What are the symptoms of otolithiasis?

Written by Li Rui
Otolaryngology
Updated on September 08, 2024
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Benign Paroxysmal Positional Vertigo (BPPV), also known as otolithiasis, is most commonly characterized by recurrent episodes of vertigo. Typically, these episodes of vertigo are short-lived, lasting just a few seconds, and are closely related to changes in body or head position. Vertigo can be triggered by changes in head position and quickly disappears once the head is stabilized. Furthermore, there are no accompanying symptoms of tinnitus, headache, dizziness, or loss of consciousness. Diagnosis can be confirmed through clinical symptoms and positional testing. After diagnosis, manual repositioning treatments can be considered, and most patients respond well to this treatment.

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Written by Li Rui
Otolaryngology
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Otolithiasis, also known as benign paroxysmal positional vertigo, is primarily caused by abnormalities in the vestibular semicircular canals. It is a common condition with a relatively high incidence in clinical settings. It is generally recommended to consult either an otolaryngology or neurology department, as both are equipped to handle this condition. There are several treatment methods available, with manual repositioning treatment being the preferred first choice. Most patients can recover after undergoing manual repositioning treatment. For a small portion of patients who do not respond well to manual repositioning, machine repositioning chairs can be considered, in conjunction with pharmacological treatment. However, for a very small group of patients who do not respond to conservative treatment, surgical treatment may need to be considered.

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Is hyperbaric oxygen effective for otolithiasis?

Ear stone disease, also known as benign paroxysmal positional vertigo, does not recommend the use of hyperbaric oxygen for treatment, as the treatment effect of hyperbaric oxygen is not good for ear stone disease and is not clinically recommended. Patients with ear stone disease may consider manual repositioning treatment, which generally has a good treatment effect, and most patients are able to recover. If the manual repositioning treatment is not effective, oral medication may be considered in combination with machine chair repositioning. Through this comprehensive treatment, vertigo symptoms can generally be gradually controlled and alleviated. However, there are a small number of patients with severe conditions for whom conservative treatment is ineffective, and surgery may need to be considered.

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Written by Li Rui
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Does otolithiasis require surgery?

Otolithiasis is a relatively common ENT disorder, clinically referred to as benign paroxysmal positional vertigo. Generally speaking, most patients do not require surgery. Currently, the primary consideration is manual repositioning treatment, after which many patients can recover quickly. If the results of the manual repositioning treatment are not satisfactory, machine-assisted repositioning or oral medication can be considered. After these comprehensive treatments, most patients are able to recover. If there are a few patients who do not respond to the standard treatments mentioned above, then surgical treatment may be considered. The main surgery commonly used is the canal plugging surgery, which requires general anesthesia and inpatient surgery, and overall, the surgery is relatively difficult.

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Written by Li Rui
Otolaryngology
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What medicine should be taken for otolithiasis?

Ear stone syndrome is a relatively common otolaryngological condition, clinically referred to as benign paroxysmal positional vertigo. The main symptom is brief vertigo that occurs during changes in body position, usually lasting about ten seconds. The vertigo quickly subsides once the body position is stabilized, and there are generally no symptoms of tinnitus or hearing loss. In terms of treatment, medication is not recommended as the first option. Most patients can recover after manual repositioning treatment. If manual repositioning is ineffective, mechanical chair repositioning may be considered. If the condition still does not improve, oral anti-vertigo medications, which inhibit vestibular function and control vertigo, may be considered. (The use of medications should be carried out under the guidance of a professional doctor.)

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Can vestibular neuritis cause high blood pressure?

Otolithiasis is a relatively common otolaryngologic disease, clinically known as benign paroxysmal positional vertigo. Clinically, it mainly manifests as transient dizziness, but the duration is generally short, and most patients do not experience an increase in blood pressure. If the symptoms of dizziness are particularly severe and the patient is quite anxious, it may cause a temporary increase in blood pressure. However, if the symptoms of dizziness subside, the blood pressure will also decrease. This situation is relatively more pronounced in patients with hypertension. The treatment for otolithiasis primarily involves manual repositioning therapy, which is quite effective for most patients, although a small number of patients may need to combine it with oral medication.