Can you give me advice about ent, vertigo and nystagmus? i've been to 3 doctors, had a perfect mri and perfect blood work. ent is sending to neuro and vestib rhb. what could be wrong?

Vertigo: In general, significant vertigo with nystagmus is a problem with the peripheral vestibular system. If less severe, nystagmus could be less if "central" vertigo. An anatomically normal MRI is reassuring but that test does not assess the function of the system. Formal testing by vestibular specialists is often recommended and sometimes then rehab. Make sure the MRI reading is good, also.

Vertigo nystagmus: Have you had a hearing evaluation, balance testing (vng) &/or rotary chair testing? There are a multitude of reasons to experience imbalance or vertigo, ranging from blood chemistry abnormalities, eye, brain, joint/skeletal issues, heart or middle or inner ear problems. Once you have had comprehensive testing a specific cause may be found and definitive treatment instituted.

Vestibular Neurology: You would benefit from seeing a vestibular neurologist or neuro-otologist. Many causes of vertigo have normal mris and bloodwork. The diagnosis needs a doctor who can get a good history and perform an accurate vestibular and neurologic examination.

Possible Meniere's: This seems a description of meniere's (m) which is an inner ear condition that causes episodic vertigo, nystagmus, tinnitus in the affected ear and sometimes temporary deafness at the time of an attack. Mri and other studies are negative in m. Treatment is difficult, usually done by ENT docs. Try eliminating aspartame from diet and adding 500 mg per day of niacin. And rediscuss with ENT doc.

BPPV: That stands for benign paraxismal positional vertigo & is accompanied by nystagmus. In 30 years of practice every adult onset nystagmus i saw, on referral to ENT had this diagnosis, now since many of these have associated meniere's disease as dr. Bensinger has well described then some ents miss the bppv. But by far the most common cause of adult vertigo and induced nystagmus in bppv.