Vestibular pathology and deafness (inner ear pathology)

2021-04-15 04:33 PM

For the Ear, Nose Throat physician, deafness means a little or a lot of hearing loss: hearing loss, even a little, requires an ear exam and a hearing test because sometimes a serious illness like the VIII nerve tumour begins.

Vestibular syndrome

Cochlear root-vestibular syndrome

Reason

Arachnoiditis: there are many possibilities: adhesions encountered after ear-mastoid surgery when stabilized, cystitis and pseudotumor form.

Auditory nerve tumour (VIII).

Neuritis of the hearing virus (flu, mumps) or syphilis ...

Poisoning by alcohol, chemicals such as CO, lead ...

Symptom

 Includes:

Vestibular syndrome:

Visible dizziness, exacerbation, accompanied by tinnitus.

A transverse-rotated spontaneous flutter of the eyeball toward the healthy ear not only appears internally but possibly even out of dizziness.

Vestibular examination: answers in harmony, peripheral body, but with some central phenomena such as Romberg's dhamma is not affected when changing head position, the index finger test only deviates one arm with the right side.

Cochlear Syndrome: relayed hearing loss, no echogenicity phenomenon.

Neurological syndrome:

Constant headache, flare-ups usually in the occipital region.

There is dystonia, but balance disorder and the cerebellar syndrome are unknown.

To solve

Depending on the cause:

Medical:

Due to intoxication: remove toxins, give hypertonic sweet serum, antihistamine, corticoid.

Due to auditory neuritis, arachnoiditis: anti-inflammatory, anti-oedema with corticosteroids, antibiotics.

Surgery: auditory nerve tumour: removal of the tumour along the ear-atrial line when the tumour was small, in the inner ear canal. Follow the cranial path when the tumour has grown into the intracranial system.

Central vestibular syndrome

Reason

Damage to vestibular nuclei or the lines of communication between vestibular nuclei.

Tumour or cerebellar abscess.

Tumours in the brain, brain or brain roots.

Auditory nerve tumour when it has spread to the corner of the bridge-cerebellum.

Degenerative brain organization, brain function.

Symptom

Impaired syndrome:

Dizziness is not as pronounced as in vestibular root syndrome.

Mild imbalance, not commensurate with the subjective feeling of the patient.

Fibrillation of the eyeballs is always present.

The solutions cause manifestation: harmonic, flawed, array.

Irritable syndrome:

Mild dizziness, while a marked loss of balance.

Fibrillation of the eyeball is usually not present or when it is not.

The methods cause shown too stimulating, inadequate.

Deaf

For the Ear, Nose Throat Physician, deafness means a little or a lot of hearing loss: hearing loss, even a little, requires an ear exam and hearing measurement because sometimes a serious disease like nerve tumour VIII begins.

Occupational deafness

Workers working where there are noises need periodic examinations to detect occupational deafness early, not affecting communication at first. Occupational deafness is irreversible and needs to be detected and treated early.

Deaf children

Deafness of over 80 dB (decibel) accounts for 1% of all children. If children do not know "wait for a story", "stuttering babble", "talk slowly". Therefore, it is necessary to detect deaf children as soon as possible to wear the device before 2 years of age. Wearing the device slowly affects the child's hearing, pronunciation, psychology and emotions. Severe deafness without the device will become "mute" affecting the intellectual and personality development of the child.

Sudden deafness

Deaf suddenly appeared. This type of hearing loss is usually one ear, sometimes two ears, or common in middle-aged people, it is difficult to find the cause in the first place.

Treatment: bed rest, infusion of hypertonic solution, vasodilators such as divascol, papaverine, can use corticosteroids. It is necessary to exclude the causes: scattered sclerosis, diabetes, syphilis, leukaemia, nerve tumour No. VIII, drug cases, viral diseases, vascular diseases ...