Q: When dizziness occurs in middle-aged and elderly people, why do you think it is relevant for doctors to first determine whether they are suffering from cerebral infarction?
A: For a patient with sudden onset of dizziness in middle-aged or elderly, it is indeed necessary to consider the factor of cerebrovascular disease. Many patients with cerebral infarction have dizziness, unstable walking, nausea and vomiting. Eighty to 90 percent of the dizziness patients are elderly. More than 80% of them are suffering from cerebrovascular disease, so this consideration is still justified, but further detailed examination is needed to make a definite diagnosis.
Q: Why do people feel dizzy after developing cerebrovascular disease?
A: Because of the lack of blood supply to the brain, people will feel dizzy. The cerebellum plays a role in the balance of a person, if there is a lesion in the cerebellum, the person will not be able to master the balance, as if drunk.
Q: In addition to cerebrovascular disease, what other diseases can cause dizziness?
A: In addition to cerebrovascular diseases, we often have to look at the state of the whole body to find out the causes of dizziness, such as hypertension, anemia, diabetes, as well as excessive exertion and stress, can all lead to this feeling of dizziness. What is the feeling of dizziness? Dizziness is a feeling of discomfort in our brain that cannot be clearly expressed, and we call it dizziness. In addition, sometimes some people feel dizzy when they are in a bad mood, people with fever can also feel dizzy, and people with low blood sugar can also feel dizzy.
Q: What is vertigo?
A: The main manifestation of vertigo is that there must be no change in the surrounding objects and environment, but you feel that it is happening a kind of movement, so we call it vertigo.
Q: What is the insignificance of the manifestation of dizziness compared with vertigo?
A: When you have vertigo, you feel like you are spinning around and looking at objects upside down. In contrast, people with dizziness generally feel dizzy and do not feel objects spinning. Just feel big head, head as if it is a glue. Other people say I’m not clear-headed, and the most common thing is that they don’t sleep well, and the next day they feel dizzy, and they feel dizzy when they drink alcohol, and they feel dizzy when they have anemia, and they feel dizzy when they have high blood pressure, but the general dizziness is not as heavy as vertigo.
Q: What kind of physical changes make people feel that things around them are moving?
A: First of all, it depends on how we usually keep it. There are three major systems in our body that can play a role in peripheral positioning and our own balance. The most important peripheral vestibular organs, such as the ear, to the central cerebellum, the cerebral cortex such a vestibular system. As you know we are in the dark, if you close your eyes, you will be deep and shallow in walking, that requires our vision. There is something else, for example, when we are falling, we will have a sense of ourselves, which is a kind of overall receptor. Through these three systems, vestibular, visual and holoreceptors, we coordinate with each other to achieve a balance of support, to carry out some instinctive body movements to master our balance. If any one of these three systems is disrupted or misinformed, we will experience a feeling of vertigo, that is, we cannot find our way.
Q: What is Meniere’s disease?
A: This disease sounds strange, but in fact, it is what we used to call Meniere’s disease. 1989, the National Committee for the Revision of Natural Science Terms, officially named what we usually call Meniere’s disease, or Meniere’s syndrome, officially as Meniere’s disease.
The three main symptoms of Meniere’s disease are 1) recurrent rotational vertigo 2) fluctuating and progressive deafness 3) tinnitus and a sense of fullness in the ear Q: What are the pathological causes of Meniere’s disease?
A: What is the pathological basis of this disease? Of course, in the early stage of the disease, due to the obstruction of blood circulation and other reasons, it leads to the accumulation of more water in the endolymphatic fluid, which constantly tops the vestibular membrane, forming a symptom of pressure on the inner ear, and then the feeling of vertigo.
Q: Endolymphatic fluid is a useful thing, but once it takes a step out of its circle, there will be problems, how do we understand this?
A: Because the endolymphatic fluid is balanced in terms of acidity and alkalinity, if it intermingles with the external lymphatic fluid, the vestibular receptors and hearing receptors will be paralyzed, and they will be over-stimulated, and there will be stimulation, and this excessive information will occur to the center, and this balance will be broken, so the feeling of vertigo will occur.
Q: How to detect vertigo caused by fluid in the inner ear at an early stage?
A: The onset of the disease itself is very sudden, and it is triggered by excessive fatigue or emotional excitement, excessive alcoholism, etc. A tinnitus appears at an early stage. The early detection of dizziness or hearing impairment must be seen by an otolaryngologist, and should not be delayed.
Q: How to accurately determine whether tinnitus is related to vertigo?
A: It is difficult to judge because tinnitus is not a disease, but a symptom. For example, your tiredness, mental tension, etc. can cause tinnitus. Why does tinnitus occur? Our inner ear is a very sensitive organ, and any change in its environment, such as ischemia and hypoxia, will lead to tinnitus. Tinnitus manifests itself as a colorful sensation, and tinnitus is a sensation of sound that we ourselves feel without the stimulation of an external sound source, which is called tinnitus.
Q: What kind of people are prone to Meniere’s disease?
A: In terms of age, cerebrovascular disease is more common in older people, and Ménière’s disease is more common in people between the ages of 30 and 60.
Q: What can be done to treat Ménière’s disease?
A: You can treat Ménière’s disease through a combination of treatment, such as sedation, psychological counseling, telling the patient what the disease is, so that he can dispel some worries and tension, because such worries and tension will aggravate the symptoms of the disease, and then give him some drugs to help him sleep, drugs to eliminate edema, and we also give some drugs to improve the inner ear microcirculation, through rest, sedation, dehydration, improve the inner ear Through rest, sedation, dehydration, and improving the circulation of the inner ear, generally speaking, the disease can be better controlled.
Q: If the problem of water in the inner ear that causes vertigo cannot be solved by such means, is there any further solution?
A: For recurrent cases, if we really can’t relieve the problem, we can choose surgery, and there are various options.
Q: What is the underlying principle of endolymphatic bursa drainage?
A: Meniere’s disease occurs as a result of excessive endolymphatic fluid production. The endolymphatic fluid is drained through the endolymphatic duct and through the endolymphatic sac, so we only need to make a hole in the endolymphatic sac and place a silicone drainage sheet so that the excess endolymphatic fluid is drained from the silicone drainage sheet, so that we can block the harm caused by the excess endolymphatic fluid to the inner ear.
Q: Is there any harm to the human body from the silicone drainage piece?
A: No. It is a polymer product that is very bio-soluble and can be retained permanently in the body.
Q: What are the post-operative concerns?
A: After the surgery is generally appropriate bed rest and give some appropriate antibiotics. It is important to emphasize that it is not that I will not get dizzy after the surgery. Because the surgery itself is a very strong stimulation of the inner ear, the feeling of dizziness may occur after the surgery. However, the patient’s original onset of vertigo was recurrent, and after the surgery, a persistent vertigo may disappear after a few days or even a week.
Q: How long does it take to recover completely?
A: The efficiency of this surgery is about 90%, but there may be 10% of people who do not recover because the cause of vertigo is not very clear, and the recovery usually takes one to three months.
Q: Can we operate again after a recurrence after surgery?
A: We take a step-by-step approach, and often after this surgery, we will choose a similar surgery a second time. Because it is possible that the recurrence is caused by the blockage of the incision scar adhesions, we just need to open the incision and open the drainage port again. So we often choose a second surgery, then the second surgery is ineffective how to do, but also further semi-destructive surgery, do vestibular nerve cut, simply cut this pathway, cut off after the vestibular compensation, and finally return to normal life.