About B. Todd Troost, MD Expertise vertigo, benign positional vertigo, BPPV, and related ailments.
Experience
Past/Present clients More than 2000 patients with vertigo.
Chairman of Neurology Department for 18 years and examiner for American Board of Neurology for over 25 years. Extensive information is provided on my commericial free website at www.ivertigo.net
Expert: B. Todd Troost, MD Date: 7/1/2002 Subject: you were correct
Question Doctor: my mri was unremarkable of the brain and IAC's. What is interesting is i seen a nerologist about 2 months ago and she dismissed this as improperly treated ongoing anxiety (my lightheadness and unsteady feelings which by the way the unsteadness seems to be worse at night standing still if that means anything?
it took the ENT doctor to rule perform a test? i was considering one of 2 options going for therapy from the ENT doctor or wait and see another nerolgist to monitor this since mine is involved with vision not being used properly vs ear, i have this fear that i may develop true spinning vertigo from the therapy, what i have now is what i would consider liveable lightheadenss and unsteady feeling which could be anxiety, also i am going to have this tilt table test done from my cardiologist just to make sure it is not circulatory
----- I have been on the drug xanax for nearly 3 years now at 1.5mg/day do you think that could be playing a role in all this?
Answer Dear Marc:
I would proceed with the tilt table. There is no question that anxiety plays some role and that is in part being alleviated by the Xanax. At some point it would be well to very very gradually reduce the xanax and determine if you need it any more. I cannot speculate as to its role in your symptoms - again the best information should come from your treating physicians. Vestibular rehab or exercise should not increase your symptoms.
That's about the best I can do with this final answer.
