Clinical Manifestations of Otolithiasis

Written by Li Rui
Otolaryngology
Updated on August 31, 2024
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Benign paroxysmal positional vertigo (BPPV) is a relatively common ENT disorder, clinically characterized by recurrent episodes of vertigo associated with changes in body or head position. Typically, vertigo can be induced when the head is tilted toward a certain direction, but the duration of vertigo is brief, usually disappearing within a few seconds once the head position is stabilized. However, it tends to recur and does not accompany tinnitus, hearing loss, or headaches. Therefore, it is necessary to consult an ENT or neurology department, allowing experienced doctors to make a targeted assessment.

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Written by Li Rui
Otolaryngology
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Clinical Manifestations of Otolithiasis

Benign paroxysmal positional vertigo (BPPV) is a relatively common ENT disorder, clinically characterized by recurrent episodes of vertigo associated with changes in body or head position. Typically, vertigo can be induced when the head is tilted toward a certain direction, but the duration of vertigo is brief, usually disappearing within a few seconds once the head position is stabilized. However, it tends to recur and does not accompany tinnitus, hearing loss, or headaches. Therefore, it is necessary to consult an ENT or neurology department, allowing experienced doctors to make a targeted assessment.

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Written by Li Rui
Otolaryngology
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How is otolithiasis treated?

Ear stone disease is a relatively common otolaryngological disorder, clinically known as benign paroxysmal positional vertigo. It is primarily characterized by short episodes of dizziness, nausea, and vomiting that occur with changes in body position, typically lasting about 10 seconds. The symptoms of vertigo quickly disappear once the body position is stabilized. In terms of treatment, manual repositioning therapy is initially considered and is generally effective for most patients. If manual therapy alone does not yield satisfactory results, treatment using a mechanical rotating chair may be considered. Additionally, some patients may consider oral medication. If conservative treatments fail to provide relief, surgical intervention might be necessary.

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Written by Li Rui
Otolaryngology
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symptoms of post-vestibular neuritis

The symptoms of the sequelae of vestibular lithiasis are quite varied, with common symptoms including dizziness, a sensation of heaviness in the head and lightness in the feet, and a floating feeling when walking. Some patients may also experience nausea and vomiting, with substantial individual variation in symptoms. Generally, recovery can gradually occur about one to two weeks after the onset of the condition. For patients with more pronounced symptoms, oral medication treatment may need to be considered, requiring regular follow-up during the treatment process to monitor the effects. Overall, with timely medical treatment, the condition should gradually improve, although fluctuations may occur. (Specific medications should be taken under the guidance of a physician.)

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Written by Li Rui
Otolaryngology
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Does otolithiasis require surgery?

Otolithiasis is a relatively common ENT disorder, clinically referred to as benign paroxysmal positional vertigo. Generally speaking, most patients do not require surgery. Currently, the primary consideration is manual repositioning treatment, after which many patients can recover quickly. If the results of the manual repositioning treatment are not satisfactory, machine-assisted repositioning or oral medication can be considered. After these comprehensive treatments, most patients are able to recover. If there are a few patients who do not respond to the standard treatments mentioned above, then surgical treatment may be considered. The main surgery commonly used is the canal plugging surgery, which requires general anesthesia and inpatient surgery, and overall, the surgery is relatively difficult.

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Written by Xu Qing Tian
Otolaryngology
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What should be noted about vertigo due to ear stones?

Benign paroxysmal positional vertigo (BPPV) is a common and frequently occurring disorder in the field of otolaryngology, primarily causing symptoms such as dizziness, a spinning sensation, nausea, and vomiting. When these symptoms of dizziness occur, it is important to timely find a sofa or bed to lie down or sit on to prevent falls and potential injuries. The episodes of BPPV usually last a short duration, often resolving within one to two minutes on their own. If the episodes are prolonged and recurrent, it is advisable to seek medical attention promptly. Initial diagnostic evaluations such as MRI of the head and high-resolution CT of the temporal bone should be conducted to rule out inner ear disorders and intracranial tumors as possible causes of the vertigo. Once diagnosed, a specialist can perform repositioning maneuvers to treat BPPV, helping the patient return to normal.