Dizziness and Vertigo in Kathmandu: When to See a Neurologist

Dizziness is one of the most common reasons people seek medical advice, and its cause spans the ear, the brain, the heart, and even blood pressure and medications. The first decision is describing it correctly: vertigo is a false sense of rotation, lightheadedness is a feeling of near-faint, and imbalance is unsteadiness when standing or walking. Short-lived vertigo on rolling over in bed often suggests BPPV, which can be identified by positional testing and often managed with repositioning maneuvers. Recurrent vertigo with headache features —— photophobia, nausea, migraine history —— raises vestibular migraine. Persistent imbalance after an illness may reflect vestibular neuritis or a central cause. When should a neurologist evaluate you? When attacks recur without clear ear symptoms, when headache accompanies vertigo, when imbalance persists between attacks, when there is concern about stroke risk factors, or when symptoms impair daily function. Sudden vertigo with weakness, slurred speech, double vision, or inability to stand requires emergency care, not an appointment. At Kathmandu Neurology Clinic & Cognitive Center, Dr. Jitendra Prasad Yadav (NMC 8029; 15+ years, National Trauma Center/NAMS) evaluates dizziness with detailed spell history, neurological and positional examination, and targeted investigation only where indicated —— distinguishing vestibular, migraine-related, and central causes, and coordinating with ENT/neuro-otology when the picture is predominantly otologic. Full detail: /vertigo-doctor-kathmandu. Educational content —— consult a clinician for personal advice.