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Author: admin | 01.12.2015 | Category: Ginkgo Biloba Tinnitus

After a head injury, otoconia may be displaced from the utricle and migrate into other parts of the ear, causing dizziness.
In one small retrospective study of 16 patients, five had perilymphatic fistulas and two were diagnosed with Meniere’s disease.
First, the doctor will want to know exactly when and how the head or neck was injured, and the character of the dizziness (for example. At the American Hearing Research Foundation (AHRF), we have funded basic research on related conditions in the past.
The American Hearing Research Foundation is a non-profit foundation that funds research into hearing loss and balance disorders related to the inner ear and is also committed to educating the public about these health issues.
A hearing loss or a nystagmus must be present to make this diagnosis with a reasonable degree of medical certainty. In this situation there is severe dizziness after an injury, and a skull or temporal bone CT scan indicating a fracture. Usually symptoms of imbalance and dizziness provoked by straining or blowing the nose (see Figure 3). This refers to complaints of vertigo related to psychological causes such as depression, anxiety, or an attempt to obtain compensation (also known as “malingering”). Vertigo due to brain injury, typically the part of the temporal lobe that processes vestibular signals.
A combination of headache, dizziness, and mental disturbance which follows a head injury, without an identifiable etiology (cause). Eleven patients were unable to return to work at all, and three returned to full work capacity (Marzo, 2004). In most instances these will include an audiogram, electronystagmography (ENG), possibly an MRI scan or CT scan of the inner ear. Treatment usually includes a combination of medication, changes in life style, and possibly physical therapy.

Click here if you would you would like more information about contributing to the AHRF’s efforts. While injuries to other parts of the body might, in theory, be associated with dizziness, in practice this is almost never the case. It is easily recognized by the pattern of dizziness that is brought only when the head is placed in certain positions.
The mechanism is thought to be bleeding into the inner ear, followed by disturbance of fluid transport (see Figure 2).
While the name implicates an inner ear disturbance, this symptom complex may be impossible to differentiate from other entities. While nearly all dizziness specialists agree that cervical vertigo does exist, there is controversy regarding the frequency with which it occurs (Brandt T, 2001).
People with fistula may also get dizzy with loud noises (called Tullio’s phenomenon). Anxiety and depression may result from traumatic brain injury that creates a self-perpetuating psychological reaction (Alexander, 1998).
In some individuals who come to autopsy after a twisting type injury of the head on neck, small areas of bleeding (petechial hemorrhage), and interruption of neuronal circuits (axonal damage) can be found. Because of the high incidence of litigation associated with post-traumatic vertigo, most clinicians are extremely cautious in making this diagnosis.
There are several good treatments for BPPV and the prognosis for this syndrome, in the proper hands, is excellent.
The main difficulty in this situation is to determine whether they are related or coincidental. Temporal bone fractures, especially the oblique variety (see above), may impair hearing and cause dizziness. The frequency to which this syndrome occurs is controversial, but general opinion holds that it is rare.

Complaints of dizziness attributed to brainstem injuries which cannot be imaged with a good MRI. Post-concussion syndrome is often attributed to Traumatic Brain Injury(TBI), which is a general term for a head injury affecting the brain. This syndrome can persist for years; however, about 75% of patients are recovered by one year (Radanov et al, 1994). The doctor will also want to know if you were unconscious and, if so, the duration of time.
It is also possible to have rarer causes of positional vertigo including mainly utricular injury , vestibular atelectasis, and various forms of central vertigo caused by cerebellar or brainstem disturbances (see Figure 1). While dizziness and nausea symptoms usually resolve over six weeks, cognitive symptoms and headaches may be persist longer.
All available records from the emergency room or hospital where you were seen after the injury should be obtained if possible. Moving platform posturography and psychological testing is sometimes done in persons who have entirely normal test results. The probability of Meniere’s disease being reasonably attributed to post-traumatic mechanisms is a function of the severity of injury (severe makes it more likely), the latency from the injury (longer is less likely), the presence of a pre-existing condition, and the presence of secondary gain. Historically, significant DAI is not felt to occur in awake humans who do not report loss of consciousness. Persons with the Large Vestibular Aqueduct syndrome are felt to be more likely to develop these symptoms. Myringotomy and insertion of a ventilating tube may be indicated, especially for serious otitis that persists after one month.

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