Ian Purcell MD PHD
Otoneurology
Providers
Diagnostic Testing
Diagnostic Testing and Advanced Technology
CDP
EEG
EMG/NCV
Epley Omniax Chair
TRV Chair
VEMP
VNG
Vertigo Recording Goggles
Resources
Dizzy Doctor

Dr. Purcell "Dizzy Doctor"

Gain deeper insights into the career and achievements of Dr. Ian Purcell, including his detailed CV and professional journey.
👤
About Dr. Purcell
🩺
The "Dizzy Doctor"
🩺
🌎 Dizzy Doctor Around the world

DizzyDoctor Systems

Explore Dr. Purcell’s innovative efforts in vestibular science, enhancing global understanding and treatment of balance disorders. Learn more about the technologies and methodologies transforming patient care worldwide.
🔬
Research and Development
🥽
Vertigo Recording Goggles
29.5657
106.5512
37.773972
-122.431297
26.0667
50.5577
38.9637
35.2433
45.1000
15.2000
21.4389
158.0001
8.4095
115.1889
41.3275
19.8187
37.4415
25.3667
71.2906
156.7886
39.0851
117.1994

Dr. Purcell's Global Mission

Discover the locations and initiatives where Dr. Purcell has made significant impacts on vestibular health.
858 223 2172
858 223 2172
Educational Resources
Normal Pressure Hydrocephalus

Normal Pressure Hydrocephalus

(click to enlarge)

Understanding Normal Pressure Hydrocephalus

Normal Pressure Hydrocephalus (NPH) is a condition characterized by an accumulation of cerebrospinal fluid (CSF) that causes the ventricles in the brain to become enlarged, often without increased intracranial pressure. This can lead to walking difficulties, urinary incontinence, and cognitive impairments.

Symptoms of NPH:

  • Gait Disturbance: The most common early sign, manifesting as difficulty walking or a feeling of the feet being stuck.
  • Cognitive Decline: Mild dementia including memory loss, difficulty problem-solving, and a general slowing of mental faculties.
  • Urinary Incontinence: Urgency or difficulty in controlling the bladder, typically occurring later in the disease progression.

Diagnostic Techniques:

  • MRI or CT Scans: Imaging tests to visualize the enlargement of brain ventricles and rule out other causes.
  • Lumbar Puncture (Spinal Tap): To remove a small amount of CSF, which can temporarily improve symptoms and help confirm the diagnosis.
  • Neuropsychological Testing: Assesses the cognitive function of patients suspected of having NPH.

Treatment Options:

  • Surgical Intervention: The primary treatment for NPH is the surgical insertion of a shunt system, which drains excess CSF from the brain to another part of the body where it can be absorbed.
  • Physical and Occupational Therapy: To improve mobility and assist with daily activities.
  • Regular Monitoring and Follow-Up: Essential to adjust shunt settings and manage symptoms effectively.

Advanced Technologies Used in Diagnosis and Treatment at Our Clinic:

  • Computerized Dynamic Posturography (CDP): Helps evaluate how NPH affects a patient’s ability to maintain balance.
  • Electroencephalogram (EEG): While not directly diagnostic for NPH, it helps rule out other neurological disorders.
  • Vestibular Evoked Myogenic Potentials (VEMP): Assesses the impact of NPH on balance and vestibular functions.

Living with NPH:Managing NPH involves a combination of treatments tailored to alleviate symptoms and improve quality of life:

  • Lifestyle Adjustments: Including safety modifications at home to prevent falls.
  • Supportive Care: Counseling and support for patients and caregivers to handle the challenges of NPH.

Read More

Neuromuscular Disorders
Seizure Disorders
Cupulolithiasis
Memory Loss/Dementia
Post-Concussive Syndrome/Traumatic Brain Injury
Acoustic Schwannomas
Vestibular Rehabilitation
Migraine Variant
Cardiac Arrhythmias
Nystagmus
Orthostatic Hypotension
Parkinson's Disease
Vestibular Migraine
Presbyastasis
Tinnitus
Sleep Apnea
Meniere's Disease
Viral Neuronitis & Labyrinthitis
Benign Paroxysmal Positional Vertigo (BPPV)
Dizziness
Ian Purcell MD PHD
Otoneurology

We are a specialty Oto-Neurology practice focusing on complex vertigo and balance disorders.

OUR Location

7625 Mesa College Drive
Suite 200A
San Diego, CA 92111

Contact

PHONE:
  • (858) 223-2172
FAX:
  • (858) 533-8397
  • Providers
  • Specialties
  • Resources
  • Diagnostic Testing
  • 858-223-2172
Terms of UsePrivacy
2024 IAN PURCELL MD APC
LegalAccessibility Statement
  • Log In
  • Sign Up