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Abstract: Tinnitus is a buzzing sensation in the brain, which may be caused by organic brain diseases such as cerebral insufficiency of blood supply, or functional diseases such as plant nerve dysfunction that can easily lead to tinnitus. In this case, the patient was diagnosed with tinnitus due to chronic poor sleep, head ringing sensation and tinnitus, and was seen in the outpatient clinic. After active treatment, the patient’s tinnitus symptoms have improved and her sleep quality has improved.
Basic information】Female, 56 years old
Type of disease】Brain tinnitus
Hospital】The Second Hospital of Harbin Medical University
Date of consultation】February 2022
Treatment plan】Medication (Shuxinin injection, Shuhelian Xiezhu capsule, Flupirtan Melitrexin tablet, Baili Sleep capsule)
Treatment Period】7 days of hospitalization and outpatient review after 3 months
Effect of treatment】Tinnitus symptoms have been relieved and sleep quality has improved
I. Initial consultation
The patient had tinnitus, tinnitus, hearing loss, palpitations, panic attacks, chest tightness, inability to work, study, and live normally, often distracted, unable to sleep normally at night, dreamy and easy to wake up, unable to sleep after waking up, often open his eyes until dawn, accompanied by persistent headache, dizziness, and dizziness. He came to our clinic and was admitted for cranial magnetic resonance, carotid ultrasound, cardiac ultrasound, routine blood, urine, liver and kidney function, ion assay, cardiac enzyme assay, troponin and other laboratory tests, and was considered to have brain tinnitus caused by plant nerve dysfunction.
II. Treatment history
After admission, physical examination: clear consciousness, anxiety, normal language, no impairment of physical activity, body temperature 36.6℃, blood pressure 140/90mmHg, heart rate 90 beats/min, respiration 17 times/min, no significant abnormalities in brain MR, no diffusion restricted signal in DWI, bilateral posterior communicating arteries open. Carotid ultrasound showed bilateral carotid artery intimal changes. Cardiac ultrasound showed reduced left ventricular compliance and normal left heart function. We explained to the patient and his family that the patient was mainly suffering from neurological disorders caused by poor mood and sleep, so we could use drugs to regulate the nerves and mood, so we gave Shuxinin injection to improve the circulation, Shuhelian and Xiezhu capsule to improve the mood, Flupethione Melitrexin tablet to improve the anxiety, and Baili Sleep capsule to improve the sleep quality.
III. Treatment effect
The patient’s symptoms of brain buzzing were relieved through 7 days of IV and oral drug treatment, sleep quality was improved, difficulty in falling asleep was reduced, but there were still early awakenings, the patient’s anxiety was significantly relieved, his mind was restored to peace, and he could communicate with his friends and family quietly. After 7 days of hospitalization, the patient met the discharge criteria and was told to continue taking oral medication to improve sleep and relieve anxiety, and to review the outpatient clinic in 3 months.
IV. Notes
We are glad that the patient’s symptoms have improved after treatment. It is recommended that patients should relax, participate in outdoor activities, communicate with friends, develop hobbies and hobbies, and divert their attention. Before going to bed, you can listen to light music to relax and improve the quality of sleep. If you look on the bright side of things and keep an optimistic attitude, your anxiety will be relieved naturally and your sleep will be improved.
V. Personal insight
Brain tinnitus caused by plant nerve dysfunction can be accompanied by chest tightness, shortness of breath, palpitations and panic, difficulty in breathing, and even somatic pain and discomfort, making patients very annoyed. It is recommended that such patients try to self-regulate, maintain optimism, and if necessary, visit the psychology department to relieve through psychological guidance.