2. The cause of sensorineural hearing loss
(10) Meniere’s disease Meniere’s disease is an unexplained inner ear disease with membrane labyrinth hydrops as the main pathological feature.Its course is variable, with paroxysmal dizziness, fluctuating deafness and tinnitus as its main symptoms.The etiology of Meniere’s disease is unknown, and may be related to congenital inner ear abnormalities, autonomic dysfunction, viral infection, allergies, endocrine disorders, salt and water metabolism disorders, etc.At present, it is generally believed that the obstruction of endolymphatic drainage or malabsorption is the main cause of disease, such as endolymphatic stenosis or blockage; autonomic dysfunction can cause inner ear small blood vessels spasm, leading to labyrinth microcirculation disorders, tissue hypoxia, and endolymph biochemical properties Change, the osmotic pressure increases, causing water in the labyrinth of the membrane.The pathological change of this disease is membranous labyrinth hydrops, mainly involving the cochlear duct and balloon.Compression stimulates the cochlea to produce cochlear symptoms such as tinnitus and deafness, while compression stimulates the vestibular terminal organs to produce vestibular symptoms such as dizziness.The typical symptoms are paroxysmal dizziness, fluctuating deafness, tinnitus, and ear fullness.
There are lesions in the sound transmission and sensory structures at the same time.Such as long-term chronic suppurative otitis media, advanced otosclerosis and so on.
(2) Cortical deafness Cortical deafness is difficult to distinguish the distance and nature of sounds. Sometimes, although the general hearing is not impaired, the aesthetic ability for language is reduced.Because one side of the cochlear nerve nucleus fibers project to both sides of the auditory cortex, one side of the auditory cortex is damaged or one side of the conduction pathway is damaged, resulting in one or both sides of hearing loss.