home *** CD-ROM | disk | FTP | other *** search
- $Unique_ID{BRK00877}
- $Pretitle{}
- $Title{Can Something be Done for "Vertigo"?}
- $Subject{ears balance vertigo dizzy dizziness Meniere's disease Nervous system
- Sense senses Ill Defined Symptoms symptom ear fluctuating hearing loss ringing
- tingling sensation tinnitus Motion-sickness drugs labyrinthectomy Cryosurgery
- sensitivity semicircular canals acoustic neuroma Motion sickness}
- $Volume{F-21, N-21}
- $Log{
- Causes and Symptoms of Vertigo*0007501.scf
- Vertigo--Vestibular Apparatus Disorientation*0007502.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
-
-
- Can Something be Done for "Vertigo"?
-
-
- ------------------------------------------------------------------------------
-
- QUESTION: I am having such a terrible time with "vertigo". Will you please
- write something about it. I've taken everything my doctor suggests, but
- nothing is helping. It is wrecking my life. Please tell me if something can
- be done?
-
- ------------------------------------------------------------------------------
-
- ANSWER: Vertigo is not a disease in and of itself, but rather the signal of
- some disorder in the body's delicate balancing mechanisms, which is regulated
- by the brain's reaction to nerve impulses it receives from the inner ear, the
- eye and the muscles, joints and tendons. In addition to dizziness, vertigo
- sufferers usually experience fluctuating hearing loss and the ringing or
- tingling sensation in the ears known as tinnitus. This trio of symptoms can
- indicate any one of a possible range of diseases, however, so vertigo
- sufferers should be sure to consult their family physician as well as a
- specialist in balance disorders, whether a neurologist or an otolaryngologist.
- Meniere's disease is the most common balance disorder of which vertigo is
- a symptom. It is characterized by gradual hearing loss in at least one ear.
- Alcohol, cigarettes and caffeine should be avoided by patients with the
- disease, because of their interference with the organs of balance, as well as
- undue stress, which can bring on an attack of vertigo. Motion-sickness drugs
- are sometimes helpful. A low-salt diet and diuretics can help minimize fluid
- retention and so reduce the amount of endolymph, a liquid found in the ear's
- semicircular canals whose surplus is characteristic of the disease.
- Surgery is an option for those who are severely disabled by Meniere's
- Disease. One surgical option which can be used in cases where hearing loss is
- already profound is destructive labyrinthectomy, a procedure to remove the
- semicircular canals of the affected ear. Unfortunately, the operation renders
- the patient deaf in the operated ear. Another type of surgery destroys only
- the balance-oriented branch of the eighth cranial nerve, while preserving the
- shell-shaped cochlea which are critical to hearing. Cryosurgery, or
- application of intense cold, can also help reduce the sensitivity of the
- semicircular canals.
- Severe recurrent vertigo can indicate other disorders as well.
- Positional vertigo, which can result from changes in the posture of the head,
- usually lasts no longer than a year; muscle-strengthening exercises and
- antidizziness medications can bring relief in the meantime. Another cause can
- be a swelling of the nerves of the vestibule, a chamber contained within the
- inner ear's semicircular canals, or the nearby labyrinth that contains the
- canals. One more rare but serious disorder signalled by vertigo, tinnitus and
- slight hearing loss is the nonmalignant growth on a nerve crucial to both
- hearing and balance, known as an acoustic neuroma. Unless surgically removed
- while small, these tumors can cause life-threatening central nervous system
- damage, destroying hearing or lead to facial paralysis.
- With all of these possible diagnoses, and since I sense a legitimate
- distress about your condition in your letter, you can understand why my advice
- to you is to continue to work with your physicians, and obtain additional
- specialists' consultations. It is the only way in which you can obtain the
- answers you need that can help allay some of your fears, and discover the
- answers you seek.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-
-