What is perilymph fistula

A loss of permanent hearing ability or the most commonly diagnosed vertigo makes the living condition worse if the person is suffering from the same. There are ample causes that result in such a condition. Perilymph fistula or known as ear fistula is one such condition that results in making a person feel dizzy or experience spinning sensations known as vertigo. In some cases, patients may even experience a sudden loss of hearing ability. An expert neurologist will first diagnose your condition by asking you to undergo a perilymph fistula test and prescribe you with certain vertigo medicine to ease spinning sensations. Once you are diagnosed with the same, he will suggest the best perilymph fistula treatment to ease the condition and vertigo treatment to alleviate vertigo symptoms completely. You must be thinking by now, what is perilymph fistula? Read on to get the insight.

What is Perilymph Fistula?

Well, there are thin membranes that separate the inner ear from the middle ear. A rupture or tear in either of the membrane is known as perilymph fistula. The middle ear is filled with air whereas the middle ear is filled with a fluid named as perilymph. The thin membranes separate your inner ear from the middle ear, but the tear in any membrane results in allowing perilymph fluid from the inner ear to flow in the middle ear. The exchange in fluids results in affecting the balance and hearing of the person due to pressure changes.

Changes in air pressure in the middle ear do not affect the inner ear at all. But on the contrary,

changes in air pressure in the middle ear along with the presence of perilymph fistula affect the inner ear, which is responsible for maintaining balance and hearing.

The brain is surrounded by cerebrospinal fluid which is connected to the inner ear perilymphatic fluid which is high in sodium content. Mild headaches are one of the most common perilymph fistula symptoms that indicates an onset of such a situation. The person suffering from such a condition gets frustrated quite easily as the person may seem normal to the outside world but only he knows what he is going through. It is advised to seek medical help as soon as you start experiencing perilymph fistula symptoms. An expert neurologist will carry out various perilymph fistula test for perilymph fistula diagnosis. Once you are diagnosed with the same, your doctor will suggest the best perilymph fistula treatment depending upon the severity of the condition. If the case is severe, surgery is even recommended to patients for a speedy recovery. Stay calm and patient hen you are undergoing perilymph fistula treatment or in a phase of perilymph fistula surgery recovery, it helps in alleviating perilymph fistula symptoms sooner than you expect.

What are Perilymph Fistula symptoms?

There is a wide range of perilymph fistula symptoms ranging from mild to severe. Patients experiencing such a condition may experience disturbance in one ear at a time while in others symptoms are hardly noticeable.

If the case is severe, the person may experience head trauma as well resulting in bilateral perilymph fistulas. Changes in attitudes such as lifting heavy weights, climbing mountains, bending over, or usual activity like coughing and sneezing results in triggering Perilymph fistula symptoms thus making the condition worse. We have listed some of the most common Perilymph fistula symptoms diagnosed in patients:

  1. Sudden bouts of dizziness or lightheadedness
  2. Spinning sensations, known as Vertigo
  3. A feeling of ear fullness
  4. Sensitive hearing or disturbance in hearing
  5. Sudden Hearing loss
  6. Balance issues or sense of getting unbalanced often to one side
  7. Ringing sensations, known as Tinnitus
  8. Hyperacusis
  9. Vomiting along with persistent or mild nausea
  10. Motion intolerance or motion sickness
  11. Memory loss
  12. Headaches ranging from mild to severe

The above-mentioned symptoms may get triggered with simple activities like sneezing, laughing, lifting weights, etc. as the pressure is built on the cerebrospinal fluid surrounding the brain.

Perilymph Fistula Causes

Changes in the air pressure caused due to traveling in the air or scuba diving or by lifting heavy weights result in causing Perilymph fistula in patients. Apart from it, head trauma is one of the most common causes of Perilymph fistula. In some cases, it even results in a “whiplash” injury.

We have listed some of the common Perilymph Fistula causes, let’s have a look:

  1. Changes in air pressure
  2. Ear trauma
  3. Head Trauma
  4. Head injury
  5. Perforated Eardrum
  6. Ear block
  7. A rapid increase in intracranial pressure
  8. Old injury
  9. Exposure to loud sounds
  10. In some cases, it is present since birth
  11. Inner ear infections or disorders
  12. When the eardrum gets punctured it leads to fistulas
  13. Blowing your nose very hard
  14.  Whiplash injury

It is advised to seek medical help to get you diagnosed with the underlying cause. An expert neurologist will examine the condition closely and suggest the right Perilymph fistula treatment to cure the condition completely. If the person is not treated in time, it may even result in memory loss.

Perilymph Fistula Diagnosis, Tests and Treatments

Once you start experiencing perilymph fistula symptoms, it calls to seek medical help. The symptoms of such a condition such as dizziness, ear fullness, hearing & balance loss, etc. resemble an inner ear disorder known as Meniere disease, thus making it difficult for doctors to diagnose perilymph fistula accurately.

Treating both the inner ear condition requires a different set of treatments making it important to accurately diagnose the underlying condition before suggesting any treatment

An expert neurologist will seek your complete medical history and ask you to undergo various tests such as a perilymph fistula test, hearing tests, balance tests, CT scans, MRI scans, electrocochleography tests, etc. to diagnose the condition accurately. These tests help in diagnosing inner ear activity and detect abnormal fluid pressure. Once you are diagnosed with perilymph fistula, your doctor will suggest the best perilymph fistula treatment depending on the underlying cause and the severity of the condition. Let’s have a look at some of the most common practices and treatments suggested by doctors to alleviate such a condition.

  • Take some bed Rest & restrict some activities

If the case is not severe, doctors generally advise taking proper bed rest and restricting certain activities for some time if you are diagnosed with perilymph fistula. It helps in curing the condition within a shorter period of time.

  • Blood Patch Injection

Blood patch injection is another perilymph fistula treatment suggested by doctors to some patients after diagnosing the underlying condition. In this perilymph fistula treatment, the blood is injected in the middle ear to patch the membrane that is torn or ruptured.

  • Perilymph Fistula Surgery

If all the other treatments fail to ease the condition, undergoing a perilymph fistula surgery is recommended by doctors. It patches the ruptured membranes thus giving the much-needed relief. It is advised to stay calm during the recovery phase for a speedy recovery. Restricting certain activities such as lifting weights that cause strain should be completely avoided. Taking complete bed rest soon after the surgery for a few weeks is recommended. If experiencing any trouble, consult the doctor immediately instead of treating on self.

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By Abhinav Puri

I am a professional blogger who has written a couple of informative pieces and blogs in various domains starting from the healthcare industry, latest advancements in technology, social media practices, latest trends, and so on. I practice my best to keep my knowledge updated with the latest happenings in the world and take an initiative to share my knowledge and views about the concerning subject to my followers.

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