Meniere’s Disease. Dizziness in the elderly can be a result of problems with the vestibular, central (brain-related), and vision systems, as well as from neuropathy, psychological causes, and unknown (idiopathic) causes. When the ear is itself attacked, this is known as autoimmune inner ear disease. Benign Paroxysmal Positional Vertigo (BPPV). The four classic symptoms are vertigo, tinnitus, a feeling of fullness or pressure in the ear, and fluctuating hearing. It is characterized by episodes of vertigo, tinnitus, and hearing loss. Some of the same symptoms also occur with benign paroxysmal positional vertigo (BPPV), and with cervical spondylosis (which can affect blood supply to the brain and cause vertigo). Meniere’s disease is an inner ear disorder characterized by episodic vertigo attacks, sensorineural hearing loss, tinnitus, and pressure or fullness in the involved ear. The attacks are characterized by true vertigo, usually with nausea and vomiting lasting hours in duration. Although hearing loss in migraine patients is less common than in vertigo, tinnitus, photophobia, and phonophobia, it may present as a low frequency fluctuating sensorineural hearing loss. Although hearing loss in migraine patients is less common than in vertigo, tinnitus, photophobia, and phonophobia, it may present as a low frequency fluctuating sensorineural hearing loss. This causes a paroxysm of vertigo.
Core symptoms are vertigo, tinnitus and fluctuating hearing loss with a sensation of aural pressure. Some patients have ‘drop attacks’, ie sudden unexplained falls without loss of consciousness or associated vertigo. The Hallpike manoeuvre is used to diagnose benign paroxysmal positional vertigo (BPPV). (1) fluctuating hearing loss, (2) occasional episodic vertigo (usually a spinning sensation, sometimes violent), (3) tinnitus or ringing in the ears (usually low-tone roaring), and (4) aural fullness (eg, pressure, discomfort, fullness sensation in the ears). Central nervous system (CNS) problems must be distinguished from circulation anomalies, chemical and hormonal imbalances, and peripheral inner ear disorders. Medical therapy can be directed toward treatment of the actual symptoms of the acute attack or directed toward prophylactic prevention of the attacks. Information on vertigo and balance disorders usually associated with the inner ear balance mechanisms and Menieres disease. Benign Paroxysmal Positional Vertigo (BPPV) – The most common cause of vertigo described as a brief, intense sensation of spinning that occurs because of a specific change in the position of head such as getting out of bed in the morning, or getting up from a chair too quickly.
Affected individuals may have a recurrent feeling of fullness or pressure in the affected ear, and hearing tends to fluctuate. Tinnitus often develops on the affected side and may be more intense before or during an attack of vertigo. Hearing loss in the affected ear is typical. Learn about vertigo cures, treatment, causes, symptoms, exercises, diagnosis, home remedies, and more. Vertigo is caused by problems in the brain or inner ear, including sudden head movements, inflammation within the inner ear due to a viral or bacterial inner ear infection, Meniere’s disease, tumors, decreased blood flow to the base of the brain, multiple sclerosis, head trauma and neck injury, migraine headaches, or complications from diabetes. Vertigo may also be caused by inflammation within the inner ear (labyrinthitis or vestibular neuritis), which is characterized by the sudden onset of vertigo and may be associated with hearing loss. Is it a spinning sensation that could be characterized as vertigo, pointing to the peripheral vestibular apparatus? Is it a sensation of falling without rotation? Is it a sensation of unsteadiness or imbalance? Is there a particular direction in which the patient tends to fall? When the patient’s complaint is actually incoordination or clumsiness, the cause may be cerebellar dysfunction or peripheral neuropathy. (b) a fluctuating peripheral vestibular problem, as in Mnire’s’s disease; M ni re’s syndrome is characterized by attacks of severe vertigo, tinnitus, fluctuating hearing loss, and ill-described aural sensations of fullness, with spontaneous recovery in hours to days.
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Excerpts from the SSA bluebook pertaining to Meniere’s Disease. These disturbances of balance are characterized by an hallucination of motion or a loss of position sense and a sensation of dizziness which may be constant or may occur in paroxysmal attacks. Meniere s disease is characterized by paroxysmal attacks of vertigo, tinnitus, and fluctuating hearing loss.