Ménière’s disease, benign paroxysmal positional vertigo (BPPV) and vestibular migraines can affect balance.
• Medications: Common side effects of antidepressants, anti-seizure drugs, blood pressure medications and sedatives include dizziness.
• Other factors: Dehydration, overheating and low blood sugar can also contribute to symptoms.
• Reduced blood flow: Conditions like anemia, postural hypotension or stroke can lead to dizziness by reducing blood flow to the brain.

Common symptoms include:

• A spinning sensation (vertigo), even when stationary
• Feeling lightheaded, faint or unsteady
• Difficulty maintaining balance or coordination
• Nausea or vomiting associated with movement
• Sensitivity to head movements or changes in position

Accurate diagnosis involves a comprehensive evaluation, including:

• Medical history and symptom review: understanding triggers and patterns of dizziness
• Physical examination: assessing balance, coordination and neurological function
• Specialized tests: including hearing tests, imaging (magnetic resonance imaging—MRI or computed tomography—CT scans) or vestibular function tests to identify underlying conditions

At Montefiore Einstein, treatment plans are customized based on the type and cause of dizziness or vertigo. Options include:

• Medications: including antihistamines, anticholinergics, diuretics for Ménière’s disease and migraine-preventive drugs
• Vestibular rehabilitation: exercises to desensitize the balance system and improve stability, including the Epley Maneuver
• Canalith repositioning maneuvers: noninvasive techniques to treat BPPV
• Lifestyle modifications: guidance on hydration, nutrition and stress management
• Therapy: counseling or talk therapy for dizziness related to anxiety or stress