Klinik Virtual Vertigo & Strok Percuma

09/06/2022

29/03/2022

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29/03/2022

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04/12/2021

26/09/2021

70/Malay/lady
UL HTN, Thyroid, allergic rhinitis, B/L knee OA

dizziness since 4/12 ago
described as imbalance
only when prolonged stand up
2-3x/month
not a/w positional
no tinnitus, ear discomfort
no ear fullness
no head trauma
no severe headache

foam test
step 3, 4 : < 2 sec

DHT neg

Ass
Chronic vestibulopathy
PPPD

Plan
home bal ex

11/08/2021

virtual pt liza

41/M/lady
UL migraine
GP2P1 currently at 30 weeks POA

dizziness (hanyut , imbalance ) since 2017
persist until now
a/w on off left tinnitus, ear fullness, reduced hearing

worsen after prolonged sitting/standing
also in passenger seat

not positional vertigo

precipitated by stress, reduced sleep

worsen since march 2021, unable to do ADL activity well due to imbalance

no h/o URTI , head trauma, ear infection

seen by ENT , no abnormality
brain scan done : normal

Exam
foam test :
Step
1,3,5 : Normal
2 : 5s
4 : 6s
6 : 3 s

DHT negative

MVSS 34
BDI 23
BAI 37
ATQ 19

diagnosis
1. Recurrent vestibulopahty
2. PPPD

plan
start home balance pyhsio
TCA virtual 2/52

23/07/2021

14/07/2021

refer for vestibular assessment

48/M/lady
UL HTN, HPL

Alleged MVA on 10/7
Mild TBI
post trauma day 4

Dizziness post trauma
floating sensation, spinning sensation
persist until now, not much improved by betaserc
+ postural vertigo
worsened by head movement
a/w nausea
need to lying straight, unable to roll over more over left side
no reduced hearing,tinnitus,ear fullness

Exam
foam test :
step 2 - 3 s
step 4 - 2 s
step 6 - 2s

DHT+left side
roll test - neg
fukuda : unable to asses
optokinetic test negative

Gan CRM x 1 successful
repeated DHT neg
foam test post Gan CRM
step 2 - 4 s
step 4 - 2 s
step 6 - 2s

impression
Left posterior semicircularcanal BPPV secondary head trauma

plan
continue betasecr

05/07/2021

Dr Zuraida Zainun available for consultation in I rehab KPJ KCWC Kuantan Pahang

Friday
9 July 2021
8-3 pm

For reservation

PM Miss Elly 011 33 55 8238