Vertigo , Dizziness, Tinnitus

Vertigo and Dizziness are symptoms that have many different causes.

Tinnitus is a symptom where the patient hears a noise in the ear which is not due to any environmental noise. this noise can be any frequency from a low or high pitch

Vertigo - implies subjective sensory rotation in movement of the patient.

Dizziness - Implies A loss of balance

Tinnitus - Ringing, roaring or buzzing. Most frequently these symptoms are due to problems that exist in the inner ear or central nervous system.

Ear diseases which can present with these symptoms include essentially any abnormality of the ear from outer and middle ear infections to tympanic membrane perforations, or even wax accumulations.

Inner ear syndromes which can present with these diseases include: Meniere’s Syndrome, or an increased fluid pressure in the inner ear and balance organ, sometimes described as “glaucoma of the ear; perilymphatic fistula, which is a leakage of the inner ear fluids from the inner ear membranes, sometimes cause by pressure trauma to the ear; otosclerosis, which is an abnormal growth of bone in the inner ear and middle ear; and benign positional vertigo, which occurs when small calcium oxalate crystals, or motion detectors, in the inner ear break loose and float to abnormal positions creating a sensation of vertigo when the patient’s head turns back or to the side.

Central nervous system conditions that can present with these symptoms, while rare, include: Multiple sclerosis, which is an abnormality of the tissue which insulates the impulse conduction tissues of the brain or central nervous system which is the million sheaths surrounding the axon, which could be described as being analogous to insulation being warm from the wiring of a computer causing short circuiting, a tumor which can develop on the nerve from the brain to ear called an acoustic neuroma, as well as other tumors of the central nervous system such as a meningioma.

For this reason, if symptoms of ringing in the ear or dizziness persist greater than six weeks, they should be evaluated with diagnostic test of the inner ear, even possibility imaging studies of the brain to rule out treatable causes of these symptoms. Additional signs of concern for ringing in the ear are abrupt onset, ringing in only one ear, and pulsatile quality to the ringing.

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