Quick Answer
Dizziness covers four distinct experiences with different causes, and establishing which you mean is most of the diagnosis. Assessment, balance testing and same-visit treatment of positional vertigo are available at 7751 W. Flamingo Road, Suite A-100, Las Vegas NV 89147.
Part ofThis guide sits beneath dizziness and vertigo, which covers the study itself, how it is performed and what the report should contain.
Dizziness, Vertigo and Balance care at CNS →Key Takeaways
- Dizzy covers four distinct experiences: spinning, faintness, unsteadiness, and foggy detachment.
- Timing and triggers separate the causes: seconds on head movement is positional vertigo.
- Sudden dizziness with double vision, slurred speech or weakness is an emergency.
- Long-term suppressant medication blunts the compensation the brain uses to recalibrate.
- Assessed at 7751 W. Flamingo Road, Suite A-100, Las Vegas NV 89147, where positional vertigo can often be treated the same visit.
Vertigo
Vertigo is the false sensation that you or your surroundings are spinning or moving. It points to the balance system — the inner ear, the balance nerve, or the brain pathways that process balance signals — rather than to the cardiovascular causes behind lightheadedness.
Four different symptoms, one word
Dizzy is used for at least four distinct experiences with four different lists of causes. Establishing which you mean is most of the diagnosis, and it is the question patients are most often not asked precisely.
The four
Spinning, where you or the room appears to move, which points to the balance organs or their central connections. Faintness, a sense of nearly passing out, which is usually a blood pressure or cardiac question rather than a vestibular one. Unsteadiness with a clear head, which points to sensory feedback from the feet, the cerebellum, or vision. And a foggy detachment, which more often accompanies anxiety, medication effects or migraine. Being told which one you mean changes where the assessment goes entirely.
Timing separates the causes within spinning
Seconds, triggered by a change in head position such as rolling over in bed, is the pattern of positional vertigo, which is mechanical and frequently treatable in the visit it is confirmed. Minutes to hours in episodes, often with a migraine history, suggests vestibular migraine. Hours with hearing change and ear fullness suggests an inner-ear cause needing prompt assessment. Days of continuous severe vertigo suggests inflammation of the balance nerve. Constant unsteadiness for months without discrete attacks suggests a compensation problem rather than an active lesion.
When it is an emergency
Sudden severe dizziness with double vision, slurred speech, weakness, numbness, a severe new headache, or inability to walk unaided. Those can indicate a stroke affecting the balance pathways and need an emergency department rather than an appointment. Dizziness with new hearing loss in one ear also needs prompt rather than routine assessment.
The caution about suppressant medication
Medication that suppresses dizziness has a place over days in severe acute vertigo. Taken for months it blunts the signal the brain uses to recalibrate, which slows the compensation that would otherwise resolve symptoms. For positional vertigo specifically it treats the sensation while leaving the mechanical cause in place. A patient who has been on a suppressant for a year is frequently worse off for it, and saying so is more useful than continuing it.
| Also considered | How it is distinguished |
|---|---|
| Benign paroxysmal positional vertigo | Brief spinning triggered by head position change; positional testing identifies it and repositioning often addresses it in a single visit. |
| Vestibular migraine | Episodes lasting hours with light or sound sensitivity and a migraine history. |
| Meniere's disease | Vertigo with fluctuating hearing loss, ear fullness and tinnitus. |
| Presyncope | Lightheadedness on standing without a spinning sensation, pointing to blood pressure rather than the inner ear. |
What the assessment involves
01
What brings people in
Spinning episodes, unsteadiness, or dizziness that has not been explained.
02
What the evaluation settles
Whether the pattern is positional, episodic or continuous, whether it is peripheral or central, and whether in-office VNG testing is indicated.
03
What you leave with
A pattern-based diagnosis where testing supports one, in-office repositioning when BPPV is identified, and a plan for what to do next.
Describing it precisely is the work
Which of the four you mean. How long an episode lasts, by the clock rather than by impression. What brings it on. Whether hearing changed. Whether anything neurological accompanied it. And your full medication list, since several common medications cause light-headedness on standing.
What is performed here
Clinical assessment including positional testing, and objective balance testing at both offices, described on the VNG page. Where positional vertigo is confirmed, canalith repositioning can frequently be performed in the same appointment, which means arriving with vertigo and leaving without it. Where a vascular cause is suspected, transcranial Doppler is available.
What is coordinated rather than provided
Vestibular rehabilitation is not delivered at either office. It is physical therapy directed at retraining balance and it is arranged with outside providers. It matters substantially where a compensation problem has developed, and stating plainly that it happens elsewhere prevents a wasted booking. Audiology is also external, since the practice provides no hearing testing.
Bring a driver for balance testing
Objective balance testing deliberately provokes dizziness in parts, so someone should drive you home. It is the most commonly ignored instruction in this area.
The first 30, 60 and 90 days
Step 1
First visit
History and neurological examination, a review of records and prior imaging, and a decision on which studies are actually indicated. You leave with the plan, not just a referral.
Step 2
Within 30 days
Indicated in-office studies are performed and interpreted by the neurologist who ordered them, in our AANEM-accredited laboratories. Results are explained in plain language.
Step 3
60 to 90 days
Follow-up to judge whether the plan is working, adjust it, and coordinate with your referring clinician. Where a diagnosis needs time to confirm, this is where it is revisited.
Attending from Las Vegas
The Las Vegas office is at 7751 W. Flamingo Road, Suite A-100, in Sunrise Medical Plaza, with parking on site. All six in-office studies are performed and interpreted there, so nothing is sent across to Henderson. If you are coming from Summerlin, Spring Valley or Enterprise this is almost always the shorter journey. Adults 18 and older.
Dizzy and not sure what kind?
Say which of the four you mean and how long an episode lasts. That narrows it faster than anything else.
The Bottom Line
Say which of the four you mean and how long an episode lasts. That does more than any test.
Frequently Asked Questions
Why does it matter which kind of dizziness I have?
Because the word covers at least four distinct experiences with four different lists of causes: spinning, faintness, unsteadiness with a clear head, and a foggy detachment. Establishing which you mean is most of the diagnosis. Describing what you actually felt, rather than reaching for the word dizzy, is the single most useful thing you can prepare.
What does brief vertigo when I roll over in bed mean?
That pattern, lasting seconds and triggered by a change in head position, is the commonest cause of true vertigo. It is mechanical and can frequently be treated in the same visit it is confirmed, rather than needing medication. Noting which side you were turning toward when it happened helps identify the affected ear.
When is dizziness an emergency?
Sudden severe dizziness with double vision, slurred speech, weakness, numbness, a severe new headache or inability to walk unaided. Those can indicate a stroke affecting the balance pathways. Dizziness with new hearing loss in one ear also needs prompt assessment. Dizziness that begins after a head or neck injury also warrants prompt assessment rather than a routine appointment.
Is long-term dizziness medication a good idea?
Rarely. It has a place over days in severe acute vertigo, but taken for months it blunts the signal the brain uses to recalibrate, slowing the compensation that would otherwise resolve symptoms. For positional vertigo it treats the sensation while leaving the cause in place. Reducing it is planned rather than done abruptly.
Is vestibular rehabilitation provided at the practice?
No. It is physical therapy directed at retraining balance and it is arranged with outside providers rather than delivered at either office. It matters substantially where a compensation problem has developed. The practice establishes whether it is the right treatment, makes the referral, and interprets progress against the diagnosis, which is the part that decides whether the course was the right one.
Do I need someone to drive me?
For objective balance testing, yes. Parts of it deliberately provoke dizziness and some patients feel unsteady afterwards. It is the most commonly ignored instruction in this area. Eat lightly beforehand, avoid eye makeup because the goggles need a clear view of your eyes, and allow extra time for the appointment.
My balance test was normal but I am still dizzy. What now?
That is common and informative rather than a failure. It redirects attention toward causes the study does not measure: blood pressure, medication effects, cardiac rhythm, migraine-associated dizziness, and anxiety, which frequently accompanies dizziness of any cause. A normal study also narrows the list usefully, because it makes an inner-ear cause considerably less likely.
Should I stop my dizziness medication?
Not on your own initiative, but it is worth raising. A suppressant taken for months blunts the recalibration signal, and for positional vertigo it treats the sensation while leaving the mechanical cause in place. Bring the bottle so the drug and dose can be checked, since several of these are sold without a prescription.
Where exactly is the Las Vegas office?
7751 W. Flamingo Road, Suite A-100, Las Vegas NV 89147, in Sunrise Medical Plaza on the west side of the valley, with parking on site. All six in-office studies are performed and interpreted there, so nothing is referred across to the Henderson office. Summerlin, Spring Valley and Enterprise are generally closer to it than to Horizon Ridge Parkway.
Should I use the Las Vegas or the Henderson office?
Whichever is the shorter drive, since both are fully equipped and hold the same records. West Flamingo Road generally suits the west and southwest of the valley; West Horizon Ridge Parkway suits Green Valley, Anthem and Boulder City. If you can attend either, say so when booking, because availability differs between the two week to week.
How this page was sourced
Practice facts come from Clinical Neurology Specialists directly: that clinical assessment, objective balance testing and canalith repositioning are provided at both offices, and that vestibular rehabilitation and audiology are coordinated with outside providers rather than delivered on site. Clinical context is sourced to the organisations listed below.
No success rates, recurrence rates or specific manoeuvre sequences appear. The omission of step-by-step repositioning instructions is deliberate: the correct manoeuvre depends on the affected ear and canal, and performing the wrong one can worsen symptoms. No outcome is promised. Scope is adults 18 and older.
Change log
- 2026-07-28 — page published; clinical content reviewed.
- 2026-07-28 — last reviewed against AAN, AANEM and NINDS guidance; internal links and schema verified.
- Review cadence: quarterly, or sooner if guidance changes.
How to cite this page
Clinical Neurology Specialists. “Dizziness specialist Las Vegas.” Reviewed 2026-07-28. https://www.cnsnevada.com/conditions/dizziness-vertigo/dizziness-specialist-las-vegas/
References
- Vestibular Disorders Association — patient information on balance and vestibular disorders.
- National Institute of Neurological Disorders and Stroke — the reference catalogue of nervous-system disorders.
- American Academy of Neurology — clinical practice guidance.
This page is for general information about a Clinical Neurology Specialists office and is not medical advice, a diagnosis, or a treatment recommendation. It does not create a physician-patient relationship. Adults 18 and older. For an active stroke, a first-time or prolonged seizure, sudden severe headache, sudden weakness, sudden vision loss, or a head injury with loss of consciousness, call 911 or go to the nearest emergency department.