Your persistent symptoms indeed suggest an issue related to the vestibular system, but pinpointing the exact cause requires a look at various possible conditions. Based on your description, this could be due to Persistent Postural-Perceptual Dizziness (PPPD) or vestibular migraine. PPPD is characterized by non-spinning dizziness and imbalance, which aligns with your description of persistent internal dizzines/floating sensations that worsen with visual stimulation and improve with rest. The background of stress and the symptom persistence also fit. Vestibular migraine is another possibility, particularly if there’s any history of migraine headaches. It can present with similar symptoms even without a headache during the dizziness episodes. Both conditions can coexist or overlap, making diagnosis challenging. The hypoactive right posterior canal and abnormalities in central vestibulo-ocular function from your reports hint towards central vestibular issues, pushing PPPD or vestibular migraine higher in differential diagnosis.
To manage these symptoms, consider seeking a specialist in vestibular disorders who can confirm the diagnosis with the context of your full medical history and prior test results. Treatment typically includes vestibular rehabilitation therapy, which can help your brain adapt to the dizziness by practicing balance exercises. Cognitive-behavioral therapy also often plays a role, especially for PPPD, addressing the psychological component of particularly persistent dizziness tied to stress and anxiety. Medication options, including certain SSRIs or migraine preventatives, might be recommended based on the specific diagnosis and your overall health profile. Getting guidance on lifestyle modifications, like reducing screen time and managing stress, could also contribute to symptom management. Quick follow-up with a healthcare professional is advised to explore these pathways in detail to improve your quality of life.
