Does otolithiasis cause tinnitus?

Written by Li Rui
Otolaryngology
Updated on September 27, 2024
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Benign paroxysmal positional vertigo (BPPV) is a relatively common otolaryngological condition characterized by vertigo that does not involve tinnitus and is associated with changes in body position. The duration of the vertigo is typically very short, usually around 10 seconds, and the symptoms disappear once the head or body position is stabilized. There are no accompanying symptoms such as tinnitus or hearing loss. In terms of treatment, the first choice is usually manual repositioning, which is effective for most patients. If manual repositioning does not yield satisfactory results, treatment may involve using a rotary chair in conjunction with medication. If these methods are ineffective, surgical treatment might be considered.

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Written by Zhang Hui
Neurology
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Difference between Vertigo and Otolithiasis

Vertigo encompasses a broader concept, including conditions like benign paroxysmal positional vertigo (BPPV). Any disease that can cause patients to experience symptoms such as dizziness, spinning sensations, nausea, and vomiting, can be referred to as vertigo. BPPV is simply one common cause of vertigo. It primarily results from otoconia forming in the vestibule's semicircular canals or the utricle and saccule. These otoconia shift with head movements, disrupting the inner ear's lymph fluid, leading to transient episodes of vertigo closely related to body position changes. These episodes, lasting several seconds, can be completely alleviated and are considered a type of vertigo. Additionally, vertigo includes diseases like vestibular neuronitis and Ménière's disease. Therefore, the concept of vertigo is quite broad, and it is crucial to accurately diagnose the cause of vertigo in clinical practice to provide targeted treatment.

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Written by Li Rui
Otolaryngology
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Benign paroxysmal positional vertigo (BPPV) is a condition related to dizziness.

Benign paroxysmal positional vertigo (BPPV) is a relatively common otolaryngological condition, clinically referred to as benign, paroxysmal, positional vertigo. It primarily occurs when tiny particles enter the semicircular canals, and with changes in body position, it can easily trigger episodes of vertigo. Generally, the duration of vertigo is quite brief, lasting about several seconds, and the symptoms of vertigo quickly disappear after the body or head is stabilized. However, it tends to be recurrent and generally does not accompany symptoms like tinnitus, headache, or hearing loss. Currently, a common treatment is manual repositioning, which helps most patients recover and alleviate their condition after being performed.

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Written by Deng Bang Yu
Otolaryngology
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What should be paid attention to with otolithiasis?

Clinically, ear stone syndrome is referred to as benign paroxysmal positional vertigo. Concerning this condition, the following points should be noted: Firstly, active treatment is essential, primarily involving manual or mechanical repositioning, as well as functional exercises after repositioning; this is mandatory. Secondly, safety precautions must be taken. Patients with ear stone syndrome should not be near the edges of high buildings or ponds to prevent unforeseen accidents that could be triggered by sudden bouts of vertigo. Thirdly, dietary habits are important. The diet should be light, and stimulating substances such as tobacco, alcohol, spicy foods, and coffee should be avoided. Lastly, it is important to avoid excessive exercise, particularly activities involving too much spinning.

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Written by Li Rui
Otolaryngology
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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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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.