OUR SERVICES
Subang ENT (Ear, Nose & Throat) Specialist Clinic is a dedicated medical center in Subang Jaya, Selangor Darul Ehsan, Malaysia, providing specialized care for a wide range of ear, nose, and throat conditions.
Since our establishment in 2009, we have been committed to serving our community with professional, high-quality medical services. We pride ourselves on the well-being of our patients, which is supported by our team of Highly qualified Doctors and specially trained personnel.
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Trustworthy Specialists & Reliable Medical Staff
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Professional ENT Services You Can Count On
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Dedicated Responsibility & Affordable Consultation Fees
Vestibular Neuritis: When Balance Falters Overnight
By Subang Ear, Nose & Throat Specialist Clinic
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🧠Did you know: Vestibular neuritis is one of the top three causes of vertigo related to the inner ear (along with BPPV and Meniere’s Disease).
What Is Vestibular Neuritis?
Imagine waking up one morning, and the world won’t stop spinning—you can’t stand straight, your stomach turns, and even small head movements make you dizzy.
That sudden, severe vertigo lasting for hours or even days may be due to Vestibular Neuritis—an inflammation of the vestibular nerve, the balance signal carrier between the inner ear and brain.
The Bárány Society defines Vestibular Neuritis (or Acute Unilateral Vestibulopathy) as a sudden, continuous vertigo lasting at least 24 hours, without hearing loss or tinnitus, caused by dysfunction of one vestibular nerve.
How It Happens—The Science Behind the Spin
Vestibular Neuritis is thought to be caused by a viral infection or post-viral inflammation of the vestibular nerve—commonly after a cold, flu, or upper respiratory infection.
What It Feels Like
Vestibular Neuritis typically begins suddenly, often overnight or upon waking.
Common symptoms include
- Severe, constant vertigo (spinning sensation) lasting days. Nausea and vomiting
- Unsteady gait or falls, difficulty focusing (oscillopsia)
- Worsening dizziness with head or body movement
💡Important distinction: Unlike Labyrinthitis, Vestibular Neuritis does not cause hearing loss or tinnitus — this is a key diagnostic clue.
References
- Strupp, M., Bisdorff, A., Furman, J., Hornibrook, J., Jahn, K., Maire, R., Newman-Toker, D., & Magnusson, M. (2022). Acute unilateral vestibulopathy/vestibular neuritis: Diagnostic criteria. Journal of vestibular research : equilibrium & orientation, 32(5), 389–406. https://doi.org/10.3233/VES-220201
- Pérez-Fernández, N., & Ramos-Macías, A. (2023). Recent Advances in the Diagnosis and Treatment of Vestibular Disorders. Journal of Clinical Medicine, 12(16), 5281. https://doi.org/10.3390/jcm12165281
- Hashimoto, M., Koizuka, I., Yamashita, H., Suzuki, M., Omori, K., Origasa, H., Takeda, N., Shojaku, H., & Committee for Clinical Practice Guidelines of Japan Society for Equilibrium Research (2024). Diagnostic and therapeutic strategies for vestibular neuritis of the Japan Society for Equilibrium Research. Auris, nasus, larynx, 51(1), 31–37. https://doi.org/10.1016/j.anl.2022.12.005
- Hidayati, H. B., Imania, H. A. N., Octaviana, D. S., Kurniawan, R. B., Wungu, C. D. K., Rida Ariarini, N. N., Srisetyaningrum, C. T., & Oceandy, D. (2022). Vestibular Rehabilitation Therapy and Corticosteroids for Vestibular Neuritis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Medicina, 58(9), 1221. https://doi.org/10.3390/medicina58091221
- Oliveira J E Silva, L., Khoujah, D., Naples, J. G., Edlow, J. A., Gerberi, D. J., Carpenter, C. R., & Bellolio, F. (2023). Corticosteroids for patients with vestibular neuritis: An evidence synthesis for guidelines for reasonable and appropriate care in the emergency department. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 30(5), 531–540. https://doi.org/10.1111/acem.14583
Frequently Asked Questions
What should I bring for my first visit?
Please bring your IC/Passport and any previous medical reports, X-rays, or CT scans related to your condition
Do you treat children?
Yes, we provide pediatric ENT services, including treatments for tonsillitis, ear infections, and “mouth breathing” issues in children.
Is nasal endoscopy painful?
Not at all. The procedure is quick, and you can see the results of your nasal and sinus health on our high-definition monitors in real-time.
Which payment methods and insurance do you accept?
We accept Cash, Credit/Debit Cards, and QR Pay (GrabPay/TNG). We do not have direct billing (panel) arrangements with any insurance companies.
Our Patients Say
Heard a lot about this clinic but only experienced visiting this clinic only yesterday as
Needed to see the specialist to check my ear ,nose and throat and must admit Dr Pura the ENT specialist is one of the better specialists I have seen
He is competent and friendly puts you at ease before diagnosing .
He checked and explained in detail about my problem .
More keen in treating a patient than hammering a patient with hefty bills
The clinic is very clean ,four star status ,staff efficient and friendly.
Left the clinic very satisfied and happy with the treatment.
I will not hesitate to recommend the specialist, Dr Pura and the clinic to any one seeking treatment for ENT problems
– Rajah Padman
I had three visits at this clinic to treat an ear infection and chronic eczema of the ear. The staff are all friendly and helpful. Dr. Periyannan was very kind and professional at every visit. I felt the service was exceptional. The results are what matters the most, and I am 100 percent satisfied with the results of the treatment!
– Candy S
Met Dr Puraviappan. He was very professional and handled my child very gently. She was at ease and comfortable while he looked at her ear nose and throat.
Took his time and examined my child.
Very happy with his treatment.
Must say they have a lot of nice fancy gadgets to aid their diagnosis. Just like a high end hospital setting.
Thank you 🙏
– Chitra Sridhar