Are you aware of idiopathic reasons causing secondary endolymphatic hydrops ?
A little more clarification. Primary hydrops is classic meniereās. Secondary is more chronic and a pain in the ass with constant imbalance . Secondary is usually trauma based. Hence my question on can hormones, high cholesterol and such cause SEH. Classic meniereās tends to be more episodic and causes low frequency hearing loss.
Good stuff on the collagen. Never knews this before. Thanks for sharing.
Also permanent fistula should manifest with degrading hearing. This would also keep the longitudinal flow of CSF perennial. Would this be the only case to opt for surgery?
Idiopathic = āwithout a known causeā. So - to answer your question: itās a little bit of a misnomer. There are a number of things that have been established as possible causes of secondary endolymphatic hydrops.
Secondary endolymphatic hydrops appears to occur in response to an event or underlying condition. For example, it can follow head trauma or ear surgery, and it can occur with other inner ear disorders, allergies, or systemic disorders (such as diabetes or autoimmune disorders). Source: Secondary Endolymphatic Hydrops by Susan Pesznecker of VeDA (2017).
While itās certainly possible, I donāt believe itāll degrade hearing considerably unless itās severe enough to cause a sufficient skewing of inner ear fluid pressures or volumes.
Keep in mind these charts of the most commonly-reported symptoms in patients with PLF:
That symptom profile seems identical to Secondary Hydrops and also to many cases of MAV?
And what youāve described there is surely Secondary Hydrops? (And thatās what my doctor believed happened to me.). My hearing loss and tinnitus only manifested about 6 months after my ear injury. Migraines came a year after. Itās interesting to note that that injury itself didnāt directly cause migraines but the Hydrops did? That might be personal.
My main symptoms at the time of injury were imbalance and nausea but these resolved within 5 weeks.
May we ask, what is your interest in the subject? Anything happen to you?
Interesting. It may have been some sort of inner healing, orāof courseāthe brain compensating. The compensating thing seems to happen better when thereās unilateral damage; bilateral really has the potential to wreak havoc:
Hereās Dr. Hain talking about bilateral vestibular loss:
Itās great how our bodies have redundancy. When it fails, itās horrifying.
I had pretty severe sudden suction trauma to one ear which was followed by a constellation of symptoms consistent with PLF, minus objective hearing loss.
One month later, my opposite ear began building with a deep pressure, which was only relieved on its own when the sensation of rather profuse fluid leaking from the opposite ear down into my neck happened. Thatās when the insane headaches began, and they havenāt let up.
āunless itās severe enough to cause a sufficient skewing of inner ear fluid pressures or volumes.ā. Youāve described secondary hydrops.
My stupid injury was caused by pointing a shower into my ear in a ridiculously foolish attempt to clear some wax. I have little doubt the weight of the wax slug might have contributed to the result. There was no damage to the ear drum but my doctor suspects the stapes might have transferred the pressure and punctured the oval window. I have since had the sensation of fluid gathered in my middle ear for three and a half years which is felt in the morning when I get up. Started as a short muffling sensation for a few seconds then went on to become a gurgling then a bubbling. Recently it has significantly abated.
I had very severe headaches/migraines only a year later but they were controlled with Amitriptyline and time. They were so bad I was in bed for 14 hours at a time every 3 days for 3 months or so, only able to stare at a point on the wall. Something from your worst nightmare ā¦ anything similar to yours?
My balance took 2.5 years to recover after the first major relapse at the 6 month point.
Itās very easy to relapse. Recently I had a short relapse for half a day because I drank 3 coffees (stupid!). Suspect the Hydrops is lurking and the compensation is on a knife edge.
Thatās amazing. I have had symptoms in my āgoodā ear. I believe there must be a central element to pressure management. I wonder if this is because labyrinths evolved in fish, so there needed to be a way of managing bi-lateral pressure changes due to depth? I suspect you knock this process out of homeostasis when you injure one ear.
āDelayed endolymphatic hydrops consists of new ear symptoms that occur many years after onset of profound deafnessā
That statement rules it out of being equivalent to Secondary Hydrops.
In fact Hain doesnāt appear cover Secondary Hydrops as a single topic, which Iāve always found odd.
Another very odd part about Secondary Hydrops is the symptom collection is identical to Migraine Associated Vertigo for a large number of sufferers. Many people here stating they have been diagnosed with MAV and have the very same symptoms. Indeed, I was diagnosed as having MAV by two doctors one who dismissed my trauma! The treatment and the diet are also identical. My doctor said āyou may find some trigger foods like cheese or red wine make your hydrops worseā ā¦ if you substituted āMAVā for āhydropsā you would hardly have noticed ā¦