Dizziness? It's not necessarily a brain problem! The evolving Meniere's disease and its past and present

If you rush to school without eating in the morning, and suddenly feel dizzy and fall to the ground during the flag-raising ceremony, you may have low blood sugar, and your brain has "shut down" due to lack of glucose supply; if you are weak and stand up suddenly from a low position of squatting or sitting, and suddenly your eyes go black and you feel dizzy and swollen, you may have low blood pressure, and blood cannot reach the brain for a while, and the supply of nutrients and oxygen is insufficient, so your brain is "stuck"; if you rush to do homework until the early morning, and get up as usual to go to school the next day and feel dizzy, you should be lack of sleep, and some blood vessels in the brain have some problems, and the brain is not functioning well just like a circuit of an electrical appliance has a problem... In short, all kinds of dizziness are generally caused by direct impact on the brain. However, there is a type of sudden dizziness that is different from the above causes, accompanied by tinnitus and hearing loss - this is Meniere's disease, which has gradually become known to the public in recent years.

1. Dr. Shangguan, I have been feeling dizzy lately. Is it Meniere's disease? Let's talk about Meniere's disease today.

2. In 1861, Dr. Menier published his research results at the French Medical Annual Conference. Dizziness, tinnitus, and hearing loss! He believed that this syndrome might belong to a new disease!

3. Dr. Meniere discovered that the disease might be related to endolymphatic hemorrhage. This disease is indeed related to the inner ear! Many years later, French doctor Charcot named this disease that causes vertigo, tinnitus, and hearing loss syndrome Meniere's disease.

4. Dr. Meniere was also a writer, and he had close contacts with Hugo and Balzac. It was not until the 1920s and 1930s, with the increase in dissections of related cases, that the medical community gradually confirmed the relationship between Meniere's disease and the inner ear, and further discovered that the cause was endolymphatic hydrops, an inner ear disease.

5. This labyrinth is like a balloon filled with water! Yes, it is the swelling that is to blame. Meniere's disease is an inner ear disease characterized by recurrent vertigo, hearing loss, tinnitus and a stuffy feeling in the ear.

6. Vertigo is characterized by visual rotation and impaired balance. Hearing loss is fluctuating and will become worse with repeated attacks.

7. The specific cause of edema in the membranous labyrinth is still unknown, but it is generally believed to be related to the imbalance between the production and absorption of endolymph in the membranous labyrinth. The so-called imbalance is like a math problem in childhood. The membranous labyrinth is like a pool, with water being released on one side and leaking on the other. If too much is released or too little is leaked, the water in the pool will overflow. Various factors, including immune response, inner ear ischemia, viral infection and genetics, may be related to this.

8. Meniere's disease is like a "Sword of Damocles" hanging over people's heads. Even doctors cannot predict when the next attack will occur. "Sometimes to cure, often to help, always to comfort". At present, there is no specific drug treatment for Meniere's disease. The treatment mainly focuses on relieving discomfort, sedation and dehydration, and the disease will generally be relieved by itself after the attack. Therefore, "help" and "comfort" are not humble words, but a kind of psychological treatment to help patients understand Meniere's disease and eliminate their inner fears.