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Stay up to date with the latest news on treatments for sudden hearing loss and tinnitus by visiting frequently. Having my story out there will hopefully help others fight the battle against sudden hearing loss, or at least help them learn to cope. Losing your hearing is very common in people these days, so I think it`s important to have information like this one! Sudden hearing loss, also known as sudden sensorineural hearing loss, is a medical emergency that is extremely frightening for the person experiencing it. There have been ongoing debates as to whether Intra-Tympanic Steroid Injections would be the most effective medical intervention in treating Sudden Hearing Loss or if the widely practiced evidence-based medical management of oral steroids would be a safer choice. When seeking the different options for tinnitus treatment, there are a couple of options that one can consider. Sudden deafness is a disorder characterized by an abrupt sensorineural hearing loss of unknown etiology. Sudden deafness is defined by a high degree of abrupt sensorineural hearing loss without clear causes for the loss. Eighteen patients who had received MRI examinations were chosen from patients complaining of sudden deafness.
Pure-tone audiometry and short-increment sensitivity index tests were conducted on all patients.
To summarize, among the 18 subjects, 3 of the 5 patients (17%) with sudden deafness showing abnormal MRI findings had SBF of the VBS, 1 (5%) had an abnormal course of the VBS, and 1 (5%) had labyrinthine enhancement. Sudden deafness refers to abrupt sensorineural hearing loss of unknown etiology, often accompanied by tinnitus and vertigo. Viral labyrinthitis causes sudden deafness owing to infections caused by such viruses as measles or mumps, and it may occur without any other general symptoms.
In the past, MRI was mostly used for the diagnosis of lesions of the internal auditory canal and of the cerebellopontine angle, and particularly for acoustic neuroma in deaf patients [5]. Seltzer and Mark [4] also reported that the MRI results of all five patients experiencing sudden deafness showed Gd-DTPA enhancement of the cochlea and the vestibule. Besides viral infections, circulation disorders of the inner ear are presumed to be a major cause of sudden deafness. Regarding the relationship between the abnormal findings on MRI and vertigo, our study found that all the cases showing abnormalities on MRI also showed canal paresis. No significant relationship was found between MRI results and the type of audiogram or degree of hearing loss. Until now, the exact cause of sudden deafness has not been clarified, but abnormal blood flow of the inner ear is known as a cause of this disorder.
Unnoticed Series of EventsThe busy mind has the tendency to ride along the events of life unnoticed. It is ideal for people who need a device that is not visible and one that can facilitate their hearing. To determine whether establishing the pathogenesis of this disease is possible, this study analyzed the magnetic resonance imaging (MRI) of early stages of sudden deafness in combination with the clinical results of treatments.
Many theories seek to explain the etiology of sudden deafness; however, its exact causes are not specified. If it is not cured at an early stage, deafness can be permanent; thus, an early and accurate diagnosis is essential.
They were hospitalized at Pusan National University Hospital from November 2000 to May 2001. The vestibular function test consisted of air-caloric tests, and the results were measured with electronystagmography. Figure 1 shows the Gd-DTPA-enhanced T1-weighted coronal image of patient 9, who had vertigo and sudden deafness in the left ear; the image reveals increased gadolinium enhancement in the left labyrinth.

Gd-DTPA TI-weighted coronal image in left ear of subject with sudden deafness with vertigo. The patient having an abnormal course of the VBS and the patient having labyrinthine enhancement also showed vertigo and canal paresis. Schuknecht and Donovan [2] reported that the pathological findings of the temporal bones of patients having idiopathic sudden deafness showed an atrophy of the striae vascularis, the tectorial membrane, and the organ of Corti; these pathological findings are similar to those of a viral cochlear inflammation. The inner ear artery, which supplies blood to the inner ear, is provided through the anterior inferior cerebellar artery, the basal artery, and the posteroinferior cerebellar artery with the rostral vertebral artery [6]. The response to treatment tended to be slow in patients with abnormal MRI findings, as compared with patients in whom MRI findings were normal. The mind ignores the most obvious privileges given by the nature and processes of biological fusions of human development. The MRI findings of 18 patients with sudden deafness included three cases of slow blood flow of the vertebrobasilar system, one case of abnormal course of the vertebrobasilar system, and one case of labyrinthine enhancement. Recently, magnetic resonance imaging (MRI) has become an important method for evaluation of ear diseases. Various suspected causes of sudden deafness include circulation disorder of the inner ear, viral infection, rupture of the cochlear membrane, syphilis, and allergy.
The 4-mm-thick axial and coronal MRI tests produced TI-weighted images, Gd-enhanced T1-weighted images, proton density images, and T2-weighted images.
Figure 2 shows the proton density axial image of patient 2, who had vertigo and sudden deafness in the right ear; this image displays increased signals in the basal artery, due to the SBF of the basal artery.
In addition, the patients showing abnormal MRI findings did not respond well to treatment as compared to those with normal MRI findings (Table 2). Generally, labyrinthitis caused by viral infection, blood circulation disorders, or rupture of the inner ear membrane are believed to cause sudden deafness [1]. The inflammation in the inner ear membrane can be found by conducting an antibody (Ab) test for viruses in the blood of affected patients. In many cases, the decrease in the blood supply to the inner ear artery is caused by a decrease in the blood supply to the VBS or by vascular obstruction of the inner ear artery itself [7,8]. However, the number of cases examined in this study was small; therefore, no statistical significance is claimed. Therefore, we concluded that MRI is indispensable for examining patients with sudden deafness, especially those patients with accompanying vertigo.
Labyrinthine enhancement on gadolinium enhanced MRI in sudden deafness and vertigo:Correlation with audiologic and electronystagmographic studies.
Contrast enhancement of labyrinth on MR scans in patients with sudden hearing loss and vertigo:Evidence of labyrinthine disease. Sudden sensorineural hearing loss associated with slow blood flow of the vertebrobasilar system.
The mere motion of breathing, swallowing and all movement goes unnoticed until it has been taken away. MRI showed many abnormal findings in the temporal bone of sudden-deafness patients who also complained of vertigo. To determine whether establishing the pathogenesis of sudden deafness is possible, we analyzed MRI scans of early stages of sudden deafness in combination with the clinical results of treatments. However, no theory has yet been established for the causes of this disease, so making a definite diagnosis is very difficult. All patients were managed with same treatment protocol, which consists of high-dose steroid, low-molecular-weight dextran, and carbogen (95% O2 + 5% CO2) therapy.
Figure 3 depicts the proton density axial image of patient 6, who had vertigo and sudden deafness in the left ear; this image shows increased signals in the left vertebrobasilar artery, due to the SBF.
These researchers further reported that when the enhancement was confined to certain segments of the cochlea, deafness existed at the frequency of the region predicted by the enhancement.

Although the exact mechanism and significance of SBF in sudden deafness are unknown, a temporary decrease in blood flow occurred at the onset of sudden deafness [11]. In particular, 5 of the 11 (45%) patients with sudden deafness and accompanying vertigo showed abnormalities on MRI, and 3 of the 11 patients (27%) showed SBF. In CW Cummings, JM Fredrickson, LA Harker (eds), Otolaryngology Head and Neck Surgery, 3rd ed. Taken away is an idea, a conception the human mind wants to brush aside to the corner of its eyes.
As compared with normal cases, the cases showing abnormal findings on MRI did not respond well to treatment. To discover the exact causes of sudden deafness, the authors examined the relationships between patients' symptoms and the results of acoustic and vestibular function tests by analyzing abnormal findings on MRI, in particular the slow blood flow (SBF) of the vertebrobasilar system (VBS) and labyrinthine enhancement on MRI augmented by gadolinium (Gd-DTPA).
Figure 4 shows the proton density axial image of patient 5, who had vertigo and sudden deafness in the right ear; the image exhibits an abnormal course of the right vertebrobasilar artery. Therefore, gadolinium enhancement of the labyrinth is characteristic of labyrinthine diseases [3,4,6].
Additionally, they reported that viral labyrinthitis was diagnosed in nine patients and leutic labyrinthitis was diagnosed in two. We concluded that MRI is indispensable for examining patients with sudden deafness, especially those who have accompanying vertigo. It is a given we have the freedom to breath, to move and to be granted the notions that makes us normal; it gives us a normal life.
The concept of creation is interpreted in the same respect that life has been created to live within an unnoticed series of events.
The latter group also reported that the SBF of the VBS demonstrated high-signal proton density images [12-14].
These events are beyond our control and control is something we are never really capable of ever controlling. We explore so many avenues to find and attract so many people to watch in hope they will always tune in at prime time for the 30 or so minutes we have for attention. You take away one or more of those essentials and all of a sudden something has disturbed your ride in life.
Is it that time again that I noticed I have a privilege that has been taken away from me that I didn’t notice before? It is not a familiar feeling for the busy mind who encounters a series of fortune that only fate and destiny are to blame for. Blame comes when the minds that never experience such luck curse the day when those other minds win the lottery.
I NEEED that MONEY moreee!” Now we have an unnoticed series of fortune, events and emotion, relationships and never ending amnesia of the unnoticed knocking on your mind.
The feeling of losing privileges of life and the cliché of not knowing what you had until it is gone establishes tinnitus inside your ears.
You have gone through your life riding along the events and fortunes given to you by fate and destiny. Why?” Why are you repeating the words that are trying to find you a means of comfort?
Your mind is rushing and thinking about who is close to you, trying to fill in the blank canvases of those who have not asked about you so far. That, and you notice you might not have many true friends that have been exposed in your baptism of fire.

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10.03.2015 admin

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