Vestibular drop attacks in Ménière’s disease

2021 ◽  
pp. 1-11
Author(s):  
Ilmari Pyykkö ◽  
Nora Pyykkö ◽  
Vinaya Manchaiah
Keyword(s):  
Survey Design ◽  
Meniere’S Disease ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Ménière's Disease ◽  
The Mean

The aim of the present study was to evaluate the severity of vestibular drop attack (VDA) in Ménière’s disease (MD) and to examine the association between VDA severity and other MD-related complaints. The study used a cross-sectional survey design using an electronic questionnaire. The mean age of participants was 56.7 years, and the mean duration of MD was 12.4 years. Four categories of VDA were identified based on level of severity. VDA occurred in 305 (50.7%) of the 602 patients. Of these, 133 patients (22%) experienced mild VDA (i.e., associated with tripping); 80 (13%) experienced moderate VDA (i.e., associated with fall threat unless they had been able to grab support); and 92 (15%) experienced severe VDA (i.e., patients fell to the ground, as in a classical Tumarkin attack). In 70%of participants, VDA occurred less than once a week. VDA lasted for only a few seconds in 90%of participants. 87%reported single attacks, whereas 13%experienced VDA in clusters. VDA was associated with visual auras, reduced quality of life, poor postural control, and fatigue. Approximately half of MD patients experience VDA with varying degrees of severity. If VDA causes falls or near-falls, the attacks should be appropriately treated.

Ménière's disease clinical subtypes in a population from the USA

2019 ◽  
Vol 134 (1) ◽  
pp. 24-28 ◽  
Author(s):  
J Crossley ◽  
A S Hussaini ◽  
H J Kim ◽  
M Hoa
Keyword(s):  
Neck Surgery ◽  
Meniere’S Disease ◽  
European Population ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Tertiary Referral Centre ◽  
Cross Sectional ◽  
Ménière's Disease

AbstractObjectiveTo ascertain the distribution of Ménière's disease phenotype subgroups in a US-based cohort, based on a recently introduced classification scheme utilising a Spanish and Portuguese cohort.MethodsA retrospective, cross-sectional, single-institutional chart review was conducted. The electronic medical records of Ménière's disease patients were identified using International Classification of Diseases codes at a tertiary referral centre and reviewed to extract subgroup-defining features. Patients with definite Ménière's disease as per American Academy of Otolaryngology–Head and Neck Surgery criteria were categorised into one of five subgroups, for unilateral and bilateral Ménière's disease.ResultsEighty-one patients with definite Ménière's disease were identified. Seventy-two cases of unilateral Ménière's disease were observed: 52.8 per cent were type 1, 20.8 per cent were type 2, 4.2 per cent were type 3, 18.1 per cent were type 4, and 4.2 per cent were type 5. This cohort differed significantly in distribution to a comparison Mediterranean cohort (p < 0.01). Nine cases of bilateral Ménière's disease were observed.ConclusionThe distribution of unilateral Ménière's disease subtypes in this US population was different from that observed in a European population.

Intralabyrinthine Schwannoma

1979 ◽  
Vol 88 (2) ◽  
pp. 187-191 ◽  
Author(s):  
Howard L. DeLozier ◽  
Richard R. Gacek ◽  
Sidney T. Dana
Keyword(s):  
Hearing Loss ◽  
Meniere’S Disease ◽  
Menière’S Disease ◽  
Radiographic Evaluation ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Intralabyrinthine Schwannoma ◽  
Ménière's Disease ◽  
The Mean

Two cases of unsuspected intralabyrinthine schwannoma are reported and the literature is reviewed. The mean age of the patients was 56 years, with the most common symptoms being hearing loss, dizziness, and tinnitus. All patients demonstrated a profound sensorineural hearing loss with low discrimination scores, and recruitment was elicited in two patients. A radiographic evaluation was negative in all but one case. Five of the six patients had a preoperative diagnosis of Ménière's disease. Transcanal labyrinthectomy was employed to remove tumor in all patients. This review suggests that a patient, presenting with symptoms of atypical Ménière's disease and negative radiographic evaluation, should alert the surgeon to the possibility of an intralabyrinthine schwannoma.

scholarly journals Clinical evaluation of a new electrocochleography recording electrode

2020 ◽  
Author(s):  
Mostafa Eyvazi ◽  
Akram Pourbakht ◽  
Seyyed Jalal Sameni ◽  
Mohammad Kamali
Keyword(s):  
Action Potential ◽  
Amplitude Ratio ◽  
Normal Subjects ◽  
Meniere’S Disease ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Ménière's Disease ◽  
The Mean

Background and Aim: Electrocochleography is one of the most practically used tests in app­roaching Meniere's disease (MD). To record reli­able response components, the type of applied electrode is of particular importance. The TIP-trode is an appropriate electrode due to its user-friendliness. Gutter electrode can be used in more than 100 subject. This study aimed to com­pare the results of the Electrocochleography (ECochG) test responses using TIP-trode and the Gutter electrode. Methods: This cross-sectional study was perfor­med on 20 normal subjects and 20 patients with MD, who referred to the Audiology Clinic of Iran University of Medical Sciences. The ECochG response components were randomly recorded with TIP-trode and Gutter-electrode consecu­tively, and then statistical analysis was accomp­lished. Results: The mean impedance, action potential, and summation potential amplitudes were not significantly different between normal subjects and people with MD by using two types of elec­trodes. Moreover, the mean scores of summation potential/action potential (SP/AP) ratio of the Gutter electrode were higher than that of the TIP-trod. The mean SP/AP ratio between two types of electrodes was statistically significant differences in normal subjects (p = 0.027) and in MD group (p = 0.009). Conclusion: We demonstrated that the utili­zation of the Gutter electrode in ECochG assess­ments was considerably effective and beneficial. It can significantly reduce expenses and be app­lied in clinical settings. It’s also recommended that 47.22% mean SP/AP amplitude ratio to be considered as upper limit of normality by using the Gutter electrode. Keywords: Electrocochleography; Meniere's disease; Gutter electrode; TIP-trode; impedance  

Postural instability in Meniere's disease

2004 ◽  
Vol 14 (1) ◽  
pp. 37-46 ◽  
Author(s):  
M. Havia ◽  
E. Kentala ◽  
I. Pyykkö
Keyword(s):  
Meniere’S Disease ◽  
Postural Instability ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Eyes Closed ◽  
Eyes Open ◽  
Ménière's Disease ◽  
The Mean

In order to characterize the postural instability by duration of Meniere's disease (MD) we present the results of 180 MD patients tested on posturography. The duration of the disease varied from 4 weeks to 36 years. The patients were clinically examined and they had filled a questionnaire concerning their symptoms. Postural instability was examined by a force platform posturography and the results are expressed as sway velocities (SV). There was no statistically significant difference in the mean SV between groups of different duration of MD. The number of the patients with normal eyes open SV declined by duration of the illness from 73% to 38% but the decline was not statistically significant. The mean age in the different duration groups of MD varied from 47 to 61 years. In general 58% of the patients had their eyes open SV in normal range and 55% when measured eyes closed. When examining the SV between the 4 different hearing stages of MD we found that those belonging into the group III (pure tone average [PTA] 41–70 dB) had significantly higher eyes open and eyes closed SV's than the patients in the group I (PTA under 25 dB).

scholarly journals Dizziness and Driving From a Patient Perspective

2021 ◽  
Vol 12 ◽  
Author(s):  
Roeland B. van Leeuwen ◽  
Tjard R. Schermer ◽  
Carla Colijn ◽  
Tjasse D. Bruintjes
Keyword(s):  
Tertiary Care ◽  
Meniere’S Disease ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Fitness To Drive ◽  
Menière's Disease ◽  
Cross Sectional ◽  
Ménière's Disease ◽  
The Impact

Background: People with dizziness may experience driving-related limitations. Few data are available about the impact of dizziness on driving.Aim: The aim of this study is to investigate the impact of dizziness on driving, factors related to impairment (age, gender, and type of diagnosis), and the potential consequences for patients' ability to work. We also investigated whether the patients expected and actually received information about their dizziness-related fitness to drive from their physician.Methods: A cross-sectional, observational study was conducted in the Apeldoorn Dizziness Centre, a tertiary care referral centre for patients with dizziness. A consecutive cohort of patients was asked to complete a study-specific questionnaire about driving.Results: Between January 1, 2020, and December 20, 2020, 432 patients were included. Fifty-six percent of the patients in this group were female. The average age of patients was 58.3 years (SD 16). Overall, 191 of the 432 patients (44%) experienced limitations related to driving, and 40% of the patients who experienced limitations also experienced limitations to work related to their inability to drive. The subject of fitness to drive had not been discussed with their physician in 92% of the patients, and 24% of the whole patient group indicated that they would have liked to discuss this topic. The following factors, independently from each other, increased the chance of experiencing driving-related limitations: younger age, female sex, and the diagnosis of Meniere's disease.Conclusion: Dizzy patients, especially younger patients, women, and patients with Meniere's disease, regularly experience limitations related to driving, and this often means that they are unable to work. Driving is hardly ever discussed during a medical consultation. In our opinion, the topic of driving and dizziness should always be addressed during medical consultations in dizzy patients.

scholarly journals Menière’s disease treated by grommet insertion

2019 ◽  
Vol 101 (8) ◽  
pp. 602-605
Author(s):  
RG Kanegaonkar ◽  
A Najuko-Mafemera ◽  
R Hone ◽  
T Tikka
Keyword(s):  
Steroid Injection ◽  
Hearing Threshold ◽  
Meniere’S Disease ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Low Frequencies ◽  
Ménière's Disease ◽  
The Mean

Introduction Menière’s disease (MD) is an uncommon cause of sudden profound vertigo. A variety of medical and surgical treatments have been used to manage this condition. This study reviewed the outcomes of patients treated with grommet insertion and transtympanic steroid injection. Methods Patients diagnosed with MD between 2007 and 2017 were identified, and case notes and audiological data were retrieved for those managed by grommet (ventilation tube) insertion with and without transtympanic steroid injection. Results Thirty-three patients were identified as being diagnosed with MD. Grommet insertion resulted in cessation or improvement of attacks in 91% of cases. The mean follow-up duration was 33.8 months (median: 29 months). The mean hearing threshold across the low frequencies improved from 57.2dBHL to 49.4dBHL (p=0.031). Following the intervention, improved tinnitus was reported in 80% of cases. Twelve patients (36%) reported aural fullness prior to grommet insertion; all reported improved symptoms following the procedure. Conclusions Early grommet insertion with transtympanic steroid injection, combined with customised vestibular physiotherapy, may provide an alternative first-line strategy for MD, preventing further true MD attacks. In some patients, it may significantly improve hearing thresholds.

Cochlear Implantation Hearing Outcome in Ménière’s Disease

2021 ◽  
pp. 019459982110122
Author(s):  
Chen-Yu Chien ◽  
Anan Kulthaveesup ◽  
Barbara S. Herrmann ◽  
Steven D. Rauch
Keyword(s):  
Cochlear Implants ◽  
Cochlear Implantation ◽  
Meniere’S Disease ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Bilateral Cochlear Implants ◽  
Ménière's Disease ◽  
The Mean

Objective The aim of this study was to evaluate the hearing outcome of cochlear implantation in patients deafened by Ménière’s disease. Study Design Retrospective single-institution study. Setting Tertiary medical center. Methods Our institutional database of 1400 patients with cochlear implants was reviewed to identify cases with deafness due to Ménière’s disease. Twenty-nine patients were identified: 24 with unilateral and 5 with sequential bilateral cochlear implants. Pre- and postoperative speech recognition scores and medical data were extracted from the medical record and analyzed. Results Overall the mean difference between pre- and postoperative speech recognition after >1 year was 56% (95% CI, 47.08%-64.92%). The mean preoperative monosyllabic word score was 9.5%, and the mean postoperative scores at 1 month, 3 months, 6 months, 1 year, and >1 year were 37.1%, 46.1%, 54.1%, 59.1%, and 66.8%, respectively. Cochlear implantation resulted in improved word scores in all patients regardless of prior medical or surgical treatment (endolymphatic sac, labyrinthectomy). The mean postoperative hearing improvement in patients aged <70 and ≥70 years was 65.26% (95% CI, 54.79%-75.73%) and 40.00% (95% CI, 27.22%-52.77%). Postoperative word scores in patients with bilateral cochlear implants were not significantly different between the first and second implanted ears or between the monoaural and binaural testing conditions. Conclusion Cochlear implant in patients deafened by Ménière’s disease significantly improves word recognition scores regardless of whether medical or surgical treatment is used prior to implantation. The potential improvement in word recognition scores decreases after age 70 years.

Sign in / Sign up

Export Citation Format

Share Document