A Clear Guide to Vestibular Paroxysmia
Targeted Therapy for Vestibular Paroxysmia
Brief dizzy bursts or unsteadiness? Vestibular paroxysmia is a treatable nerve irritation disorder, not uncommon and rarely serious. At Harley AVM, our team provides effective control. Seek urgent AVM evaluation for severe, unrelenting headache, sudden weakness, vision loss, speech problems, or seizures. These symptoms require immediate care.
Comprehensive Care for Hearing, Vertigo & Balance
Comprehensive Care for Hearing, Vertigo & Balance
Altered Sound Tolerance
An Overview of Vestibular Paroxysmia
Vestibular paroxysmia is a neurological balance condition characterised by very brief, repeated episodes of dizziness or vertigo that occur suddenly and resolve within seconds or minutes. Attacks may happen many times a day and are often triggered by head movement, changes in posture, or even without an obvious cause.
The condition is thought to result from irritation or compression of the vestibular nerve, often by a nearby blood vessel. This abnormal nerve signalling disrupts balance information sent to the brain. Because episodes are short and tests may appear normal between attacks, vestibular paroxysmia is frequently overlooked. Accurate recognition relies on identifying the distinctive pattern of frequent, brief vertigo spells to guide appropriate management.
OUR REVIEW
Trusted by Patients,
Proven by Results
EXCELLENT Based on 112 reviews Posted on Google Diana GranadosTrustindex verifies that the original source of the review is Google. I had an outstanding experience with Harley Street Vestibular Clinic and cannot recommend them highly enough. I developed severe vertigo while visiting London, and it was an incredibly frightening experience as it was my first time ever experiencing dizziness like that. I called the clinic on a Saturday, fully expecting to leave a voicemail since they were closed. To my surprise, the office manager, Preeti, returned my call that same day. I was so grateful. She was kind, reassuring, and went above and beyond to arrange an appointment for me first thing on Monday. From the moment I arrived, the entire team was professional, efficient, and compassionate. They understood how urgent and distressing my symptoms were and made every effort to see me as quickly as possible. The vestibular audiologist was exceptional—she took the time to thoroughly evaluate me, clearly explain everything she was doing, answer every one of my questions, and perform the appropriate treatment. I never felt rushed, and her expertise immediately gave me confidence that I was in the right hands. The clinic was incredibly responsive, organized, and genuinely caring throughout the entire process. They turned what was a very scary situation into one where I felt supported and well cared for. I am truly thankful to Preeti and the entire team for their kindness, professionalism, and outstanding care. If you are experiencing vertigo, dizziness, or balance problems, I would not hesitate to recommend Harley Street Vestibular Clinic.Posted on Google erika thomaziTrustindex verifies that the original source of the review is Google. Great positive experience!Posted on Google Carol BunyanTrustindex verifies that the original source of the review is Google. I could not fault my follow up appointment with Dr Aran and his team. He really does take the time to listen to your questions and really puts himself out to set you on the road to recovery . He genuinely seems interested in getting you better. I would highly recommend this practice.Posted on Google Ged RobinsonTrustindex verifies that the original source of the review is Google. Dr Benjamin Shaw was extremely thorough in his assessment of my recent attacks of vertigo. I have total confidence in his ability, once I have completed the further tests he has arranged at the Wimbledon clinic, to diagnose what is causing this issue with my health.Posted on Google Adrian LoweTrustindex verifies that the original source of the review is Google. I thoroughly recommend the Harley Street Audio Vestibular Clinic. I had an appointment with Dr Rudy Palaniappan who listened carefully to me, conducted a brilliant examination and explained everything to me with a future plan very clearly. I was really impressed!Posted on Google EvanTrustindex verifies that the original source of the review is Google. Dr Arun provided an excellent virtual consultation, took the time to understand symptoms and history and provided an initial diagnosis and treatment plan. It did not feel rushed or with any bias. Received comprehensive notes and summary promptly after the appointment. Would fully recommend.Posted on Google shahram zarafshanTrustindex verifies that the original source of the review is Google. Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.Posted on Google Vasile BaltacTrustindex verifies that the original source of the review is Google. I had an excellent consultation where both the doctor Arun Pajaniappane and the audiologist were highly professional, attentive, and genuinely responsive to my concerns. They listened carefully to my problems and explained everything clearly throughout the appointment. The procedures carried out were handled with great care and efficiency, which made me feel comfortable and well looked after. I very much appreciated their professionalism and patient-centred approach.Posted on Google Carol lansleyTrustindex verifies that the original source of the review is Google. My first consultation with Dr Arun Pajaniappane was an excellent experience. He listened carefully to me & did extensive tests to try to determine the correct diagnosis.
Pinpointing the Cause
Diagnosing Vestibular Paroxysmia
When to Get Checked
You should get assessed if you experience repeated, brief episodes of vertigo that occur many times a day, especially if they start without warning or are triggered by small head movements. Increasing frequency, impact on daily activities, or uncertainty about the cause should prompt audiovestibular review.
You should seek urgent assessment if episodes occur with sudden hearing loss, ongoing imbalance between attacks, severe headache, facial weakness, numbness, visual disturbance, or other neurological symptoms. Early evaluation helps distinguish vestibular paroxysmia from other causes and ensures timely, appropriate care.

How We Assess Vestibular Paroxysmia
At Harley Audiovestibular Clinic, our senior audiovestibular clinician begins the evaluation by taking your detailed history and mapping brief vertigo attacks, triggers, tinnitus, and sensory symptoms to establish vestibular paroxysmia patterns. We dedicate unhurried time with our consultants to ensure a thorough understanding of your unique experience.
We continue with neuro-otological tests, MRI if indicated, and response trials to pinpoint the source of nerve irritation. Our senior clinicians collaborate to interpret these for the utmost accuracy. This precise pathway differentiates us, crafting personalised treatment plans that control episodes and restore balance swiftly. At Harley AVM, we provide empathetic guidance every step. Our strategies empower lasting stability and confidence.

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DIAGNOSTIC TESTS
Specialist Tests to Assess Hearing, Balance and Inner Ear Health
Harley Street Specialists in Hearing, Dizziness & Balance
Specialist Care for Vestibular Paroxysmia
Every Vestibular Paroxysmia case is different. Your consultant will create a tailored plan to address your specific symptoms and lifestyle – when it started, how it affects your day, and which tests and treatments are right for you.