What Causes Tinnitus and Dizziness?

Aug 24, 2022 Source: Cainiu Health
Dr. Xu Gang
Introduction
Dizziness and tinnitus are primarily caused by ear disorders, brain disorders, infectious diseases, and systemic diseases. Ear disorders include Ménière’s disease, acoustic neuroma, noise-induced hearing loss, presbycusis, otosclerosis, and sudden sensorineural hearing loss. Brain disorders include vestibular schwannoma (acoustic neuroma), cerebellopontine angle tumors, traumatic brain injury, and acute cervical strain. Infectious diseases include meningitis, syphilis, and Lyme disease.

Tinnitus is a highly distressing symptom that significantly impacts daily life. Middle-aged and elderly individuals are particularly prone to dizziness and tinnitus, making this issue a major concern for many people. So, what causes dizziness and tinnitus?

What Causes Dizziness and Tinnitus?

Dizziness and tinnitus primarily result from ear disorders, brain-related conditions, infectious diseases, and systemic illnesses. Ear disorders include Ménière’s disease, acoustic neuroma (vestibular schwannoma), noise-induced hearing loss, presbycusis (age-related hearing loss), otosclerosis, and sudden sensorineural hearing loss. Brain-related conditions encompass vestibular schwannoma, cerebellopontine angle tumors, traumatic brain injury, and acute cervical strain. Infectious diseases such as meningitis, syphilis, and Lyme disease may also contribute. Systemic illnesses—including cardiovascular disorders, endocrine diseases, hematologic conditions, and neurological disorders—are additional contributing factors to tinnitus.

Regarding treatment, patients are first advised to undergo head CT imaging at a hospital to rule out intracranial pathology. If no abnormalities are detected, patients can be reassured and encouraged to maintain a regular, balanced lifestyle. Should dizziness and tinnitus persist despite adequate rest, pharmacological therapy aimed at improving cerebral and inner-ear circulation—such as flunarizine hydrochloride capsules or nicergoline tablets—may be recommended. These medications effectively alleviate vertigo and improve tinnitus symptoms. With prompt and appropriate treatment, patients typically experience marked improvement in both tinnitus and dizziness.

In daily life, patients should avoid excessive fatigue and maintain regular sleep-wake cycles, minimizing late-night activities. Moderate physical exercise is also encouraged to enhance overall resistance and well-being. We hope this information proves helpful to you!