Can you hear me now????...
TINNITUS RING LIST!...........
Posted on 10/14/2024 9:44:47 PM PDT by ConservativeMind
The dissociation between pathological caloric testing and a normal video head impulse test can differentiate between Meniere disease (MD) and vestibular migraine (VM), according to a study.
Vergil Mavrodiev and colleagues examined the sensitivity, specificity, and positive and negative predictive values (PPV and NPV) of the dissociation between a normal/pseudo-normal video head impulse test and reduced caloric testing to differentiate between MD and VM in a retrospective analysis of 2,101 patients. The examination group included 1,100 patients: 57 and 43% had MD and VM, respectively. The comparison group included 1,001 patients with other peripheral, central, or functional vestibular disorders.
The researchers found that for differentiating MD versus VM, the specificity was 83.5%, sensitivity 58.9%, PPV 82.6%, and NPV 60.5% for the dissociation. For differentiation of MD versus all other vestibular disorders, the specificity was 83.5%, sensitivity 58.9%, PPV 60.3%, and NPV 82.7%.
"Considering the differentiation between MD and VM, the discrepancy was highly specific for MD (83.5%)," the authors write. "Together with a low percentage of false-positive results and a high positive predictive value (82.6 percent), it can be used as an assisting rule-out test for MD—especially in patients lacking the typical MD symptoms in the early stages of the disease."
(Excerpt) Read more at medicalxpress.com ...
Vestibular migraines? Who here suffers from this, and what is the experience?
Like many things there can be different levels and experiences depending on the person.
In my case it tends to be tinnitus, vertigo, sensitivity to light, auras when staring and gold rings (when a cartoon gets hypnotized they sometimes get rings instead of swirls, mine are gold and go from around the iris expanding as they go out) when transitioning between different light levels (usually full sun to dim indoor)
There are some other things that I occasionally experience that are known symptoms but no physician said they were linked so I wont mention those.
No headache
I just recently (last week) had this scare! I started feeling super dizzy which brought on severe nausea.
After a 5 hour ER visit I was told I have an inflamed nerve to one of my eyes (following up with neurology tomorrow).
Background; I have hearing loss (service related) and tinnitus. I’ve had no head trauma and no alcohol was involved.
I’d never heard of this disease until the ER visit.
Same here.. I get vertigo, have bilateral hearing loss and bilateral tinnitus. Never had a headache but get the auras or halos as I see them that last about 20 minutes. The vertigo is a couple times a week but thankfully only last a few seconds not minutes or hours. Went through a ton of test and was told at least some episodes are BPPV. Menieres is basically a diagnosis of what it isn’t but has vertigo, hearing loss and tinnitus.
Mercury Freedom 7 and Apollo 14 astronaut Alan Shepard was diagnosed with Meniere’s disease after his Mercury flight. Shepard was one of the first patients to have surgery for Meniere’s disease.
Los Angeles Otologist Dr House opened Shepard’s mastoid bone and made a tiny hole in the endolymphatic sac. A small tube (endolymphatic-subarachnoid shunt) was then inserted to drain excess fluid.
The surgery was successful and he was able to get back on flight status for the Apollo project and play golf on the moon.
https://en.wikipedia.org/wiki/Alan_Shepard
Can you hear me now????...
TINNITUS RING LIST!...........
I have MD. It’s brutal and not something I would wish on my worst enemy.
Unless, and until, you get it under control, life is a living hell of extreme vertigo, nausea, vomiting and an inability to function normally from day to day because of sudden “drop episodes” of extreme vertigo where you literally drop to the floor immediately to prevent yourself from falling and hitting your head on something hard.
It’s terrible. Absolutely terrible.
And with each successive “attack” whichever ear his it, there is a permanent loss of some hearing. I am almost entirely deaf in my right ear now. A slow progression from three years of MD attacks.
Could you get the sort of surgery mentioned in post #7?
I’m not an astronaut. My insurance would not cover it. The best they could offer is surgery to have the nerves in my right ear surgically severed. That would stop everything as no sensations would transmit to the brain.
My DW has some symptoms similar to MD. It first surfaced decades ago after being prescribed a statin (which she no longer takes, of course.)
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