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Medical Forum / Diseases and Disorders / Tinnitus / February 2007

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Microvascular compression

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John Reinders - 10 Feb 2007 09:33 GMT
Microvascular compression.
Yes, that's the cause of my T. It took me 9 years to find out. A blood
vessel touches my left hearing nerve and probably that vessel exists already
57 years (my age) and now the protective tissue around the hearing nerve has
worn through so the nerve is reached and damaged.
An MRI of my head and a BERA-test (Brainstem Evoked Response Audiometry)
were the evidence.

Neurosurgery is possible but is heavy and probably too late for me; the
damage on the hearing nerve has already occurred and nerve tissue does not
recover.
3D-MRI could become a valuable tool for selecting good surgical candidates.

So if you have an MRI done to find out if you have a small tumor on your
hearing nerve: ask for assessment on microvascular compression.
In the meantime I cannot do without my Clonazepam.
Positive point: my T is not my fault! I always thought I should blame the
frequent use of a headphone listening to loud pop music.

Doctor Grossnan; what is your opinion?

John
Holland
Murray Grossan - 10 Feb 2007 18:08 GMT
On 2/10/07 1:33 AM, in article 12sr4aef7vomq10@corp.supernews.com, "John
Reinders" <john@reinders54.demon.nl> wrote:

> Microvascular compression.
> Yes, that's the cause of my T. It took me 9 years to find out. A blood
[quoted text clipped - 21 lines]
>
> Please the name is Grossan
Unfortunately you can always have a blood vessel that enlarges or that goes
to the right instead of to the left, and compresses a vital organ.
They really didn't design the 8th nerve that well - its exposed for long
distances - relatively. And it lays on bone. If it hung loose then it
wouldn't be bothered by pressure from a vessel.
You bring up a good point, tinnitus has many causes and a full investigation
into the cause is always needed.
We used to say that stress caused stomach ulcers and it turned out to be an
infection. In ancient times it was always the woman's fault for infertility
- she didn't obey the Gods -  problems - now at least we know better.

I think it helps the patient if we pay attention more to physical causes and
less to "psychological" causes or blame the patient. I can't begin to count
the number of patients who come in  saying I know my headache is
psychosomatic and we find physical causes. After we fix the sinus they still
are the same personality but they no longer have the headache.

His tinnitus is worse when he goes to Saturday Night parties where he is
stressed about social contacts. Turns out it is the salt peanuts.
John Reinders - 10 Feb 2007 18:41 GMT
> On 2/10/07 1:33 AM, in article 12sr4aef7vomq10@corp.supernews.com, "John
> Reinders" <john@reinders54.demon.nl> wrote:
[quoted text clipped - 54 lines]
> His tinnitus is worse when he goes to Saturday Night parties where he is
> stressed about social contacts. Turns out it is the salt peanuts.

Dear doctor Grossan,
Thank you so much for your fine answer and excuse me for putting the 'n' in
your name.

John
 
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