How is otolithiasis treated?

Written by Li Rui
Otolaryngology
Updated on September 17, 2024
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Ear stone disease is a relatively common otolaryngological disorder, clinically known as benign paroxysmal positional vertigo. It is primarily characterized by short episodes of dizziness, nausea, and vomiting that occur with changes in body position, typically lasting about 10 seconds. The symptoms of vertigo quickly disappear once the body position is stabilized. In terms of treatment, manual repositioning therapy is initially considered and is generally effective for most patients. If manual therapy alone does not yield satisfactory results, treatment using a mechanical rotating chair may be considered. Additionally, some patients may consider oral medication. If conservative treatments fail to provide relief, surgical intervention might be necessary.

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Written by Zhang Jun
Otolaryngology
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Ear stone disease lacks which vitamin

Otolithiasis and lack of vitamins are not related. Otolithiasis is mainly caused by the movement of otoliths in the semicircular canals, and it is also known clinically as benign paroxysmal positional vertigo. Generally, patients are prone to attacks when turning over, twisting, or turning their heads, which can cause sudden dizziness. The dizziness is described as the sensation of the world spinning and does not last more than one minute, with most cases resolving on their own. During an episode, patients may experience significant nausea and vomiting, but there is no decrease in hearing or tinnitus. It has no relation to vitamin deficiency. It is necessary to go to the hospital for a detailed examination with an electronystagmography, videonystagmography, electrocochleography, caloric tests, and glycerol tests for a definitive diagnosis. In terms of treatment, recurrent otolithiasis needs otolith stimulation and repositioning treatments which have good effects. Additionally, after treatment, it is necessary to adjust sleep and rest, and avoid excessive physical activity to prevent recurrent episodes.

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Written by Li Rui
Otolaryngology
53sec home-news-image

How is otolithiasis diagnosed?

Otolith disease is a relatively common otolaryngological disorder, clinically known as benign paroxysmal positional vertigo. In terms of diagnosis, the first step is to observe clinical symptoms. Otolith disease typically manifests as brief episodes of dizziness, lasting about a few seconds, and is clearly related to changes in body or head position. If the head position is stabilized, the symptoms of dizziness usually disappear quickly, and there is no tinnitus or hearing loss. Additional diagnostic tests can also be conducted, such as positional testing or vestibular function tests. During positional testing, a certain position might trigger a brief episode of dizziness, which helps in identifying the specific semicircular canal involved. In terms of treatment, manual repositioning can be considered, and it is generally quite effective for most patients.

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Written by Li Rui
Otolaryngology
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What are the symptoms of otolithiasis?

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 Xu Qing Tian
Otolaryngology
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The difference between otolithiasis and Ménière's disease

The main difference between BPPV (Benign Paroxysmal Positional Vertigo) and Meniere's Disease lies in their symptoms and causes. BPPV primarily manifests as episodes of dizziness due to dislodged otoconia moving into the semicircular canals, leading to vestibular irritation. On the other hand, Meniere's Disease presents a group of symptoms including vertigo, fluctuating hearing loss, and tinnitus, thought to be caused by fluid accumulation in the labyrinth, triggering labyrinthine irritation.

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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.