Watch out for otolithiasis in women after middle age...Meniere's disease should be avoided by CATS
Feb 05, 2025
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◇ Lee Seok-seong: Lee 耳 stimulates the equilibrium organs in the ear, causing dizziness
This otolithiasis is a disease that causes dizziness by entering the semicircular tube, one of the equilibrium organs, and stimulating the nerves by falling off the ear's otolith for various reasons. When moving your head or changing your posture, Lee Seok also moves together and stimulates nerves, resulting in rotational dizziness. Most of the symptoms are very short, and if you stop moving your body, your dizziness will disappear. Because otolithiasis does not affect the cochlear side, common otolithiasis is not accompanied by auditory problems such as hearing loss, tinnitus, and ear fullness.
The cause of otolithiasis has not been clearly identified. Considering that it usually occurs most frequently in women after middle age and that this stone itself is a calcium mass, it is possible to estimate its association with diseases such as lack of vitamin D or osteoporosis. Poor blood circulation or viral infection is also cited as one of the causes.
Otolithiasis is treated with 'replantation', which transfers the otoliths that cause dizziness to a position that does not irritate the nerves. In order to perform a replacement procedure, the location of the otolith is the most important. To this end, the replacement should be carried out after confirming exactly where the ear stone is located by exciting the sevan ring tube and reading the signal with the eyes. About 95% of patients who have undergone replacement surgery improve their symptoms, but very rarely, they are treated to prevent this stone from touching the nerve through cevancreatic obstruction. Because otolithiasis has a high recurrence rate, if you have suffered from a disease at least once, you need constant management. There is also an overseas study showing that the average recurrence rate reaches 33 to 50% within 5 years.
◇Meniere's disease: Dizziness accompanied by hearing impairments
Meniere's disease is caused by increased internal lymph fluid in the cochlea, which is responsible for the sound of the ear, and in the sevan ring, which is responsible for the balance, increasing the pressure in the ear. In addition to dizziness, it is also characterized by auditory symptoms such as hearing loss and tinnitus. Unlike otolithiasis, it is a disease caused by increased pressure in the ear, so symptoms do not disappear even if you do not move your body. If dizziness accompanied by hearing loss and tinnitus is severe for more than 20 minutes, it can last up to 3 to 4 hours.
Meniere's disease is also believed to be associated with autoimmune diseases, allergies, viral infections, trauma, and ischemia, although no clear cause has been identified. It is also affected by the season, and it occurs more in the hot summer. Meniere's disease is caused by an increase in internal lymph fluid, and studies have been reported that when the weather gets hot, the internal lymph fluid increases relatively, increasing the prevalence of Meniere's disease.
Meniere's disease is a chronic disease and is difficult to cure. It relieves symptoms by reducing the amount of internal lymph fluid. Symptoms can be alleviated by mainly using diuretics to control internal lymph fluid and improving lifestyle habits.
◇ vestibular neuropathy: Severe dizziness lasts several days
Preciprocal neuropathy refers to a disease in which the vestibular nerve, an organ that detects equilibrium of the body in the ear, is inflamed. Severe dizziness is accompanied by nausea and vomiting, and once started, dizziness and eye irritation (quick eye movement) can last for hours to days. As the vestibular nerve in one ear fails to function properly, it is difficult to balance the body, which may tilt toward inflammation. Most of the vestibular neuropathy is caused by viral infection or neurological disease. It occurs frequently in the 30s and 50s and tends to occur during the change of seasons cold.
As time passes and the inflammation improves, the symptoms also ease. Symptomatic treatment to reduce dizziness is more important than cause treatment. Because of the initial severe vomiting and dizziness, medication such as sedation inhibitors and painkillers is performed. For a more complete recovery, vestibular rehabilitation treatment is performed.
◇ Proper exercise and healthy eating habits are essential to prevent
Moderate exercise and healthy eating habits are essential to prevent and manage diaturia, Meniere's disease, and vestibular neuroticitis.
Otolithiasis patients often avoid outdoor activities, but it is known that the recurrence rate decreases when vitamin D is absorbed into the body through sunlight. Meniere's disease requires careful attention to 'CATS': caffeine, alcohol, tobacco, salt and stress. In addition, as vestibular neuropathy is a viral infectious disease, it is important to protect immunity by managing stress or fatigue well.
Professor Byun Jae-yong said, `Since the causes of dizziness vary, the judgment and treatment of symptoms must be determined through consultation with a specialist," he said.
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This article was translated by Naver AI translator.
