Associations between peripheral vertigo and gastroesophageal reflux disease

We hypothesize that peripheral vertigo is associated with gastroesophageal reflux disease (GERD). Two mechanisms could be considered – gastric acids may directly irritate the respiratory mucosa and cause inflammation, or Helicobacter pylori (H. pylori) could be present and cause local infection. Reflux material (Hydrochloric acid (HCl) and pepsin) could get into the middle ear via Eustachian tube and affect osseous structures directly. Disturbance of ossicles could cause tinnitus, which is more common for peripheral vertigo. (Source: Medical Hypotheses)

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Tinnitus and its relationship with muscle tenderness in patients with headache and facial pain.

CONCLUSION: In a population of patients with headache and craniofacial pain, tinnitus was related to increased cervical muscle tenderness and pericranial muscle tenderness scores, rather than to any particular form of headache. PMID: 26091105 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)

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MRI Inner Ear Imaging and Tone Burst Electrocochleography in the Diagnosis of Ménière’s Disease

Conclusion: This study confirms the greatly enhanced diagnostic sensitivity of tone burst EcochG over click response in diagnosing endolymphatic hydrops in Ménière’s disease. Even though adequate MRI imaging was achieved in 90%, tone burst EcochG was a more sensitive test. (Source: Otology and Neurotology)

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Sudden Bilateral Hearing Loss After Cervical and Ocular Vestibular Evoked Myogenic Potentials

Conclusion: Although VEMP testing is thought to be safe and well tolerated, a significant amount of sound can be delivered to the cochlea, and certain individuals may be susceptible to acoustic trauma at these levels. We recommend limits for VEMP stimuli levels and attention to total sound exposure when multiple trials are used. (Source: Otology and Neurotology)

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