Guest guest Posted January 30, 2006 Report Posted January 30, 2006 One thing to consider in her case is that the Herpes virus will remain dormant in the nerve roots and can reactivate into Herpes zoster oticus which is essentially shingles of the middle/inner ear. Patients can present with tinnitus, vertigo, pain, and/or some type of vesicular eruption either in the ear canal or external ear. This is one consideration in the ddx of what is causing the tinnitus. If that were the case, you would want to target the virus. Hope it helps. Allie NDSeaside, OR Quote
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