The difference between otolithiasis and Ménière's disease

Written by Xu Qing Tian

Otolaryngology

Updated on February 21, 2025

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The main difference between BPPV (Benign Paroxysmal Positional Vertigo) and Meniere's Disease lies in their symptoms and causes. BPPV primarily manifests as episodes of dizziness due to dislodged otoconia moving into the semicircular canals, leading to vestibular irritation. On the other hand, Meniere's Disease presents a group of symptoms including vertigo, fluctuating hearing loss, and tinnitus, thought to be caused by fluid accumulation in the labyrinth, triggering labyrinthine irritation.

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Written by Li Rui

Otolaryngology

47sec

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Can vestibular neuritis cause high blood pressure?

Otolithiasis is a relatively common otolaryngologic disease, clinically known as benign paroxysmal positional vertigo. Clinically, it mainly manifests as transient dizziness, but the duration is generally short, and most patients do not experience an increase in blood pressure. If the symptoms of dizziness are particularly severe and the patient is quite anxious, it may cause a temporary increase in blood pressure. However, if the symptoms of dizziness subside, the blood pressure will also decrease. This situation is relatively more pronounced in patients with hypertension. The treatment for otolithiasis primarily involves manual repositioning therapy, which is quite effective for most patients, although a small number of patients may need to combine it with oral medication.

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Written by Li Rui

Otolaryngology

47sec

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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

47sec

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Benign paroxysmal positional vertigo (BPPV) is a condition related to dizziness.

Benign paroxysmal positional vertigo (BPPV) is a relatively common otolaryngological condition, clinically referred to as benign, paroxysmal, positional vertigo. It primarily occurs when tiny particles enter the semicircular canals, and with changes in body position, it can easily trigger episodes of vertigo. Generally, the duration of vertigo is quite brief, lasting about several seconds, and the symptoms of vertigo quickly disappear after the body or head is stabilized. However, it tends to be recurrent and generally does not accompany symptoms like tinnitus, headache, or hearing loss. Currently, a common treatment is manual repositioning, which helps most patients recover and alleviate their condition after being performed.

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Written by Li Rui

Otolaryngology

45sec

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Is the examination for otolithiasis painful?

Patients with vestibular disorders may experience some discomfort during examination, primarily manifesting as recurrent dizziness. Some patients may also experience nausea and vomiting. However, examination can determine the specific location of the affected semicircular canal. Once the location is identified, targeted manual repositioning treatment can be administered. The preferred treatment currently is manual repositioning, which generally has an ideal therapeutic effect. Most patients show significant improvement after manual repositioning treatment, but there might be recurrent episodes of the condition. In case of recurrence, it is necessary to seek medical advice again and undergo repositioning treatment.

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Written by Zhang Jun

Otolaryngology

1min 3sec

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Can young people get otolithiasis?

Benign Paroxysmal Positional Vertigo (BPPV) can occur in anyone, regardless of time or age. There are many causes of BPPV, which are generally related to staying up late, fatigue, poor rest, and high mental stress. It can suddenly cause dizziness, usually triggered when turning over or twisting the head. It is clinically known as benign paroxysmal positional vertigo. During an episode, patients may experience severe dizziness, along with severe nausea and vomiting, but there is no hearing loss or tinnitus. The duration of dizziness does not exceed one minute and often resolves on its own. If dizziness recurs, it is necessary to visit a hospital for detailed examinations like electronystagmography, caloric tests, and glycerol tests for diagnosis. For treatment, BPPV requires provocatory and repositioning maneuvers to gradually improve. Regular physical exercise can also help prevent recurrent episodes.