Glimpse of NESCON 2023 Conference at Jaipur India
Prateek Porwal Nescon 2023: Presented on Role of High Frequency Head
Also presented my experience with Anterior Canal BPPV
Participated in a panel discussion of Pediatric Vestibular Disorders
Dr. But Prateek Porwal continues to represent India on the global stage. In 2025, he was honored with the prestigious VAI Budapest International Award at the Vestibular Academy International conference in Budapest, recognizing his clinical contributions to vestibular medicine and BPPV management in India. This recognition places him among the top vestibular specialists globally.
Dr Prateek Porwal Vertigo Specialist
Dr Prateek Porwal in NESCON 2023 Conference at Jaipur India
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When to See a Doctor
Seek immediate medical attention if you experience severe symptoms or sudden changes. For ongoing concerns, contact Prime ENT Center to schedule an evaluation. Early consultation often prevents complications and speeds recovery.
Frequently Asked Questions
Q: How long until I see improvement?
A: Most patients notice improvement within days to weeks, depending on the condition. I’ll provide realistic timelines during your consultation.
Q: Do I need to take time off work?
A: This depends on your specific condition and treatment. We’ll discuss activity restrictions during your appointment.
Q: What if treatment doesn’t work?
A: We have multiple treatment options available. If one approach isn’t effective, we’ll adjust the plan. It’s rare that we don’t find something that works.
Q: Is treatment painful?
A: Most treatments are comfortable. I’ll explain what to expect and manage any discomfort during the process.
Disclaimer: This article is for educational purposes only. It does not constitute medical advice or prescribing guidance. All medications mentioned should only be taken under the direct supervision of a qualified physician. Specific doses, durations, and drug choices depend on your individual clinical condition and must be determined by your treating doctor. If you experience severe symptoms, please seek immediate medical attention.
What I Presented at NESCON 2023
NESCON 2023 in Jaipur gave me the chance to share three different pieces of work — each representing a distinct area of my vestibular practice. Here is what I covered and why each topic matters for patients.
1. Role of High-Frequency Head Impulse Testing (HIT)
The Head Impulse Test (HIT) has been used in vestibular diagnosis for decades, but high-frequency testing — video HIT — is a newer refinement that gives far more precise information about which semicircular canals are affected and by how much. My presentation at NESCON 2023 focused on how I use video HIT alongside VNG in my Hardoi clinic to guide treatment decisions in complex vestibular cases.
The practical takeaway for patients: if you come to me with unexplained dizziness after vestibular neuritis or after what seemed like BPPV but is not resolving, the combination of VNG and head impulse testing gives us a complete map of your vestibular function. That information directly changes what treatment I recommend.
2. My Clinical Experience with Anterior Canal BPPV
Anterior canal BPPV is rare — less than 5% of all BPPV cases — but it is also the most misdiagnosed variant. It presents with downbeat nystagmus on the Dix-Hallpike test, which is often mistaken for a central finding and leads to unnecessary MRI scans and neurology referrals.
I developed the Bangalore Maneuver specifically for anterior canal BPPV after seeing multiple patients whose condition was being treated as something else entirely. At NESCON 2023, I presented my case series from Hardoi — showing outcomes with the Bangalore Maneuver in patients previously treated unsuccessfully for months. The response from colleagues was encouraging, and several ENT surgeons reached out to learn the technique.
3. Pediatric Vestibular Disorders Panel
I was part of the panel discussion on pediatric vestibular disorders — an area that is far less discussed than adult vertigo but affects children more than most parents realise. Childhood BPPV, vestibular migraine in children, and post-viral vestibular neuritis are all genuine conditions that often go undiagnosed for months because parents and paediatricians do not think of the ear as a source of dizziness in children.
Key message from the panel: a child who complains of spinning, refuses to walk, or seems unusually clumsy after a viral illness needs an ENT evaluation, not just reassurance. Read more about vertigo in children here.
What Conferences Like NESCON Mean for My Patients
I attend these conferences not for the prizes — though the second prize in 2022 and the panel invitation in 2023 are encouraging — but because the conversations with colleagues sharpen my thinking. When I return to Hardoi after NESCON, I bring back new techniques, updated protocols, and a clearer sense of what the national standard of care looks like. That benefits every patient who walks into Prime ENT Center.
If you are dealing with dizziness that has not been properly explained, my practice in Hardoi offers the same diagnostic rigour as any major city hospital — with significantly shorter wait times and no need to travel to Delhi or Lucknow. Book a consultation and let us find out exactly what is going on.
References
- Karatas M. Central vertigo and dizziness: Epidemiology, differential diagnosis, and common causes. Neurologist. 2008;14(6):355–364.
About the author: Dr. Prateek Porwal is an ENT & Vertigo Specialist with over 13 years of experience, holding MBBS (GSVM Medical College), DNB ENT (Tata Main Hospital), and CAMVD (Yenepoya University). He is the originator of the Bangalore Maneuver for Anterior Canal BPPV. Serving at Prime ENT Center, Hardoi.