The diagnosis of balance disorders, of hearing disorders, tinnitus, and vertigo requires experience and thorough knowledge of anatomy and physiology invovlved as well as the complexity of their pathophysiology.
Neuro-otology
Neuro-otology exam lab
Neuro-otology exam lab-Vertigo
Vertigo Diagnostic tests. Nystagmus examinationwith with Frenzl glasses
Vertigo
Vertigo is the feeling that you or your environment is moving , tilting, spinning or falling. It differs from dizziness in that vertigo describes an illusion of movement. When you feel as if you yourself are moving, it’s called subjective vertigo, and the perception that your surroundings are moving is called objective vertigo
Vertigo occurs when there is conflict between the signals sent to the brain by various balance- and position-sensing systems of the body. Your brain uses input from four sensory systems to maintain your sense of balance and orientation to your surroundings.
Vertigo-Dizziness, what could be the problem!
Vertigo is a symptom, rather than a condition itself. It’s the sensation that you, or the environment around you, is moving or spinning.It may be accompanied by loss of balance, nausea and dizziness.
Vertigo.Stop the room from spinning…
Vertigo, is a severe symptom that comes without warning and causes panic and disorientation. During episodes of vertigo the patient feels unable to perform any activity, often having to lie down until the end of the episode and then feeling drowsy and tired. Meniere's disease, vestibular neuritis, and benign paroxysmal vertigo are the most common [...]
Vestibular Disorder. Vertigo
he vestibular system includes the parts of the inner ear and brain that process the sensory information involved with controlling balance and eye movements. Balance is determined by a complex combination of information flowing into the brain from…
Management of Vertigo-Dizziness
Treatment for vertigo depends on what’s causing it. Thus, after a thorough examination the otorhinolaryngologist will determine the etiology of the vertigo and suggest your treatment options.
How to manage Vertigo and Dizziness
It is of utmost importance to be accurately diagnosed when symptoms of dizziness or vertigo are troubling you. Even though the majority of cases are not serious or life threatening, it is imperative that the dangerous etiologies for vertigo be excluded.
Vestibular Rehabilitation
Vestibular rehabilitation therapy (VRT) is a form of physical therapy that uses specialized exercises that result in gaze and gait stabilization…
What is Vestibular Rehabilitation
The vestibular system is the sensory system that provides the leading contribution to the sense of balance and spatial orientation for the purpose of…
Tinnitus
Tinnitus is the perception of noise or ringing in the ears.
A common problem, tinnitus affects about 1 in 5 people. Tinnitus isn’t a condition itself — it’s a symptom of an underlying condition, such as age-related hearing loss, ear injury or a circulatory system disorder.
There are two kinds of tinnitus.
Subjective tinnitus is tinnitus only you can hear. This is the most common type of tinnitus. It can be caused by ear problems in your outer, middle or inner ear. It also can be caused by problems with the hearing (auditory) nerves or the part of your brain that interprets nerve signals as sound (auditory pathways).
Objective tinnitus is tinnitus your doctor can hear when he or she does an examination. This rare type of tinnitus may be caused by a blood vessel problem, a middle ear bone condition or muscle contractions.
Another type of tinnitus is pulsatile tinnitus is the type of ear noise that is perceived as a rhythmic pulsing that is often in time with the heartbeat. It can be experienced as a thumping or whooshing sound. It is sometimes referred to as vascular tinnitus because in the majority of cases, it is related to disturbances in the blood flow.
Tips to Improve Tinnitus
Tinnitus sounds are monotonous continuous or intermittent sounds that can go away and come back.
Tinnitus due to Myoclonus of Middle ear or Palatal muscles
Unusual sounds (or vibrations) in one or both ears that may occur suddenly and can last from a few minutes to weeks, which are described by patients as continuous clicking without rhythm, are almost always due to muscle spasms.
Investigation of Tinnitus and Hyperacusis
For the investigation of Tinnitus and Hyperacusis a certain algorithm is followed.
What causes tinnitus?
Tinnitus is the sound that one perceives in the ear or in the head, without any external sound source.
Tinnitus and Hyperacusis
Hearing loss often triggers an inescapable buzz (tinnitus) and causes everyday sounds to become intolerably loud (hyperacusis), but exactly where and how this occurs in the brain is unknown. As many as 63 percent of tinnitus patients also suffer from hyperacusis.
Cost for Clinical Evaluation of Sudden Hearing Loss and Tinnitus
Clinical Assessment of Sudden Hearing Loss & Tinnitus. Clinical evaluation includes
Acoustic Neuroma
Acoustic neuroma (or vestibular schwannoma) is a benign slow-growing tumor that develops on the main (vestibular) nerve leading from the inner ear to the brain.
Tinnitus Therapy with ΕΥ-LLLT
Tinnitus is a ringing, swishing, or other type of noise that seems to originate in the ear or head. Most people will experience tinnitus or sounds in the ears at some time or another….
Tinnitus: Diagnosis and Measuring Tinnitus
Starting with a thorough medical exam, the proper diagnosis and evaluation of tinnitus are both critical for successful tinnitus management…
Neurophysiology of Tinnitus
A common cause of tinnitus is inner ear cell damage. Tiny, delicate hairs in your inner ear move in relation to the pressure of sound waves…
Tinnitus Sound Therapy
Advances in tinnitus research have brought about several new kinds of tinnitus therapy. Tinnitus Retraining Therapy is one of them…
Hyperacusis
Management of Hyperacusis at EYiasis Neuro-otology Dept.
EY-LLLT endo-auricular laser therapy along with an acupuncture protocol for tinnitus and hyperacusis is applied at our neuro-otology department.
Investigation of Tinnitus and Hyperacusis
For the investigation of Tinnitus and Hyperacusis a certain algorithm is followed.
Why are some sounds intrusively loud?
The term hyperacusis is generally applied to people who experience the sounds of everyday life as intrusively loud, uncomfortable, and sometimes painful.
Tinnitus and Hyperacusis
Hearing loss often triggers an inescapable buzz (tinnitus) and causes everyday sounds to become intolerably loud (hyperacusis), but exactly where and how this occurs in the brain is unknown. As many as 63 percent of tinnitus patients also suffer from hyperacusis.
Diagnosis and Management of Hyperacusis
Hypercusis may negatively impact a patient’s quality of life! Diagnosistic assessment of hyperacusis should conducted by a specialised ENT-Neurootologist…
Hyperacusis
Hyperacusis is a hearing disorder that makes it hard to deal with everyday sounds. If you have it, certain sounds may seem unbearably loud even though people…
Hearing Loss
Management of Sudden Hearing Loss (SSHL)
Treatment of idiopathic neurosensory hearing loss remains controversial and lacks a universally accepted treatment protocol. Many proprietary medicinal products have been used to improve the prognosis of patients such as, glucocorticoids, antivirals, anticoagulants, vasodilators and anti-inflammatory agents as well as the use of hyperbaric oxygen.
Causes of Hearing Loss
Hard of Hearing refers to someone who doesn't hear well. This may be because they were born with a hearing loss or they may have lost some or all of their hearing later in life. Many hard of hearing people don't know that they have a hearing loss. Some simply deny it, even though they [...]
Diagnosis and Management of Glue Ear
Otoscopy and ear microscopy is used to evaluate the changes in the external ear canal and eardrum.
Other tests, such as tympanometry, may also be used to examine the middle ear.
Perforated Eardrum
An eardrum rupture is a small hole or tear in the eardrum, or tympanic membrane. The tympanic membrane is a thin tissue that divides your middle ear…
Otitis Media with Effusion (glue ear)
Glue ear is a common childhood condition in which the middle ear becomes filled with fluid. The medical term for glue ear is otitis media with effusion (OME)…
Diving induced problems
Techniques to Equalize the Ears
Equalizing ear pressure gradient when diving is very important in order to avoid pain and sometimes lasting damage to the ear. The key to safe equalizing is opening the normally closed eustachian tubes, allowing higher-pressure air from the throat to enter the middle ears.
Precautions to Prevent Diving Injuries
In order for the diver to enjoy this sport, it is important that some precautions be taken. Most diving problems can be avoided if the prospective diver is annually screened by an ENT surgeon….
Ear Injuries while Diving
The three different areas of the ear can all be injured during the descent or ascent during a diving expedition…
Diving related Ear Injuries
Scuba diving is an activity that requires good physical condition and completely functional anatomy of the ear, nose and paranasal sinuses…