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Vertigo due to barotrauma

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Vertigo
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Abstract

This type of vertigo is associated with exposure to alterations in ambient pressure, either an increase (diving, pressure chamber, explosions) or a decrease (flying, altitude chambers). The atmosphere exerts an absolute pressure of 760 mmHg (1013 mbar) at sea level, the standard one atmosphere absolute (1 ATA) pressure. Changes of pressure in water increase linearly with increasing depth: one atmosphere is added for each 10 m. This increased pressure is balanced by breathing air delivered at the new ambient pressure and by equalizing the pressure in all gas-containing body cavities to ambient (Farmer and Thomas 1976; Margulies 1987). The volume of gas varies inversely with ambient pressure. It is this pressure-volume relationship that mostly causes barotrauma. The likelihood of damage to the Eustachian tube and middle and inner ear increases as the rate of change of external pressure increases, because large pressure differentials are produced in these areas.

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References

  • Armstrong HG, Heim IW (1937) The effect of flight on the middle ear. JAMA 109: 417–421

    Article  Google Scholar 

  • Arness MK (1997) Scuba decompression illness and diving fatalities in an overseas military community. Aviat Space Environ Med 68: 325–333

    PubMed  CAS  Google Scholar 

  • Black WR, DeHart RL (1992) Decompression sickness: an increasing risk for the private pilot. Aviat Space Environ Med 63: 200–202

    PubMed  CAS  Google Scholar 

  • Brandt Th, Dieterich M, Fries W (1988) Otolithic Tullio phenomenon typically presents as paroxysmal ocular tilt reaction. Adv Oto Rhino Laryngol 42: 153–156

    CAS  Google Scholar 

  • Broome JR, Dick EJ (1996) Neurological decompression illness in swine. Aviat Space Environ Med 67: 207–213

    PubMed  CAS  Google Scholar 

  • Chait RH, Casler J, Zajtchuk JT (1989) Blast injury of the ear: historical review. Ann Otol Rhinol Laryngol 98 (Suppl 140): 9–12

    Google Scholar 

  • Conklin J, Kumar KV, Powell MR, Foster PP, Waligora JM (1996) A probabilistic model of hypobaric decompression sickness based on 66 chamber tests. Aviat Space Environ Med 67: 176–183

    Google Scholar 

  • Edmonds C, Freeman PB (1972) Inner ear barotrauma. Arch Otolaryngol 95: 556–563

    Article  PubMed  Google Scholar 

  • Farmer IC, Thomas WG (1976) Ear and sinus problems in diving. In: Strauss (ed) Diving medicine. Grune and Stratton, New York, pp 109–133

    Google Scholar 

  • Goodhill V (1971) Sudden deafness and round window rupture. Laryngoscope 81: 1462–1474

    Article  PubMed  CAS  Google Scholar 

  • Head PW (1984) Vertigo and barotrauma. In: Dix MR, Hood JD (eds) Vertigo. Wiley, Chichester, pp 199–215

    Google Scholar 

  • Ildiz F, Dunbar A (1994) A case of Tullio phenomenon in a subject with oval window fistula due to barotrauma. Aviat Space Environ Med 65: 67–69

    PubMed  CAS  Google Scholar 

  • Jahrsdoerfer R (1979) The effects of impulse noise on the eardrum and middle ear. Otolaryngol Clin North Am 12: 515–520

    PubMed  CAS  Google Scholar 

  • Kerr AG, Bryne JET (1975a) Concussive effects of bomb blast on the ear. J Laryngol Otol 89: 131–143

    Article  PubMed  CAS  Google Scholar 

  • Kerr AG, Bryne JET (1975b) Blast injuries to the ear. BMJ 1: 559–561

    Article  PubMed  CAS  Google Scholar 

  • Kumar KV, Waligora JM, Calkins DS (1990) Threshold altitude resulting in decompression sickness. Aviat Space Environ Med 61: 685–689

    PubMed  CAS  Google Scholar 

  • Lundgren CEG, Malm LU (1966) Alternobaric vertigo among pilots. Aerospace Med 37: 178–180

    PubMed  CAS  Google Scholar 

  • Luxon LM (1996) Post-traumatic vertigo. In: Baloh RW, Halmagyi M (eds) Disorders of the vestibular system. Oxford University Press, Oxford pp 381–395

    Google Scholar 

  • Margulies ADC (1987) A short course in diving medicine. Ann Emerg Med 16: 689–701

    Article  PubMed  Google Scholar 

  • Nakashima T, Itoh M, Sato M, Watanabe Y, Yanagita N (1988) Auditory and vestibular disorders due to barotrauma. Ann Otol Rhinol Laryngol 97: 146–152

    PubMed  CAS  Google Scholar 

  • Olson RM, Krutz RW (1991) Significance of delayed symptom onset and bubble growth in altitude decompression sickness. Aviat Space Environ Med 62: 296–299

    PubMed  CAS  Google Scholar 

  • Pullen FW (1992) Perilymphatic fistula induced by barotrauma. Am J Otol 13: 270–272

    PubMed  Google Scholar 

  • Rudge FW (1992) Altitude-induced arterial gas embolism: a case report. Aviat Space Environ Med 63: 203–205

    PubMed  CAS  Google Scholar 

  • Shupak A, Doweck I, Nachtigal D, Spitzer O, Gordon CR (1993) Vestibular and audiometric consequences of blast injury to the ear. Arch Otolaryngol Head Neck Surg 119: 1362–1367

    Article  PubMed  CAS  Google Scholar 

  • Sulaiman ZM, Pilmanis AA, O’Connor RB (1997) Relationship between age and susceptibility to altitude decompression sickness. Aviat Space Environ Med 68: 695–698

    PubMed  CAS  Google Scholar 

  • Weien RW, Baumgartner N (1990) Altitude decompression sickness: hyperbaric therapy results in 528 cases. Aviat Space Environ Med 61: 833–836

    PubMed  CAS  Google Scholar 

  • Wicks RE (1989) Alternobaric vertigo: an aeromedical review. Aviat Space Environ Med 60: 67–72

    PubMed  CAS  Google Scholar 

Download references

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© 2003 Springer-Verlag London

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Brandt, T. (2003). Vertigo due to barotrauma. In: Vertigo. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-3801-8_23

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  • DOI: https://doi.org/10.1007/978-1-4757-3801-8_23

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-40500-1

  • Online ISBN: 978-1-4757-3801-8

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