[48M] Experiencing severe head pressure and temporary hearing loss

Patient Description

A 48-year-old male reports severe episodes of head pressure and temporary hearing loss, coinciding with dizziness. These episodes have been occurring for the past two weeks and are described as intense pressure starting at the sides of the head and moving inward behind the eyes, with a severity rating of 10 out of 10. The temporary hearing loss also rates as a 10 in severity and typically lasts for one to two minutes. The patient has a medical history of Parkinson's disease, diagnosed in May 2023, and is currently on medications including Amantadine, Lortab 7.5 mg, Roustovostatin, Cymbalta, and Thyroid Armour. No known allergies to medications have been reported. No recent injuries or other conditions have been mentioned that could account for these new symptoms.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Migraine: Migraines can cause severe throbbing pain or a pulsing sensation, usually on one side of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Migraine attacks can last for hours to days, and the pain can be so severe that it interferes with your daily activities. However, migraines are typically not associated with temporary hearing loss.

  • Meniere's disease: This is a disorder of the inner ear that can lead to dizziness (vertigo) and hearing loss. In most cases, Meniere's disease affects only one ear. It can occur at any age, but it usually starts between the ages of 20 and 50. Symptoms of Meniere's disease include vertigo, hearing loss, tinnitus (a roaring, buzzing, or ringing sound in your ear), and a feeling of fullness or congestion in the ear. Meniere's disease is considered a chronic condition, but various treatments can help relieve symptoms and minimize the long-term impact on your life.

  • Acoustic neuroma: This is a noncancerous and usually slow-growing tumor that develops on the main nerve leading from your inner ear to your brain. Symptoms can include loss of hearing, ringing in your ear, and unsteadiness. Acoustic neuromas tend to cause slow, progressive hearing loss in one ear.

  • Parkinson's Disease: As you have a known diagnosis of Parkinson's disease, it's important to note that some of your symptoms could be related to this condition or its treatment. Some people with Parkinson's disease report dizziness, and certain medications used to treat Parkinson's can also cause dizziness.

What you can do

Given the severity of your symptoms, it's important to seek medical attention as soon as possible. Here are some steps you can take:

  1. Seek immediate medical attention: Given the severity and sudden onset of your symptoms, it's important to seek medical attention immediately. This will allow a healthcare professional to evaluate your symptoms, perform any necessary tests, and determine the best course of treatment.

  2. Document your symptoms: Keep a record of when your symptoms occur, how long they last, and any potential triggers. This information can be helpful for your healthcare provider in diagnosing your condition.

  3. Rest and hydrate: Make sure to get plenty of rest and stay hydrated, especially if your symptoms are causing you to feel fatigued or dehydrated.

What you should look out for

If any of the following occur, seek immediate medical attention:

  • If your symptoms worsen or do not improve
  • If you experience sudden, severe headache, stiff neck, or fever
  • If you have difficulty speaking, seeing, or moving

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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11 mo ago

People Also Ask


What are the common symptoms of Meniere's disease?

Meniere's disease symptoms include vertigo, hearing loss, tinnitus (ringing in the ear), and a feeling of fullness or congestion in the ear. These symptoms can vary in intensity and duration.


Can Parkinson's disease cause dizziness and hearing loss?

Yes, Parkinson's disease can cause dizziness, and some medications used to treat it may also contribute to dizziness. However, hearing loss is not typically associated with Parkinson's disease itself.


What should I do if I experience severe head pressure and temporary hearing loss?

If you experience severe head pressure and temporary hearing loss, it's important to seek immediate medical attention. Documenting your symptoms, staying hydrated, and resting can also be helpful while you await medical evaluation.


How can migraines be differentiated from other conditions like Meniere's disease or acoustic neuroma?

Migraines typically present with severe throbbing pain, often on one side of the head, and may include nausea and sensitivity to light and sound. Meniere's disease involves vertigo and hearing loss, while acoustic neuroma usually causes progressive hearing loss and unsteadiness. A healthcare professional can help differentiate these conditions through a detailed evaluation and appropriate tests.


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