Other physical examination tests include the Romberg test and observation of gait. Swaying toward one side with the Romberg test is indicative of vestibular dysfunction in the ipsilateral side. Also, a patient's gait will lean toward the side of a vestibular lesion. Ataxia is indicative of cerebellar dysfunction, and the patient's gait is usually slow, wide-based, and irregular. 9 , 20 Observation of gait is also important to detect symptoms suggestive of parkinsonism in patients presenting with disequilibrium. 4 In early Parkinson disease, gait is usually slower with smaller steps and reduced arm swing, and progresses to freezing and hesitation in later stages of the disease. 20 Screening for peripheral neuropathy is also important in patients presenting with disequilibrium. 4
A single trial containing 22 patients, with a low risk of bias was included. This trial found that after 24 months, compared with placebo , the use of intratympanic dexamethasone demonstrated a statistically significant improvement in vertigo as defined by a respective improvement in functional level (90% versus 42%), class (82% versus 57%), change in Dizziness Handicap Inventory scores ( versus ) and mean vertigo subjective improvement (90% versus 57%). The treatment regime described by the authors involved daily injections of dexamethasone solution 4 mg/ml for five consecutive days. These results were clinically significant. No complications were reported.
I am Soundarya my mother was suffered from hearing loss problem. She is unable to hear the speech of the person. We need to repeat her twice or thrice sometimes we repeat it for ten times on that also she can’t hear what we are saying. Because of this she was get insulted many times in front of third persons. We consult the doctor they said “there is the only way to cure this problem is to fix machine “ . But my mom got pain while fitting machine in her ears. She can’t wear that machine more than a minute. Is there any solution for this problem in homeopathy? Please reply me doctor