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VERTIGO

Vertigo is having a sensation of spinning of either the surrounding or within oneself but physical movement does not exist.

It may be secondary to different causes that may be determined by numerous factors eg timing and duration, aggravating conditions or associated symptoms.
Central vertigo originates from the central nervous system (brainstem or cerebellum). It is uncommon but more serious and should be ruled out immediately.
Peripheral vertigo originates from the labyrinth or vestibular nerve.

Vertigo Treatment

Treatment

Surgical Intervention

Meniere’s Disease

Surgery is recommended if conservative and medical treatments have failed and the disease is severe

Endolymphatic duct/sac procedures and sacculotomy

The procedure exposes the endolymphatic sac and duct with the aim of improving endolymph drainage
Commonly done in Meniere’s disease patients with intact hearing
Control of vertigo has been reported in 75-80% in an uncontrolled case series
Low risk of sensorineural hearing loss

Vestibular nerve section or Vestibular neurectomy

Vestibular nerve bundle is surgically lysed as it enters the internal auditory canal
Relieves vertigo in 90-95% of patients
Low risk of sensorineural hearing loss

Labyrinthectomy

Neuroepithelium of the bony and membranous labyrinth is surgically removed, thus eliminating both balance and hearing function from the affected ear
Due to the irreversible hearing loss, this procedure is reserved for patients with intractable symptoms despite pharmacotherapy, and with poor hearing or complete hearing loss on the affected side

Product Highlight - Pontevia

16 Mar 2022

Galcanezumab Injection

Long COVID: What we have learned so far

Prof. Ghassan Dbaibo, 27 Apr 2023

The WHO defines long COVID as a condition that occurs 3 months from COVID-19 onset, whose symptoms last ≥2 months and cannot be attributed to an alternative diagnosis. In an interview with MIMS Doctor, Professor Ghassan Dbaibo of the Center for Infectious Diseases, American University of Beirut, Beirut, Lebanon, describes the evolving attitudes towards long COVID among healthcare professionals (HCPs), some unexpected predisposing factors, potential biological mechanisms behind prolonged symptom duration and shares data on vaccination’s protective effects against long COVID.