All of the ENT's say I'm over thinking things

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As some of you may know, I have been spaced out for about 9 yrs. I always feel this way. I still go on with my life but the quality of life is not as good as it use to be. I had all of the ENT test done and the report came back unilateral weakness to the right of 10% which they call insignificant. fixation supression was present. bilateral weakness was absent. directional preponderance to the left of 20% which they call insignificant. the clinical impression is positonal nystagmus and the results suggest an abnormal vng.

So I asked the ENT do I have BPPV and one said yes and the other asked if I get vertigo, which I don't and then told me no. He said if you have an abnormal VNG then we do vestibular therapy which I did for 6 months and did not help. He then said well that's all we can do.

Is there an ENT here or somebody that can give me a straight answer?

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  • Posted

    Don't think I can offer much of a shred of comfort here but I know how you feel, and how demoralizing the search for a diagnosis can be.

    I've seen six ENT consultants, two neurologists and four stroke doctors so far over a two year period of continuous and gradually worsening dizziness with nausea and as I sit here with a spinning head and my life pretty much reduced to hoping I'll wake up tomorrow feeling a little better, it's hard to find anything positive to grab onto.

    I'm in the UK and after seeing specialists in Derby, Birmingham and Leicester I finally got a consultation through my GP with a Prof Bronstein at University College Hospital London. I was really hopeful that something new would come from the appointment as the guy appears to be one of best in the country.

    However after an encouraging half hour session with one of his very keen junior registrars, my 15 minute session with the prof turned out to be pretty much a repeat of every other consultation I've had, ending with a possible diagnosis of PPPD, (that good old fallback when every other diagnosis doesn't hit the spot), followed by 'I'm sorry but aside from exercising regularly and trying not to be too anxious about it, we can't help you any further today.'

    The last guy I saw was an ENT consultant in Derby, who was refreshingly cynical about the PPPD diagnosis, saying that in his opinion it was no more than a convenient catchall for consultants to use in order to be able to say they'd reached a diagnosis; but that it didn't really mean anything in clinical terms and certainly didn't help the patient. He highlighted the problems of diagnosing issues with the vestibular system as it's buried so deep inside the skull and is very difficult to scan accurately. He said that it was his belief that in 50 years or so when imaging technology has advanced to the level where individual nerve tracks can be seen in detail, it might very well be possible to identify and diagnose many of the issues that at present are being labelled with anomalous titles like vestibular migraine, PPPD etc.

    My only saving grace so far is that up to present, when I either eat or chew gum, my symptoms immediately lessen in intensity, so I chew gum manically all day every day. Trouble is that as my symptoms worsen, the gum is proving far less effective, and my jaw aches!

    TBH I can't bring myself to look forward to the next few years very much.

    • Posted

      Maybe the chewing things that helps is a clue for you. have you gone to a dentist or looked into TMJ?

    • Posted

      I was hoping that the prof. in all his wisdom might see the chewing thing as a clue.

      He literally shrugged and said

      'I can't offer any insight into why that happens'

    • Posted

      We've had a conversation about TMJ on a thread around 8 months ago.

    • Posted

      Or maybe just a lot of people who need help with unresolved vestibular issues.

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