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Patulous Eustachian tube is a physical disorder. The exact causes may vary depending on the person and are often unknown. [5] Weight loss is a commonly cited cause of the disorder due to the nature of the Eustachian tube itself and is associated with approximately one-third of reported cases. [6]
First-line treatment options are generally aimed at treating the underlying cause and include attempting to "pop" the ears, usually via the Valsalva maneuver, the use of oral or topical decongestants, oral steroids, oral antihistamines, and topical nasal steroid sprays, such as Flonase.
A detailed description of the syndrome and the name "exploding head syndrome" was given by British neurologist John M. S. Pearce in 1989. [15] More recently, Peter Goadsby and Brian Sharpless have proposed renaming EHS "episodic cranial sensory shock" [ 1 ] as it describes the symptoms more accurately and better attributes to Mitchell.
[2] [3] [4] Both conditions involve inflammation of the inner ear. [5] Labyrinths that house the vestibular system sense changes in the head's position or the head's motion. [6] Inflammation of these inner ear parts results in a vertigo (sensation of the world spinning) and also possible hearing loss or tinnitus (ringing in the ears). [6]
I’ve flown a lot. This was scary. Kudos to our amazing flight crew- cabin staff and pilots on @AmericanAir 5916. The photos cannot capture the burning smell, loud bang or ear pops.
The Brandt–Daroff exercises are performed in a similar fashion to the Semont maneuver; however, as the person rolls onto the unaffected side, the head is rotated toward the affected side. The exercise is typically performed 3 times a day with 5–10 repetitions each time, until symptoms of vertigo have resolved for at least 2 days. [24]
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