ISSHL treatment with BPPV outcomes[Treatment outcome of patients with idiopathic sudden sensorineural hearing loss and concomitant benign paroxysmal positional vertigo].
We explored the effectiveness of various treatments for patients experiencing idiopathic sudden sensorineural hearing loss (ISSHL) along with benign paroxysmal positional vertigo (BPPV). In a group of 252 ISSHL patients, 96 were found to have complicating vertigo, categorized into those without vertigo, those with non-BPPV vertigo, and those with BPPV.
The treatment regimen included intravenous urokinase and a combination of vitamins, including vitamin B6. While we witnessed improvements in hearing for all groups, those with BPPV and those without vertigo showed similar progress. However, patients with non-BPPV vertigo experienced significantly less improvement regarding their hearing.
Notably, the vertigo symptoms resolved completely in the ISSHL patients with BPPV following the canalith repositioning maneuver. Despite vitamin B6 being part of the treatment, we could not isolate its specific effect on vertigo, as it was used alongside other medications. Overall, patients with BPPV had a relatively favorable outcome from both their hearing and vertigo symptoms after treatment.
Read More
Vitamin B6 reduces minocycline vertigo[Antivertiginous action of vitamin B 6 on experimental minocycline-induced vertigo in man].
We conducted a thorough study to explore the effects of vitamin B6 on vertigo, specifically targeting symptoms induced by minocycline, a common antibiotic. The research involved 40 healthy young adults and employed a double-blind design to ensure unbiased results. Participants received either minocycline alone or in combination with vitamin B6 over a three-day period.
In our findings, we observed that minocycline significantly increased symptoms such as vertigo and nausea. However, when vitamin B6 was added to the regimen, we noted a remarkable reduction in these symptoms. This included an improvement in nystagmus signs observed during vestibular tests, indicating enhanced stability in those who received the additional vitamin.
Overall, while we demonstrated that vitamin B6 significantly mitigated the adverse effects of minocycline on equilibrium, it is important to recognize that the study's design complicates the interpretation of vitamin B6's isolated effects. Yet, the results suggest that vitamin B6 could play a beneficial role in managing vertigo related to minocycline use.
Read More
Case study on vertigo treatmentSuccessive occurrence of vertebrobasilar dolichectasia induced trigeminal neuralgia, vestibular paroxysmia and hemifacial spasm: A case report.
We observed an intriguing case involving a 66-year-old woman who experienced severe episodes of vertigo alongside trigeminal neuralgia and vestibular paroxysmia due to vertebrobasilar dolichoectasia. The treatment regimen included vitamin B12 (methylcobalamin), along with other medications like carbamazepine and vitamin B1.
Remarkably, after just seven days of this treatment, the patient reported complete relief from paroxysmal vertigo and trigeminal neuralgia symptoms. However, it’s worth noting that while the initial results were positive, occasional episodes continued to occur during follow-up.
Five months later, the patient experienced a new condition—right hemifacial spasm—which she chose not to treat since it did not impact her quality of life. Ultimately, her story illustrates the complex relationship between vitamin B12 supplementation and symptom management in conditions linked to vertigo, although further research is essential to fully understand these effects.
Read More
Vitamin B12 enhances acupuncture effects[Observation of therapeutic effects on cervical vertigo treated with different methods].
We explored the effectiveness of various treatments for cervical vertigo, specifically focusing on different acupuncture methods and the inclusion of Vitamin B12 in one of the therapy combinations. In our study, ninety-one participants were divided into three groups: one receiving routine acupuncture, another using electroacupuncture, and a third receiving a combination of electroacupuncture and Vitamin B12 injections along with local anesthetics.
Each therapy was administered over twenty sessions within a month. We measured changes in blood flow in the vertebral and basilar arteries and evaluated the participants' symptoms and overall function related to their vertigo. While all treatment methods showed some positive effects, the combination therapy, which included Vitamin B12, stood out as being the most effective.
This suggests that Vitamin B12 might play a significant role alongside acupuncture methods in treating cervical vertigo. However, it’s important to note that the specific impact of Vitamin B12 alone wasn’t isolated in this study, leaving us to consider its effects within the broader context of combined therapies.
Read More
Folate treatment in healing lesionsDestructive, granulating lesion in the temporal bone after elevated plasma homocysteine.
We delved into an intriguing case involving a 38-year-old man who experienced sudden deafness along with vertigo and temporary facial paralysis. The root cause turned out to be a destructive lesion in his left temporal bone, which was characterized by granulation tissue. After several months, it was found that his plasma homocysteine levels were significantly elevated—a condition known to contribute to thromboembolic events, often due to a lack of vitamin B cofactors.
In light of this finding, a treatment plan involving folic acid was initiated. Remarkably, his plasma homocysteine levels normalized rapidly. Following this treatment, we observed a gradual improvement; the granulation tissue in his temporal bone started to disappear, which was quite promising even though the cochlea remained non-functional.
While we cannot definitively state that folate directly alleviates vertigo since the study does not isolate its specific impact, the overall treatment led to the healing of the lesion, shedding light on its possible implications in similar cases. The connection between elevated homocysteine levels and conditions like avascular osteonecrosis, particularly in the temporal bone, is rarely reported, making this case particularly compelling.
Read More