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Medical Forum / Diseases and Disorders / Tinnitus / August 2004

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hydrops and cerebrovascular conditions

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francispoon - 26 Jul 2004 04:48 GMT
I would like to be enlightened about the relationship between the two...if any.

Tks.,

FP
Oregon7 - 04 Aug 2004 15:25 GMT
Hmmm.  Well. the inner ear which consists of the auditory system (cochlea) and
the balance system (semi circular canals, etc) are filled with a fluid that
closely resembles cerebral spinal fluid.  And through the interal auditory
canal (a hard bony channel that runs from the brain to the ear) they are semi
connected.  

There can be build ups of pressure in the fluid in the brain, i.e.,
hydrocephaly, when the lymph system is not allowing the drain off of fluid to
occur.  Children can be born with this condition, and often a shunt is inserted
to try to repair the situation.  New fluids are constantly being produced in
both the ear and the brain to replenish and replace old fluid.  In the fluid
are the nutrients needed by the cells to survive, bathing those delicate
tissues all the time and allowing the transmission of nerve impulses, too.

Now in the ear, there is a duct that is meant to drain off the fluid.
Sometimes this doesn't work very well for some reason, and like in the brain,
fluid backs up and pressure accumulates.  This is called hydrops in the ear.
People can experience sudden increase in tinnitus (most often lower pitched
roaring type) and dizziness and loss of hearing............People can feel like
they have the flu without the fever or the belly ache although they will feel
seasick.

If the pressure builds up enough, it will often rupture one of the delicate
membranes in the ear, or force the fluid thru the duct, and then recovery
slowly begins.  

In cycles, this is often tagged Meniere's Disease and often hearing loss is
progressive and over time, the person can lose up to fifty percent of their
hearing and will need a hearing aid.  

I hope this helps.  In head trauma, the cerebral spinal fluid can travel in the
form of a tsunami or tidal wave up the auditory canal and cause all kinds of
damage to the ear, the balance system, and the hearing............it is a very
good questin.

Another fellow, Marchbanks, postulated that we could tell brain fluid pressure
by measuring ear fluid pressure since they are so related and he was right!
His machine is not well known but it was quite useful before the advent of
fancy imaging technology that has replaced many other older tests.  

We are one beautifully inter-related system of fragile wondrous parts........

Marsha Johnson, M.S.
Director
Oregon Tinnitus & Hyperacusis Treatment Clinic
POrtland, Oregon
francispoon - 05 Aug 2004 05:15 GMT
> Hmmm.  Well. the inner ear which consists of the auditory system (cochlea) and
> the balance system (semi circular canals, etc) are filled with a fluid that
[quoted text clipped - 15 lines]
> People can experience sudden increase in tinnitus (most often lower pitched
> roaring type) and dizziness and loss of hearing............

The pressure build-up is usually on my left head and is associated
with high pitched loudness, not low pitched roaring type, and it takes
about 10 minutes after taking a diuretic to release the pressure.  I
have been wondering whether this releasing action takes place inside
the ear OR on the cerebro-blood vessels.  Most doctors where I have
visited in China are of the view that the diuretic works on the edema
cells of the blood vessels in the brain but not on the ear.  They are
scratching their balls as to how one could have experienced only
tinnitus but no vertigo/dizziness with supposingly 'fluid build-up' of
the inner ear.  Perhaps they are reading medical textbooks that were
translated from the west about 50 years ago.

FP
==========================

eople can feel like
> they have the flu without the fever or the belly ache although they will feel
> seasick.
[quoted text clipped - 23 lines]
> Oregon Tinnitus & Hyperacusis Treatment Clinic
> POrtland, Oregon
 
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