Clinical diagnosis of Ménière's disease: how useful are the American Academy of Otolaryngology Head and Neck Surgery Committee on Hearing and Equilibrium guidelines?

Stapleton, Emma; Mills, R. P.

doi:10.1017/s0022215107000771

Cited by 19 publications

(12 citation statements)

References 16 publications

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“…First, we may have missed some MD cases in this primary care setting if pa- [Monsell et al, 1995;Minor et al, 2004]. With the exception for audiometric measurements, the diagnosis of MD is a clinical one, and definitive clinical criteria that satisfy the MD diagnostic guidelines are not always present [Stapleton and Mills, 2008;Hoa et al, 2015]. In addition, patients with mild symptoms may not have been diagnosed, as patients may suffer from variable auditory and/or vestibular symptoms for several years before they meet the diagnostic criteria for MD [da Costa et al, 2002].…”

Section: Discussionmentioning

confidence: 99%

“…Several comorbidities from the central nervous system, such as depression, sleeping disorders, anxiety, and migraine, were more frequent in cases with MD than in controls. Depression, anxiety, and sleeping problems might occur due to the frightening symptoms of MD; especially vertigo and dizziness have been reported to have a noticeable psychological impact on patients [Stapleton Mills, 2008;Tyrrell et al, 2015]. However, as the recorded index date is somewhat imprecise, we do not know which occurred first, the MD symptoms or the abovementioned diseases.…”

Section: Discussionmentioning

confidence: 99%

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Population-Based Study on the Epidemiology of Ménière's Disease

et al. 2017

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Background and Objective: Ménière's disease (MD) is a disorder of the inner ear typically showing recurrent acute episodes of vertigo, hearing loss, and tinnitus. Epidemiologic studies on MD are scarce. We assessed the incidence rates (IRs) of MD and describe the characteristics of MD cases, comparing them to control patients without recorded evidence of MD. Study Design: We conducted a retrospective population-based follow-up study and a nested case-control analysis using data from the UK-based Clinical Practice Research Datalink. Methods: We identified patients between 18 and 79 years of age with an incident MD diagnosis between January 1993 and December 2014. We assessed the IRs of betahistine-treated MD. In the nested case-control analysis, we matched 4 controls to each MD case on sex, age, general practice, years of active history in the database, and calendar time. We conducted a χ² test to present p values in order to compare the prevalence of demographics, comorbidities, and co-medication between cases and controls. Results: We identified 5,508 MD cases and 22,032 MD-free controls (65.4% females). The overall IR for MD in the UK was 13.1 per 100,000 person-years. More cases were female, and the mean age at diagnosis was 55.4 ± 13.7 years. Smoking and alcohol consumption were less prevalent among MD cases. Depression, other affective disorders, sleeping disorders, anxiety, and migraine were more prevalent among MD cases than among controls. Conclusions: MD is uncommon in primary care in the UK with a preponderance among females.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Population-Based Study on the Epidemiology of Ménière's Disease

et al. 2017

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“…A study of Stapleton and Mills [68] about the diagnostics of Menière’s disease only marginally touches the adherence to current guidelines. The authors compared the diagnostic criteria of the AAO-HNS Committee on Hearing and Equilibrium Guidelines with the criteria of the original publication of Prosper Menière from 1861.…”

Section: Implementation Of Medical Guidelines In Daily Routinementioning

confidence: 99%

Implementation of study results in guidelines and adherence to guidelines in clinical practice

Waldfahrer

2016

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 15:Doc01

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“…The American Academy of Otolaryngology and Head & Neck Surgery Committee on hearing and equilibrium guidelines define vertigo as 'the sensation of motion when no motion is occurring relative to the earth's gravity' in contrast to motion intolerance which is a feeling of disequilibrium, spatial disorientation or malaise during active or passive movement 1 . Problem Statement: Vertigo is a common symptom especially in the elderly.…”

Section: Introductionmentioning

confidence: 99%

The Study Of The Spectrum Of Vertigo With Special Reference To Vertigo Of Vascular Origin

Shamas

Waqay

Islam

et al. 2013

Bangladesh J Med Sci

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Objectives: To outline the spectrum of vertigo, to elaborate the significance of vascular causes of vertigo, to advocate use of MRI / MRA of carotid artery and vetebrobasilar arterial system in patients with isolated or syndromic vertigo especially when one or more risk factors for a cerebrovascular accident are present. Study design: Prospective study (2009)(2010)(2011). Results: 91 patients who preened with vertigo were prospectively studied. BPPV, Meniere's disease and vestibular neuritis comprised about 60% of patients. Posterior circulation syndrome and vertebrobasilar insufficiency was strongly suspected in 13 patients (14.3%). Compression of 8 th nerve and cerebellar vermis were documented to be the cause of vertigo in 7 patients (7.7%), cervical vertigo was seen in 6(6.6%) patients. 4 patients (4.4%) had vertigo as a manifestation of complicated CSOM. 3 (3.3%) patients had metabolic vascular syndrome out of which one patient died of stroke about 6 months after his presentation as recurrent episodic vertigo. No diagnosis could be made in 3 patients. Conclusion:A detailed history should be obtained and an elaborate vestibular and neuro-otologic examination done in a patient of vertigo. A diagnosis can be reached in more than 90% of patients. Peripheral vertigo is more common that central vertigo with BPPV, meniere's disease and acute vestibular neuritis accounting for more than 60% of all cases of vertigo. Vascular causes form a significant group of vertigo patients. Vertigo especially recurrent and syndromic with 1 or more risk factors should not be overlooked and should be regarded a precursor of a future stroke. Patients of vertigo with vascular risk factors like age (elderly), hypertension, smoking, diabetes mellitus, hyperlipidemia and cardiac disease should be evaluated for vertebrobasilar insufficiency by specific investigations like MRI brain, MRA carotids and vertebrobasilar arteries, Doppler USG and risk factors for vascular disease modified by drugs (hypolipidemic, antihypertensive, aspirin) and behavioural changes. Abnormal vessel loops can compress VIII nerve and cause vertigo. These can be reliably diagnosed by MRA. Vertigo can be caused in patients with cervical spondylosis especially in previously diseased vessels (due to atherosclerosis, vasculitis) which get easily compressed by cervical osteophytes.

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Clinical diagnosis of Ménière's disease: how useful are the American Academy of Otolaryngology Head and Neck Surgery Committee on Hearing and Equilibrium guidelines?

Cited by 19 publications

References 16 publications

Population-Based Study on the Epidemiology of Ménière's Disease

Population-Based Study on the Epidemiology of Ménière's Disease

Implementation of study results in guidelines and adherence to guidelines in clinical practice

The Study Of The Spectrum Of Vertigo With Special Reference To Vertigo Of Vascular Origin

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