In the past when we thought about ear problems we focused on “ear:” structures, tissues, and pathogens in the ear. If vestibular-related migraine does indeed prove to have a genetic origin that is expressed as a neural dysfunction, then treatments for this disorder will need to redirect their focus.
The letters G, M, and E are capitalized to stress the words “genetic,” “migraine,” and “ear.” The letter “b” is not capitalized to de-emphasize the word “based.” According to the new theory, a genetic defect is the “root” of the problem and the pathology is expressed (revealed) as migraine and ear disease. I favor a descriptive term: Gb-M&E syndrome (Genetic-based Migraine and Ear syndrome). But, if this new explanation for the pathophysiology of this disease is verified, I expect it will be given a new name. The theory of “vestibular related migraine” is so new that the condition does not yet have an official name. If that theory proves true, this condition will become another of the “diseases” we must be able to identify and differentiate from the myriad of other ear problems. Our article for this week looks at vestibular-related migraine, and explains an intriguing new theory about the pathophysiology of this disorder. To do this we need to possess a comprehensive understanding of ear disease. Once we understand the cause, we must fix the problem, or make sure the patient sees the appropriate specialist as soon as possible.
Has a piece of dead tissue fallen across the ear canal? Or has something serious, such as sudden hearing loss, occurred?
We must figure out not only the cause of the problem, but its gravity as well. When a patient tells us, “I can’t hear in my left ear anymore,” we are handed a serious challenge, and the health and well being of the patient hang in the balance. But, perhaps our most essential role is that of diagnostician. Martin has contributed on such a wide variety of topics for us!Īudiologists play a variety of roles, from providing children with the hearing help they need to acquire speech and language skills to enabling adults with hearing loss to maintain communications with friends and family. Martin has chosen to write on connections linking migraines and hearing health.
#MIGRAINE HEARING HEARTBEAT IN EAR SERIES#
If the doctor thinks the pressure is too high, he or she will recommend treatment options.Today’s post marks the first in the final series written by Dr. Finally, a spinal tap will be performed, and the pressure of the cerebrospinal fluid (CSF) will be determined.
In some patients, special MRI studies may be used to study blood flow in brain blood vessels. Even though IIH is not reliably diagnosed by using imaging, a CT or MRI scan may be done to ensure that there are no growths, enlarged ventricles, bleeding in the brain, or blood clots causing your symptoms.A neuro-ophthalmologist will check your peripheral vision, your central vision, your ability to distinguish colors, and dilate your pupils to check for swelling of the optic nerves (papilledema).One or more of the following tests are typically used to diagnose IIH and to rule out other conditions: Because IIH diagnosis may be difficult in some patients, a set of criteria, known as the Modified Dandy Criteria, were established to assist physicians. The people you might see for diagnosis and treatment include:Īny increase in intracranial pressure is cause for concern, and your physician will rule out other disorders before making the diagnosis and offering treatment. You may want to have someone accompany you to appointments to help you keep track. It’s important to keep good notes starting from the first doctor’s visit, because IIH can have a variety of symptoms, and you may see several healthcare practitioners for different symptoms.
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