Vestibular Paroxysmia

Vestibular Paroxysmia Treatment in London

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. 

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

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Discover how our expert care has transformed the lives of individuals struggling with hearing and balance issues. These testimonials reflect our unwavering commitment to clinical excellence and patient satisfaction.
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Soydan Osman profile picture
Soydan Osman
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I was seen by audiologist and Dr Arun, they were attentive, caring and took time to listen and adaptations were made throughout the appointment to support my anxiety and claustrophobia. This made a significant difference and genuinely helped me through the audiology testing. I gave an explanation of my current symptoms to Dr Arun he displayed great listening, compassion and understanding. The treatment I received on the day has greatly improved my symptoms, the one reassuring thing is any follow up is required is knowing that I will be in safe hands. I received my clinic letter promptly. After care queries handled by the admin team was exceptional, prompt and helpful. Overall the service was impeccable.
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Diana Granados
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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.
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erika thomazi
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Great positive experience!
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Carol Bunyan
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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.
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Ged Robinson
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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.
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Adrian Lowe profile picture
Adrian Lowe
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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!
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Evan profile picture
Evan
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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.
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shahram zarafshan
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Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.
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Vasile Baltac
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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.

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.

Envato labs edit 2, Vestibular Physiotherapy and Rehabilitation services in London

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.

Clinician reviewing audiogram results from a pure tone audiometry test at Harley Street AVM
Harley Street AVM clinic reception and waiting area for audiovestibular patients

Major Insurance Providers Accepted

Insurance partner health insurance accepted at Harley AVM (9)
WPA
AXA PPP health insurance accepted at Harley AVM
Cigna
Insurance partner health insurance accepted at Harley AVM (12)
Healix
Bupa
Allianz

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.

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