Vestibular evaluation at Kathmandu Neurology Clinic
Vertigo is a specific type of dizziness — a spinning or rotational sensation — and arises from vestibular, neurological, cardiovascular or medication-related causes. Common vestibular causes include BPPV (position-triggered spinning), vestibular migraine (fluctuating dizziness with headache history), vestibular neuritis (acute sustained spinning) and Meniere's disease (spinning with hearing change). A structured history maps onset, duration, triggers and associated features before any scan is considered.
Evaluation includes positional testing (Dix-Hallpike manoeuvre for posterior canal BPPV, supine roll test for horizontal canal BPPV), neurological and vestibular examination, and selective investigations when findings would change management. The clinic avoids reflexive scanning and focuses on reversible contributors. Treatment is individualised — canalith repositioning manoeuvres for BPPV, vestibular rehabilitation therapy for residual imbalance, and targeted management for vestibular migraine or other causes.
- Positional testing — Dix-Hallpike and supine roll test
- Distinguish BPPV from vestibular migraine and central causes
- Canalith repositioning manoeuvres — Epley, Semont, barbecue roll
- Vestibular rehabilitation therapy for residual imbalance
Related: Vertigo Specialist → · Dr. Jitendra Knowledge Hub → · ICHD-3 Topic →
Reaching from Lalitpur
Kathmandu Neurology Clinic & Cognitive Center at Durbar Marg, Opposite of Yak & Yeti Hotel is accessible from Lalitpur via major road networks across the Bagmati River — typically a short drive. The clinic serves patients from Lalitpur, Patan and surrounding areas. Direct booking is available — no referral is needed. Bring a description of symptoms (onset, duration, triggers, associated features) and medication list to the first visit.
For patients unable to travel to Kathmandu, an initial telephone consultation can be arranged to triage urgency and determine whether an in-person visit is required. The clinic operates Sunday through Saturday, 9 AM to 7 PM by appointment.
- Accessible from Lalitpur across the Bagmati River
- Direct booking available — no referral required
- Bring symptom description, triggers, and medication list
- Telephone consultation available for triage