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Dizziness central directional predominance

Hello, yesterday I went to my ENT doctor because of dizziness and did a balance test (warm and cold water in the ears, dark glasses, eyes recorded by video camera, caloric test?). From the ENT side, everything seems to be okay, but I was referred to a neurologist with the diagnosis "Central directional predominance in vertigo, labyrinth inconspicuous; please clarify". I only got a neurology appointment in mid-October. Is this something that needs to be clarified more quickly (because it could be originating from the brain - tumor, etc.) or am I just worrying too much? Could it also come from my cervical spine, which crackles and creaks when I turn my head? I am 45 years old, male, and very anxious about diseases with a tendency towards hypochondria. Thank you for your quick response.

Dr. med. Kathrin Hamann

Good day, I am happy to help you further.

Dizziness is a symptom that can have various causes. Therefore, the examination by the ENT doctor was completely correct and important.

For safety reasons, a further neurological examination, especially of the cerebellum, is important, as this is the balance center. Circulatory disorders here could be the cause, but metabolic diseases are also possible. I would not consider a tumor, as this is very rare.

You mentioned that you also have problems with your cervical spine. This is the most common cause of dizziness - so-called cervicogenic dizziness.

Since your appointment with the neurologist is not until October, I would recommend seeing an orthopedic doctor beforehand for clarification. It would be best to see a so-called atlas therapist, who can take a closer look at your cervical spine and treat it accordingly to help you.

Do you have any questions about this? I am happy to help you further.

All the best and a speedy recovery!

Best regards,

Dr. K. Hamann

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Dr. med. Kathrin Hamann

Dr. med. Kathrin Hamann

München

Seit mehr als 20 Jahren bin ich in der Medizin tätig. Als Fachärztin für Allgemeinmedizin helfe ich in meiner Praxis meinen Patienten.

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