You get a hearing loss, it causes a vestibular weakness. As this one-layer thick cell heals, the ATP s pump comes back into working, thems, we can operate on the systems, but once they have that diagnosis they ll have it forever. Attack prevention is the major way we go ahead and try and treat this. Stress being the same thing as fatigue. The harder these people work, the more tired they are, the more stressed out they are, the less inhibition the central nervous system can put on the vestibular system and they end up having more attacks.
Conservative treatment is endolymphatic shunts.
That preserves the hearing as well as the nerve. Very few labyrinthectomy s are done anymore. In order to do a labyrinthectomy you need to have almost no useful hearing on that side. Because, by definition, when you do a labyrinthectomy you are making that person totally deaf for ever and ever. A vestibular nerve section spares the labyrinth so you can cut the vestibular nerve, preserve the cochlea so their hearing, although it may not be perfect, is still better than nothing.