![]() Nystagmus or ocular movements have been studied in many ways for many years and these studies have been started with electronystagmography. Once the medical chart is established, we can begin the relevant exploration to establish the correct diagnosis and differential diagnoses. Another characteristic of vertigo is that it can be accompanied by the so-called neurovegetative manifestations, such as sweating nausea or vomiting, tachycardias, etc. In addition we have the various forms of fears, phobias, states of anguish, anxieties, depressions, etc., which usually differentiate well from the vertiginous state. The patient suffering from vertigo is one who is not able to react on his own, that is, if he has vertigo and is in front of a cliff, he can simply fall Unlike those who only suffer from dizziness and can react to this situation. All Specialties To Recover Your Hearing And Balance Health! The effects of the treatment are observed during its own application and, in many cases, there is a progressive reduction in the intensity, severity and frequency of the vertigo attacks until they disappear completely.That is vertigo. The patient goes for a new check-up after one week and, at that time, the effects of the previous application of gentamicin and the need for a new application are assessed if a minimal reaction is found in the inner ear, the treatment is terminated. During this time the gentamicin diffuses into the inner ear exerting its effect. It is left in the middle ear for 30 minutes and then removed. The application of gentamicin is done on an outpatient basis and is introduced into the middle ear through a hole made in the tympanic membrane. Gentamicin is an antibiotic that is injected through the eardrum, passes into the inner ear and acts on the balance cells. When this is not the case, a treatment with intratympanic gentamicin is performed. Others, such as calcium antagonists and cell protectors against local toxic agents (trimetazidine), are of great importance in the mechanism involved in the development of diseases with vertigo, hearing loss and tinnitus.Īpproximately 70% of patients improve with proper medical and dietary treatment.The fluid exchange is faster and the accumulation is less. Betahistine: is a highly effective drug whose effect is to increase circulation in the inner ear and reduce the excitability of vestibular neurons without drowsiness.In this way, hearing is improved and the rest of the symptoms disappear. Diuretics: by eliminating water, the amount existing in the inner ear is reduced, in order to reduce the sensation of vertigo.There are various drugs that are indicated according to the characteristics of the patient: ![]() When the care of the feeding is not effective, it is necessary to go to the medical treatment. As Menière disease is produced by an alteration of the inner ear, for its treatment, the patient must first follow a low-salt diet and eliminate liquids, since, when they accumulate in the inner ear, they cause vertigo. The treatment will depend on the cause that produces it. In these cases, the three balance systems that have to be coordinated in the brain (sight, hearing and joints) fail. In the elderly, multi-sensorial vertigo can develop into chronic instability. Usually it is a matter of middle ear problems that manifest themselves with vertigo. It usually suffers very brief spontaneous crises that with the years are cured or transformed into migraines. ![]() In the case of children it has very different forms of vertigo from those catalogued. Symptoms of instability can arise in both childhood and old age. Who can suffer from it?Īnyone can suffer from vertigo. Within the neurological pathology, those of vascular origin and multiple sclerosis are the ones with the highest incidence. Other causes of otological or peripheral origin, such as tumors (acoustic neurinoma), traumatic, infectious, toxic or idiopathic, account for 33%. As far as ear alterations are concerned, we must mention, in order of frequency, the benign paroxysmal positional vertigo, Ménière's disease and vestibular neuritis, which represent 54% of the consultations for dizziness and vertigo.
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