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Vertigo is the sensation that either your body or your environment is moving (usually spinning). Benign paroxysmal positional vertigo — In this condition, a change in head position causes a sudden sensation of spinning. Acute labyrinthitis, also called vestibular neuritis — This is an inflammation of the balance apparatus of the inner ear, probably caused by a viral infection. Meniere's disease — This causes repeat episodes of dizziness, usually with ringing in the ear and progressive low-frequency hearing loss.
Vertigo can feel like the room is spinning or like you are spinning in the room, or it can be just a sense of imbalance. Peripheral vertigo, which is much more common, includes benign positional vertigo, labyrinthitis and Meniere's disease.
Central vertigo is a more serious problem in the cerebellum (back part of the brain) or brain stem. For benign paroxysmal positional vertigo, your doctor may move your head and body through a series of positions. For more persistent vertigo, your doctor may recommend other types of vestibular rehabilitation, also called balance rehabilitation. Call your doctor if you have a new episode of vertigo, especially if it is associated with headache and significant coordination problems. Disclaimer: This content should not be considered complete and should not be used in place of a call or visit to a health professional. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. In the occurrence and development of inner ear infection and auditory nerve have a great importance of properties of the microbe or virus, their affinity to various tissues and systems.
The complete deafness occurs sometimes in the first 24 hours of illness, and in some cases even deafness preceded the appearance of meningeal symptoms. Neurotropic infections can cause retro labyrinth illness of nerve trunk, its nucleus and conductors. Labyrinthitis usually leads to permanent loss or distortion as the cochlear and vestibular function. The consequence of neurotropic infections can also be meningo-encephalitis with lesions of the nuclei of individual nerves, including the cochlear and vestibular, but complete loss of their functions is thus very rare. It was felt the direct effects of toxins on the nerve endings in the labyrinth or the trunk of the nerve, but the toxicity is known to be defeated in most cases it is bilateral. The inner ear is the receptor apparatus of the two most important analyzers – vestibular and auditory. Ringing in the ears: Medically called tinnitus, this can arise in any of "the four sections of the ear" -- the outer ear, the middle ear, the inner ear, and the brain -- and can be due to many causes including ear infections, fluid in the ears, Meniere syndrome (the combination of tinnitus and deafness), some medications such as aspirin and other nonsteroidal antiinflammatory drugs (NSAIDs), aging, and ear trauma (such as from the noise of planes, firearms, or loud music).
Ringing In The Ears - Tinnitus Ringing In Ears TreatmentRinging in the ear treatments to cure tinnitus and ear ringing fast. The most likely cause is small crystals that break loose in the canals of the inner ear and touch the sensitive nerve endings inside.
Positional vertigo is diagnosed when moving the head causes the vertigo and returning the head to a neutral position relieves symptoms.

The pattern of your eye movements may help to determine if the problem is peripheral or central. Because vertigo can be associated with an intense sense of imbalance, it is important to avoid situations in which a fall could cause significant harm, like climbing a ladder or working on a slanted roof. The types of exercises prescribed depend upon the underlying cause of dizziness and what movements provoke the symptoms. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. This explains the diversity of clinical symptomatology, course and outcome of diseases of the inner ear in various infections. This property is most clearly expressed in the pathogen of epidemic cerebrospinal meningitis, meningococcal – and affects the localization of pathological changes mainly in the cerebrospinal fluid and in the meninges. Major pathologic changes in the inner ear have been found in children who died on the first day of illness. When otogenic meningitis or during illness or after recovery is not observed loss function of the inner ear, except when purulent labyrinthitis (otogenic) preceded meningitis.
In this case, it is often accompanied by involvement of other cranial nerves – facial, trigeminal, etc. This property is attributed to, among other things, mumps, where sometimes there is a sudden loss of vestibular and cochlear function with severe acute labyrinthine pattern of attack. Regardless of the nature of the inner ear infection involvement in the pathological process of these receptors are accompanied by vestibular and cochlear symptoms, which quite effectively detected using a variety of subjective and objective methods. In rare situations, tinnitus may also be due to an aneurysm or an acoustic neuroma (a benign tumor on the acoustic nerve).
Although the reason for this change is unknown, scientists suspect that it may be linked to loud noise, to a viral infection or to biologic factors inside the ear itself.
Labyrinthitis and Meniere's attacks usually come on abruptly and last from a few hours to a couple of days. Usually, no further testing is needed unless your doctor suspects you have central vertigo. For meningitis and its links with the defeat of the inner ear are interesting observations.
These facts can be explained by the tropism of meningococcal not only to the cerebrospinal fluid, but also to the perilymph of the inner ear. However, in this case there is only a one-sided deafness; with cerebrospinal meningitis deafness is usually bilateral. Precede or accompany disease ear inflammation of the meninges and fluid ends without significant involvement of other skull cranial nerves.
However, these symptoms are present only in very small proportion of patients with mumps, in addition, the vast majority of patients who became deaf, absolutely no symptoms of intracranial disease.
Woodwind players are more likely to experience tinnitus than other orchestral players, probably because they usually sit just in front of the brass. If central vertigo is suspected, your doctor will order a computed tomography (CT) scan or magnetic resonance imaging (MRI) of your brain. This, apparently, and is related to the high incidence and severity of diseases of the inner ear with cerebrospinal meningitis.

According to statistics from the German authors (1905-1907), from 2861 patient cerebrospinal meningitis in 98 had a bilateral hearing loss, and one-way-only 8. Simultaneous destruction of other cranial nerves is a very rare and happens only when complications of mumps meningo-encephalitis.
Should I be concerned?Hearing a ringing or a tone in the ears when there is no external sound present is called tinnitus. At least half of the individuals diagnosed with Menieres disease will go into remission within a few years after their diagnosis (University of Maryland Medical Center).
A patient with Menieres disease will experience at least two to three of the following symptoms at one time: vertigo hearing loss tinnitus aural fullness (a feeling that the ear is full or plugged) How Is Menieres Disease Diagnosed?
You will need to indicate when you can and cannot hear a tone, so the technician can determine if you are experiencing hearing loss. The results of this test will tell your doctor if you have a hearing problem in one or both ears. Auditory brainstem response audiometry tests the function of the hearing nerves and the hearing center in the brain. These tests can tell your doctor if the problem is caused by your inner ear or with your ear nerve.
It is used in addition to ENG testing because the ENG results can be incorrect if there is wax blocking one of your ears canals or if your ear is damaged. Wearing a safety harness and standing bare feet on a platform, you will react to various balance challenges.
Other Tests Issues with the brain, such as multiple sclerosis or brain tumor, can cause symptoms similar to Menieres disease.
Your doctor may order a magnetic resonance imaging (MRI) scan or a computerized tomography (CT) scan to assess possible problems with your brain. If nausea and vomiting is a problem for you, your doctor may prescribe an antiemetic (anti-nausea medication). Your doctor can also inject medication into your inner ear by way of your middle ear to help reduce vertigo symptoms. Gentamicin is an antibiotic that is injected to reduce the balance in your ear, so that your other ear takes on the balancing function. Rehab and Hearing Aids Vestibular rehabilitation exercises can improve symptoms of vertigo.
These exercises help to train your brain to account for the difference in balance between your two ears. Surgery Most people with Menieres disease do not require surgery, but it is an option for those who have severe attacks and have not had success with other treatment options.
An endolymphatic sac procedure is done to help decrease the production of fluid and promote fluid drainage in the inner ear. This surgery removes the entire inner ear, which removes the balance and hearing function from that ear.

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29.11.2014 admin

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