Vertigo (Central vs Peripheral) Treatment Lecture, Vestibular Neuritis, BPPV, Meniere Disease, USMLE

[@MedNerdDrWaqasFazal]

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[@drkpk384]

ptb plz

[@shayanazizkhattak5776]

Showed this to all my junior doctors at Harvard med school. Needless to say, we are all your fans now. Keep up the same quality!

[@MedNerdDrWaqasFazal]

Very kind of you 😊

[@Ak_87467]

Hii @shayanazizkhattak5776 .can i talk to u on any social media platform. I need some guidance to enter harvard med school. I am from India

[@Shubruhhh16]

Simple, stright to the point , sticking the concept into mind , knowledge emitting attitude, ultimately making student get admired...

[@saritajoshi1944]

Can't thank you enough. Amazing presentation.

[@another_world02]

Sir i am foreign Medical student From Pakistan... Its Your Videos that make all My syllabus Easy and Knowledgeable.. may allah bless you sir You are the best❤️

[@VaibhaviPande-nq2sy]

Thanks a lot Sir.. You are helping medical students In great Manner

[@cptbob100]

Thank you, I'm currently suffering from peripheral vertigo and this helped me understand my condition

[@manoharnp7843]

Wonderful doctor, I had a cake walk of some of the difficult to understand subjects though I am a gynecologist. Nice to listen to your presentation. I will better equipped to help my patients. Thank you . Continue this marvelous medical service sir.

[@PeterJohns]

In the head impulse test, it’s not nystagmus you are looking for, but instead a “catch up” or corrective saccade. The magnitude of this saccade is greater than the nystagmus. And in addition, it is seen when the head is turned rapidly towards the ear which is the non-affected ear in vestibular neuritis. The fast component of the nystagmus in VN beats away from the affected ear.

[@bruceadonnelly69]

Thank you Sir! Subscribed. Suffering with this for a very long time. Have been diagnosed with Menieres Disease, and issues from mulitple ahead Traumas effwcting cranial nerves. This is an awful problem.. Really appreciate you post.

[@ruqaiyahusain68]

Asslamualikum, Doctor, your way of presentation appeals to the soul to not to miss a single lecture,it's just awesome and it could not be any better ,it's perfect.May Allah bless u 😊thanks.

[@MedNerdDrWaqasFazal]

Walaikmasalam ameen. Thank you very much Dr. Ruqaiya Hussain for your kind words. 😊

[@kezhere]

Im in general practice training. My tutorial topic for this week is dizziness. This was perfect.

[@drrajiao4]

sir very well explanation ,thanks for greatest information in simple lecture

[@spikypereira]

Such a wonderful video, precise and easy to remember. Thanks a lot.

[@sheerinmumtaj6238]

Your all videos are outstanding sir ❤ easily understand

[@paredesizindagi7227]

MASHAllAH very nice presentation

[@Simplensweett]

U have made it simple, clear and very interesting.

[@PeterJohns]

Many patient with vestibular neuritis do not have a preceeding upper respiratory track infection. Given the frequency of URI’s, it is unwise to conclude that any person with vertigo following a recent URI has vestibular neuritis without confirming it with the HIT and the rest of the HINTS exam.

[@books1278]

Thank you Sir ❤ Your videos are extremely helpful for me. JazakAllah ❤ May Allah bless you more

[@minnahahamed9069]

Sir ur videos are so great .very concise but with good explanation and there is a good organization.i see mny medical channel.urs is my favorite.please continue it.u r enlightening so many medical students life.thank you so much.

[@dr.kishorsahana9095]

AFTER SAW THIS VIDEO I M YOUR BIG FAN SIR ,YOU ARE MY MENTOR FOR FUTURE. I HAVE ALL READY SAW YOUR VIDEO IN VARIOUS TOPICS BUT TODAYS LECTURE ABOUT VERTIGO SO IMPRESSIVE YOUR INTERPRETATION MAKE EVERY TOPICS SO EASY THAT A SIMPLE PERSON MAKE OUT WHAT YOU TRYING TO SAY. I M FRM INDIA .KEEP IT SIR WE NEED MORE TOPICS THANKS

[@lemonsvlog4762]

Easiest presentation. Much gratefulness to u Love from🇧🇩Bangladesh🇧🇩

[@asadkamal8536]

Doctor Sahab You doing it amazingly...

[@baadal4836]

Such a wonderful lecture

[@nisekkhatiwada1303]

Appreciate your hard work for making us understand so easily sir ❤️ Love from Nepal 🇳🇵

[@MedNerdDrWaqasFazal]

So Nice of you Nisek 😊

[@PeterJohns]

The otoliths normally reside in the utricle and saccule. When they are dislodged from there, that is when BPPV can develop. Rolling over in bed often triggers the dizziness also. Some patient will endorse a lesser but constant dizziness even when still.

[@DoctoraAltamimi]

I pray for you every day .... respect for you and your efforts... from uae 🇦🇪 to any where are you ...

[@PeterJohns]

The severity of the symptoms between central and peripheral as described is generally true, but is not a reliable way to determine if the patient is suffering from a central or peripheral problem.

[@mjg5628]

Thank you very indeed Dr.. Very understandable.

[@resmiarun2189]

Thanx a million Dr🙏🙏🙏🙏🙏 such an amazing video....May God Bless u in abundance for the endless effort u take for making such wonderful videos.u are a blessing for all medicos🙏🙏🙏

[@holohorn7442]

You got a new subscriber Dr.Fazal. thsnkyou...please give us the gift of more useful educational videos !

[@mahidulalam-h9v]

sir, you'r lectures are so palatable to understand❤😊,and approaches are so crystal clear to execute...

[@lakhanparajiya8342]

Acute sensory neural hearing loss points towards central cause (labyrinthine infarct - AICA territory stroke). Checking hearing loss is part of HINTS PLUS examination (apart from checking nystagmus, head impulse and skew deviation).

[@chaitalichiplunkarvaidya5041]

It would also be good if you highlight importance of vestibular rehabilitation in the treatment!! Good explanation of basics

[@mobinkhan1878]

Very valuable information

[@anilchavan846]

Explained nicely ..thanks sir

[@nisithmukherjee4866]

Very beautiful lecture

[@ennavas6726]

I'm in love with your vídeos!

[@maherahmed1977]

Thank you for all your efforts to make it easy for us, please can you share your experience on how to read EEG, I didn't find a good video on what are the basic and how to read EEG in real EEG paper. I will be happy if you make a series of videos on it similar to the ECG that you did amazing job in explaining Best regards, Maher Ahmed

[@sumitgupta4414]

Thank you sir. Very common case Daily day to day practice.

[@shakarkuk813]

Amazing, God bless 🤲🏻👍🏻

[@subhojitpaul6377]

Hypoglycemia can also cause vertigo. Your presentation is good. But you should also throw light on posterior circulation stroke with MRI imagea to make this more comprehensible

[@manzoor-eelahee2361]

Thank you Sir, for such a nice explanation.

[@SarahMontgomery-x7c]

Excellent video! Thank you!

[@sarangjaiswal3789]

Thank you sir for vertigo crystal clear video. And you not mentioned cinnarizine anywhere?

[@pharmaguideline8916]

Very good described

[@aliata3797]

Thanks again 🙏

[@drihsanullah8209]

Sir salam, I m regularly watching your medical videos and learned a lot. I m your fan and have a request that please make a video on post nasal drip and DNS symptoms and specifically on thats treatement 🙏

[@MedNerdDrWaqasFazal]

Walaikmasalam... So Nice of you 😊

[@drihsanullah8209]

@@MedNerdDrWaqasFazal Thanks for reply sir, I m working in Emirates , and learned a lot you taught to me through your KZbin. And that's practice is going up and most of patients appreciating me and that's all about you. I m very thankful to you and when I will come back, will meet you.

[@MousumiPal-vk4lm]

Outstanding video sir

[@mohansinghpk77]

Sir pls make videos regarding types of incontinence of urine. Thank you

[@Johnwick0994]

Thank you sirrrr 👏🏼

[@BeGood2All77]

Excellent presentation.

[@deimaiashal400]

You are a Gem

[@AyushKumarAtz]

Very well explained ,,,🙏

[@zubanusrif7312]

Sir ur the most amazing

[@heenaafreen4246]

Sir Thank you again .......

[@TemesgenKabato-zy5fz]

Amazing Sir Dr.!

[@Drrasel-rp8wb]

Thanks a lot sir

[@shivram2674]

Sir ur lectures are good and concepts clear but plz sir deliver according to unit wise as we study as a sequence wise.👍🙏❤️

[@rawaqasim9062]

Thank you dctor

[@حسنموسى-ذ5ش]

Thanks for you.we need leucter about tunitis

[@accomrade9157]

Thank you Dr,,we can talk about lupus erythematosus also

[@vishalji6916]

Great lecture sir. 👍

[@46hemantsaini8]

Thank you sir 😊

[@rajeevranjansingh4210]

Sir please give me the answer what are the reason behind the after the treatment of upper respiratory tract infection vestibular inflammation

[@farhatansari4549]

Well explained 👍

[@viviangodwin8705]

Good day doctor please I didn’t get the t o drugs that you stated for labyrinthitis and vestibular neuritis

[@PeterJohns]

A cerebellar stroke caused by an occlusion of the AICA (anterior inferior cerebellar artery) can produce hearing loss.

[@amirimtiazkhafjaawi]

He mentioned this superficially at 08:03...

[@Mohansinghsalaria]

Great sir

[@naseebkhankhanjan7310]

sir please make a video on pt inr test

[@alikhanmoazzam]

Sir Thank U am a house officer I love your videos

[@shehlabibi5531]

Sir please make more videos it help us alot

[@raghibsohail880]

After watching this video I can say that I have perriferale vertigo problem which further lead to mienier desease. Because I have hearing loss but after eardrum surgery in Pakistan it has more worsen, continues tinnitus and sometimes vertigo with new issue of horizontal nystagmus. Using betahistine 24mg but still suffering

[@miggz8016]

Is there an online consultation?

[@shamakuma1967]

Surroundings is moving while everything is stationary? How can you say that surroundings and everything are separate? Movement is in relation to the patient.Either the patient feels he is moving and the surroundings are stationary or the surroundings are revolving around the patient while the patient is stationary.patient won't be able to distinguish these 2 adequately becos the symptom can be very incapacitating and fast for the patient to define it. Either the patient is spinning or the surrounding space and objects around him are spinning.its an hallucination.

[@mzareef4359]

Excellent

[@khaledjay197]

Doctor I am experiencing sudden drop attacks that last seconds but they are severe I barely have nausea especially when eat fruits is that have any relation with meunière disease

[@TemesgenKabato-zy5fz]

Sir Dr.! why don't you teach gynaecological and obstetrics case plz?

[@divakarsingh7155]

Sir, my wife is suffering from moving thing around, fall down sudden, headache, weakness double vision cramp on lower leg. Please suggest me which doctor is best for this disease

[@theboringaspirant]

Ginko Biloba. It helped my father eradicate vertigo. It is a natural Chinese ancient herb

[@PeterJohns]

Currently, vertigo experts are getting away from using the patient’s description of their dizziness to rule in or out any cause. Many patients with BPPV will not describe spinning, but instead describe it as lightheadedness. Just as in chest pain, you cannot rule in or out any cause of chest pain by merely asking if it’s a heaviness or a burning sensation.

[@worldaround6520]

Thank you sir.

[@Dr-789]

Not Beat down but Down beat Remember Downbeat is a type of vertical nystagmus and not a vertical nystagmus as a whole...

[@STnation777]

How do you treat Central vertigo? You didn’t address it.

[@shamakuma1967]

Vertigo is hallucination of movement.😊

[@black11horse]

Please make a video on the topic"conversion disorder"

[@amernomani8984]

Sir Bahot bahot Accha Samjhaye Sir mujhe 4 Saal se Chakkar hai 38 Hospitals Visit Kiya no Results bahot Chakkar ate hain plzz sir help me

[@puspanjaliparida2437]

Sir why vertigo is associated with nystagmus

[@anusomesula8425]

Sir Pls do vedio on burns and electric shock

[@sumosh2001]

can vertigo be part of 'conversion reaction'?

[@amazmart8624]

Plz make a video on migraine

[@drintikhabkhan9266]

Make a lecture on presyncopy

[@vijaymala89]

Sir.. what will the medicinal treatment of BPPV?

[@mitralvalve8032]

I have pts with sinusitis refractory to treatment 9 years old ..can you help me please ?

[@MedNerdDrWaqasFazal]

I'll make a video on refractory sinusitis for you 😊

[@pjgojiya7031]

Please make video on ECG

[@dr.aslam8118]

Sir plz make video on INFLUENZA H1N1

[@shishirgulhane3519]

Ye hindi me kaha sumane ko milega sir..meri ma ko pochale 4 sal se chakkar or ulti aa rahi hai..wo bhi 6 se lekar 8 ghnto tak rahato hai..speshalist doctor ko dikha ke thak gaya hu mai..ab kya karu mai..

[@misbahumar4577]

👍👍👍

[@candyland8903]

what if you have both central and peripheral? Ive been going back and forth between the cardiologist, ent, and neurologist and some say its central and some say its peripheral. none of them agree on a diagnosis. ive always gotten terrible motion sickness from basically everything from being a passenger in a car to swinging on a swing, or even just moving my head to quickly. went to a vestibular physical therapist and she diagnosed me with vestibular migraine, which i thought was central. but i also do get tinnitus and the ent said i had high frequency hearing loss and believed it was peripheral. i tried to get vng testing done but the water caloric part trigger a vestibular migraine so bad, i thought i was going to have a stroke so i wasnt able to finsih the test. also had brain mri done and there were a couple lesions in the subcortical regions, but all of these drs continue to brush me off and just push beta blockers, but i already have a low resting hr so i decline the meds everytime. this all got very severe in spring 2020 after getting covid for the first time.

[@Notrading21]

When you wake up and get out the bed in the mornings do you feel dizzy a little bit or just feel like something is off ?

[@areguapiri]

The covid nonsense.

[@swarnaverma2314]

Sir i have vertigo from 3 weeks means i feel i m moving while i m sitting or walking .. Tinnitus is heard but no hearing loss ..this sensation is mild ..is it peripheral vertigo??

[@ashleymatthews7592]

I’m dealing with this how are you now? when I sit down it’s like my body is floaty when o sit or lay down it’s frustrating

[@swarnaverma2314]

@@ashleymatthews7592 i m having imapacted ear wax in left ear i dont is it the cause ??

[@ashleymatthews7592]

@@swarnaverma2314 I’m having a floaty body I don’t know if it’s vertigo or what with a lil dizziness I was told I have tinnitus in both ears and vestibular migraine

[@swarnaverma2314]

@@ashleymatthews7592 u are able to hear tinnitus??

[@prathikashetty484]

Sir can u teach about nystagmus