Dizziness is a complaint of
postural instability. Vertigo is the perception of illusory environmental
rotation. Standing may be difficult with dizziness, but virtually
impossible with vertigo. Either of them may result from brain or ear
disease with hearing loss and/or tinnitus.
ear disease) is presumed to be caused by viruses. It is self limiting, but
can recur. Disturbance in blood flow to the brain, some brain tumors and
tumors of the ear nerve are some of the serious problems that present with
vertigo or dizziness and must be ruled out.
One needs an intact brain to
perceive what the ears hear. Inability to recognize specific types of noise
and auditory hallucinations result from involvement of specific areas in
the brain and requires neurological assessment.
Tinnitus is the perception of ringing or
whistling noises independent of external stimuli and usually associated
with diminished hearing in one ear which may disappear when the hearing
loss is total. A wide variety of medications including aspirin may induce
tinnitus as a side effect. Unusual cause is a tumor in the hearing nerve.
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