Can young people get otolithiasis?

Written by Zhang Jun
Otolaryngology
Updated on April 29, 2025
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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.

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Written by Deng Bang Yu
Otolaryngology
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Does otolithiasis cause headaches?

Ear stone disease, also known as benign paroxysmal positional vertigo, has two types: primary ear stone disease and secondary ear stone disease. Clinically, ear stone disease mainly manifests as vertigo, as well as symptoms of the vestibular system or autonomic nervous system caused by vertigo, such as nausea and vomiting. Patients with ear stone disease rarely or almost never experience headaches. If headache symptoms are present, they are often accompanied by other diseases, such as hypertension, intracranial lesions, etc. These conditions can also cause ear stone disease, which are referred to as secondary ear stone disease as mentioned above. Therefore, if a patient with ear stone disease develops headache symptoms, active examination should be undertaken to avoid missing other lesions.

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Written by Zhang Jun
Otolaryngology
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How to treat mild ear stone disease?

Mild ear stone disease can be cured with hospital treatment for ear stone repositioning. Ear stone disease is relatively common clinically. Generally, the symptoms are caused by the movement of ear stones in the semicircular canals, leading to recurrent dizziness in patients. This typically occurs when getting out of bed or turning the head, and the dizziness lasts about one minute. Patients may also experience severe nausea and vomiting, but there is no hearing loss or tinnitus. If dizziness occurs repeatedly, it is necessary to go to the hospital for a detailed examination including electronic otoscopy, electrophysiological hearing test, acoustic impedance testing, calorics test, glycerol test, and nystagmography to confirm the diagnosis. In terms of treatment, ear stone disease requires stimulation treatment and repositioning treatment for cure. After repositioning, patients also need to adjust their diet and mindset, and avoid vigorous exercise to prevent recurrence.

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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.

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Written by Li Rui
Otolaryngology
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Is hyperbaric oxygen effective for otolithiasis?

Ear stone disease, also known as benign paroxysmal positional vertigo, does not recommend the use of hyperbaric oxygen for treatment, as the treatment effect of hyperbaric oxygen is not good for ear stone disease and is not clinically recommended. Patients with ear stone disease may consider manual repositioning treatment, which generally has a good treatment effect, and most patients are able to recover. If the manual repositioning treatment is not effective, oral medication may be considered in combination with machine chair repositioning. Through this comprehensive treatment, vertigo symptoms can generally be gradually controlled and alleviated. However, there are a small number of patients with severe conditions for whom conservative treatment is ineffective, and surgery may need to be considered.

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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.