Sudden Dizziness of Peripheral Origin Caused by Head Injury. Case Presentation

Abstract

Sudden dizziness attacks need to be diagnosed by multidisciplinary team of health profes­sionals, including neurologist, otolaryngologist but also internist, cardiologist, and oph­thalmologist. This is the case of a thirty‑two‑year‑old patient, who was admitted to the Oto­laryngology Clinic through emergency department due to dizziness described as visualized spinning of the environment towards the right. In addition, he was suffering from nausea without vomiting at all. The ailments appeared for the first time in his life and it was in the night of hospital admission. During the medical evaluation, the patient confessed to get hit on his lower‑back of the cranium about a week ago, without losing consciousness. After performing an otorhinolaryngology physical examination and diagnostic tests, including laboratory, otoneurological and imaging tests (CT scan of the head) as well as neurological consultation, the following disorders were diagnosed: sudden dizziness of peripheral ori­gin after a head injury and unilateral vestibular loss (affects left side). In this case, pharma­cological treatment and habitual exercises were applied and recommended to continue for the next 3 months.