For your patient with dizziness have you checked for benign positional
vertigo (BPPV)which is known to occur post whiplash? This may explain the
fullness in the ear as it is an inner ear disorder.
> -----Original Message-----
> From: Henry Tsao [SMTP:[log in to unmask]]
> Sent: Saturday, February 03, 2001 11:57
> To: [log in to unmask]
> Subject: VBI
>
> To all:
>
> I have another question to ask. Recently, I had a patient come in
> following whiplash to the neck. The doctor has not done any Xrays or
> scans. He is complaining of pain with rotation, lateral flexion and
> extension, but also a dizziness and slight blurred vision after performing
> these movements. He complained of a fullness in the ear (which I can not
> associate with anything).
>
> I performed a VBI test, and this increased his light headed ness only with
> extension and combined extension and rotation, but not with rotation. I
> gently palpated his neck, but as I have never seen someone with VBI, I was
> very cautious.
>
> My question is if somebody does have VBI, does it give them the fullness
> in the ear?? I have referred this patient back to the doctor for more
> examination.
>
> Henry***
>
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