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afya
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> vertigo, hearing loss (SN), tinnitus with sensation of fullness or pressure in one or both ears and N&V episodes last longer - minutes to hours (cf BPPV) recurrent episodes sensation of aural fullness nystagmus and positive rombergs (stand with closed eyes - if wobble - ?loss of vestibular function or of proprioception) middle aged adults usually unilat - 15% bilat Medical Mx in acute phase - stay still, try cinnarizine (15-30 tds) or prochlorperazine (5-10 tds) prophyllaxis - betahistine 16mg tds lifestyle change and low salt intake with lots fluid and litttle caffeine and alcohol may help surgical intervention if persistent - but mostly it burns out
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