scholarly journals The role of omohyoid muscle entrapment of the internal jugular vein and is surgical transection in Ménière’s disease and other inner ear disorders

2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Giuseppe Nicolò Frau ◽  
Raffaello Pagani ◽  
Francesca Maronato ◽  
Nivedita Agarwal ◽  
Christian Contarino ◽  
...  
Keyword(s):  
Inner Ear ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Meniere’S Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Ménière's Disease ◽  
Omohyoid Muscle ◽  
Inner Ear Disorders

Not available

Non-Destructive Hydrops Surgery. Intraoperative ECoG

1995 ◽  
Vol 112 (5) ◽  
pp. P145-P145
Author(s):  
I. Kaufman-Arenberg
Keyword(s):  
Inner Ear ◽  
Endolymphatic Hydrops ◽  
Meniere’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Educational Objectives ◽  
Ménière's Disease ◽  
Non Destructive

Educational objectives: To review the fine points of various nondestructive surgeries of the inner ear, to treat endolymphatic hydrops associated with Meniere's disease, and to evaluate the role of intraoperative ECoG.

ECoG Results in Perilymphatic Fistula: Clinical and Experimental Studies

1988 ◽  
Vol 99 (5) ◽  
pp. 435-443 ◽  
Author(s):  
I. Kaufman Arenberg ◽  
Robert S. Ackley ◽  
John Ferraro ◽  
Chava Muchnik
Keyword(s):  
Inner Ear ◽  
Guinea Pigs ◽  
Meniere’S Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Perilymphatic Fistula ◽  
Cochlear Duct ◽  
Summating Potential ◽  
Ménière's Disease ◽  
Inner Ear Disorders

Patients with perilymphatic fistula have been described as having symptoms similar to Meniere's disease and endolymphatic hydrops. Direct clinical or experimental evidence linking the two inner ear disorders has been lacking. An enhancement of the summating potential observed with electrocochleography suggests a diagnosis of ELH in both of these inner ear disorders. In this study, ECoG results of 27 patients with surgically confirmed PLF are reported. Fourteen patients with surgically confirmed spontaneous PLF had abnormal ECoG. Six of these 14 patients had normal hearing. The ECoG changes in patients with Meniere's disease and those with surgically confirmed PLF are identical, indicating the underlying pathologic change in both is hydrops. But there is no specific diagnostic abnormality on ECoG that differentiates these two inner ear disorders. Also, an experimental model of PLF was developed and studied in guinea pigs. “Inactive” PLF is defined as “an opening was made into the cochlea, but if no perilymph moved out through the fistula, it was defined as inactive” An “active” PLF occurs when perilymph actually moves from the inner ear out to the middle ear. ECoGs were recorded before and after creation of an “active” PLF. ECoG abnormalities were seen in “active” PLF and correlated with histologic data demonstrating ELH. An abnormally enhanced summating potential was demonstrated after active removal of perilymph through the experimentally created fistula. Cochlear duct histology showed hydropic distention of Reissner's membrane in the experimental ears and no changes in the membranous labyrinths of the unoperated, control ears. Experimental PLF, with histologically confirmed secondary ELH, produced changes similar to those observed in guinea pigs with ELH experimentally produced on a primary basis. Preliminary experimental data suggest ECoG may be helpful in differentiating (acute) PLF and (secondary) ELH. ECoG obtained in intensity series showed greatest intensity effect at 40 dB and no effect at 60 dB. Further studies using similar intensity series information will be elucidated to better determine the significance of these observations. The underlying common denominator for the two disorders of inner ear fluid dynamics is ELH. ELH, either primary or secondary, is indicated by the same ECoG changes of enhancement of the summating potential. Since the abnormal ECoG can occur in patients with vertigo but no clinical hearing loss, it is presumed ELH can occur in the vestibular labyrinth as well as in the cochlear duct.

scholarly journals Endolymphatic Hydrops in Patients With Vestibular Migraine and Concurrent Meniere's Disease

2021 ◽  
Vol 12 ◽  
Author(s):  
Sun-Young Oh ◽  
Marianne Dieterich ◽  
Bit Na Lee ◽  
Rainer Boegle ◽  
Jin-Ju Kang ◽  
...  
Keyword(s):  
Inner Ear ◽  
Endolymphatic Hydrops ◽  
Meniere’S Disease ◽  
Vestibular Migraine ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Volumetric Quantification ◽  
Ménière's Disease

Objective: Intravenous contrast agent enhanced, high-resolution magnetic resonance imaging of the inner ear (iMRI) confirmed that patients with Menière's disease (MD) and vestibular migraine (VM) could present with endolymphatic hydrops (EH). The present study aimed to investigate EH characteristics and their interrelation to neurotologic testing in patients with VM, MD, or VM with concurrent MD (VM-MD).Methods: Sixty–two patients (45 females, aged 23–81 years) with definite or probable VM (n = 25, 19 definite), MD (n = 29, 17 definite), or showing characteristics of both diseases (n = 8) were included in this study. Diagnostic workup included neurotologic assessments including video-oculography (VOG) during caloric stimulation and head-impulse test (HIT), ocular and cervical vestibular evoked myogenic potentials (o/cVEMP), pure tone audiometry (PTA), as well as iMRI. EH's degree was assessed visually and via volumetric quantification using a probabilistic atlas-based segmentation of the bony labyrinth and volumetric local thresholding (VOLT).Results: Although a relevant number of VM patients reported varying auditory symptoms (13 of 25, 52.0%), EH in VM was only observed twice. In contrast, EH in VM-MD was prevalent (2/8, 25%) and in MD frequent [23/29, 79.3%; χ2(2) = 29.1, p < 0.001, φ = 0.7]. Location and laterality of EH and neurophysiological testing classifications were highly associated (Fisher exact test, p < 0.005). In MD, visual semi-quantitative grading and volumetric quantification correlated highly to each other (rS = 0.8, p < 0.005, two-sided) and to side differences in VOG during caloric irrigation (vestibular EH ipsilateral: rS = 0.6, p < 0.05, two-sided). In VM, correlations were less pronounced. VM-MD assumed an intermediate position between VM and MD.Conclusion: Cochlear and vestibular hydrops can occur in MD and VM patients with auditory symptoms; this suggests inner ear damage irrespective of the diagnosis of MD or VM. The EH grades often correlated with auditory symptoms such as hearing impairment and tinnitus. Further research is required to uncover whether migraine is one causative factor of EH or whether EH in VM patients with auditory symptoms suggests an additional pathology due to MD.

scholarly journals Simultaneous Presentation of Benign Paroxysmal Positional Vertigo and Meniere’s Disease – Case Report

2019 ◽  
Vol 7 (21) ◽  
pp. 3626-3629
Author(s):  
Marina Davcheva-Chakar ◽  
Gabriela Kopacheva-Barsova ◽  
Nikola Nikolovski
Keyword(s):  
Inner Ear ◽  
Benign Paroxysmal Positional Vertigo ◽  
Meniere’S Disease ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Positional Vertigo ◽  
Ménière's Disease ◽  
Paroxysmal Positional Vertigo

BACKGROUND: Benign paroxysmal positional vertigo (BPPV) is one of the most common clinical entities, which develops spontaneously in most of the cases, but it can be secondary as a result of different conditions such as head injuries, viral neurolabyrinthitis, Meniere’s disease and vertebrobasilar ischemia. The aim of presenting this case is to point out to the need of taking a precise clinical history and performing Dix-Hallpike manoeuvre in all patients who complain about vertigo regardless of the previously diagnosed primary disease of the inner ear. CASE PRESENTATION: A 63-year-old female patient presented with the classical triad of symptoms for Meniere’s disease (fluctuating sensorineural hearing loss in the right ear, tinnitus and fullness in the same ear and rotary vertigo), two years later complained of brief episodes of vertigo linked to changes in head position relative to gravity. Dix-Hallpike manoeuvre showed a classical response in the head-hanging right position. Benign paroxysmal positional vertigo (BPPV) in the same ear was diagnosed in this patient. After treatment with Epley’s canal repositioning manoeuvre for a few days, the symptoms of positional vertigo resolved. CONCLUSION: The authors recommend complete audiological and otoneurological evaluation in all patients with vertigo for timely recognition/diagnosis of any inner ear associated pathology.

The Role of Vestibular Nerve Section in Meniere's Disease

1997 ◽  
Vol 76 (9) ◽  
pp. 652-663 ◽  
Author(s):  
Gerald B. Brookes
Keyword(s):  
Primary Care Physicians ◽  
Meniere’S Disease ◽  
Vestibular Nerve ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Nerve Section ◽  
Ménière's Disease

The role of vestibular nerve section (VNS) surgery in the management of Meniere's disease is considered by prospective analysis of a large series of 531 patients treated by the author over a period of 11 years. Twenty-seven percent were referred by their primary care physicians, while the rest were secondary (45.6%) or tertiary (27.3%) referrals. Overall, 62 (11.7%) Meniere's patients underwent 63 VNS procedures. This surgery was undertaken more frequently in the secondary and tertiary referral patients (14.2%) than in the primary referrals (5.5%). The retrolabyrinthine technique was the preferred approach in almost 90% of ears. The results and complications of these and other surgical options are discussed in an attempt to define the present role of VNS in intractable Meniere's disease. Vertigo was abolished after VNS in 93% of cases. Compensation was significantly impaired in 12.9%. All these patients had contralateral Meniere's disease or marked labyrinthine hypofunction. Although highly effective and associated with few postoperative complications, VNS is generally reserved for sac failures, though may be appropriate as a primary procedure in severe unilateral cases.

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