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  • Title: Progressive sensorineural hearing loss, subjective tinnitus and vertigo caused by elevated blood lipids.
    Author: Pulec JL, Pulec MB, Mendoza I.
    Journal: Ear Nose Throat J; 1997 Oct; 76(10):716-20, 725-6, 728 passim. PubMed ID: 9345815.
    Abstract:
    The otologist frequently sees patients with progressive sensorineural hearing loss, subjective aural tinnitus and vertigo with no apparent cause. Elevated blood lipids may be a cause of inner ear malfunction on a biochemical basis. To establish the true incidence of this condition, all new patients (4,251) seen during an eight-year period were evaluated; of these, 2,332 patients had complaints of inner ear disease. All had a complete neurotologic examination, appropriate audiometric and vestibular studies and imaging, and blood tests including lipid phenotype studies. Hyperlipoproteinemia was found in 120 patients (5.1%). Most patients were found to be overweight and had additional coexisting conditions such as diabetes mellitus. Treatment with vasodilators and a 500-calorie, high-protein, low-carbohydrate diet yielded improvement of symptoms in 83% of patients within five months of initiation of treatment.
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