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Suggest Treatment For Fluctuating Vertigo, Imbalance And Hyperacusis
I have had fluncuating vertigo, imblance, hypercusis, tinnitus...etc for over 10 yrs. Have seen neurologists, ENT..etc.... have tried numerous medications to no avail. Drs have suggested vestibular migraine or possibly meieres disease, although I don t have any actual hearing loss so they have steered away from that. Given the long term nature of my condition, I have been inclined over the past few yeasr to just suffer through it. Most of the time the problem is moderate and non-disabling..however...at least 5 -10 days out of the month I can barely function..dizzy, can t keep blanace, can t tolorate sounds...etc. Do you have any suggestions? Thank you, Alan.
Wed, 12 Dec 2018
Hi,
Medications in your particular situation are not likely to help UNLESS there is a solid diagnosis. I agree that Meniere's disease is not a great diagnosis to work with if you do not have any hearing loss. However, tinnitus plus imbalance and vertigo highly suggests either a brainstem pathology, cerebellar problem, or something in the periphery at the level of the cochlear nerve complex or even where the brainstem comes together with the cerebellum. Have you had high resolution imaging studies of the Internal Auditory Canal? That could reveal some type of vascular anomaly such as a fistula or AVM.
Have you had high resolution MRI images of the brain using gadolinium contrast? Have you had a white noise generator placed INSIDE the ear canal to lessen the tinnitus?
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Dariush Saghafi,
Neurologist
Medications in your particular situation are not likely to help UNLESS there is a solid diagnosis. I agree that Meniere's disease is not a great diagnosis to work with if you do not have any hearing loss. However, tinnitus plus imbalance and vertigo highly suggests either a brainstem pathology, cerebellar problem, or something in the periphery at the level of the cochlear nerve complex or even where the brainstem comes together with the cerebellum. Have you had high resolution imaging studies of the Internal Auditory Canal? That could reveal some type of vascular anomaly such as a fistula or AVM.
Have you had high resolution MRI images of the brain using gadolinium contrast? Have you had a white noise generator placed INSIDE the ear canal to lessen the tinnitus?
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Dariush Saghafi,
Neurologist
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