In
underwater diving, alternobaric vertigo is dizziness resulting from unequal pressures being exerted between the ears due to one
Eustachian tube being less patent than the other. This might have occurred due to
barotrauma of descent, and/or the effects of nasal
decongestants. It is due to unequal increase in
middle ear pressures on ascent, is usually mild, and most often cleared by further ascent. When the pressures in both ears reach ambient levels, the stimulus for the dizziness stops. Although most often mild, the vertigo can persist until the diver reaches the surface continuing the unequal pressures, which can damage the inner ear or ear drum.
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