Delayed endolymphatic hydrops. Special emphasis on nystagmus associated with episodes and contribution of chemical labyrinthectomy

Reynard, Pierre Claude; Karkas, Alexandre; Gavid, M.; Lelonge, Yann; Bertholon, P.

doi:10.1016/j.anorl.2018.08.001

Cited by 8 publications

(7 citation statements)

References 24 publications

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“…In MD, the nystagmus has classically been reported to be horizontal (13) beating either on the side or on the other side of the hearing loss, with up to three changes during a crisis (14)(15)(16)(17). The occurrence of a spontaneous vertical nystagmus in primary position of gaze is generally indicative of central nervous system pathology (18) but it has been recently documented during crisis of MD or DEH (19,20). This vertical nystagmus was either up or down beating (using a portable device) and later changed into a more classical horizontal-torsional component, beating controlaterally to the hearing loss (19,20).…”

Section: Discussionmentioning

confidence: 99%

Clinical Features and Management of Drop Attacks in Menière's Disease. Special Emphasis on the Possible Occurrence of Vertigo After the Drop Attacks

Lelonge

Karkas²,

Peyron

et al. 2021

Otology &Amp; Neurotology

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Introduction: Tumarkin first described drop attacks (DA) in patients with a peripheral vestibular syndrome and speculated the role of a mechanical deformation of the otolith organs. We emphasized on the possible occurrence of vertigo/ dizziness after a DA. In the light of the oculomotor examination of one patient right after the DA, we discussed on the mechanisms. We also described the management of DA. Material and Method: This study included patients with definite Menire's disease (MD) and at least one DA without associated neurological symptoms. Patients with vertigo/ dizziness after the fall were not excluded. Results: Fifteen patients with MD complained of DA that was complicated either by severe head trauma (n ¼ 1) or various fractures (n ¼ 4). Seven patients complained of vertigo/dizziness after the DA. In one patient, DA occurred in the waiting room with a vertical illusion of movement immediately after the fall and a predominant down beating nystagmus that later changed direction. Follow up was favorable in all patients after oral medication alone (n ¼ 7), chemical labyrinthectomy (n ¼ 7) or vestibular neurotomy (n ¼ 1). Conclusions: We suggest that a subset of patients with MD can complain of vertigo after a DA. We conclude on the possible occurrence of a vertical mainly down beating nystagmus in MD. Since this latter nystagmus is likely related to a semicircular canal rather than an otolith dysfunction, we discuss on the mechanisms of DA followed by vertigo/dizziness. Due to the risk of trauma in DA, chemical labyrinthectomy is a reasonable and effective option although spontaneous remission is possible.

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Section: Discussionmentioning

confidence: 99%

Clinical Features and Management of Drop Attacks in Menière's Disease. Special Emphasis on the Possible Occurrence of Vertigo After the Drop Attacks

Lelonge

Karkas²,

Peyron

et al. 2021

Otology &Amp; Neurotology

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“…37 Another study reported the usefulness of endolymphatic sac drainage operation in children with MD. 38 Endolymphatic surgery is aimed at draining, shunting, or decompressing the sac, thereby preventing hydrops by facilitating the outflow of endolymph. 39 This is considered a nondestructive surgical procedure.…”

Section: Treatmentmentioning

confidence: 99%

Meniere’s disease in the pediatric age group-a review

Swain

2022

Int J Contemp Pediatr

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Meniere’s disease (MD) is an uncommon clinical entity in the pediatric age group. Patients of MD often present with typical Meniere’s triad of cochlear sensorineural hearing loss, tinnitus, and intermittent vertigo attacks lasting from minutes to hours. As children are often unable to communicate effectively about the symptoms, they do not initially meet the requirements for the diagnosis of MD. It is a chronic inner ear disease that severely affects the quality of life including schooling among children.MD of children often remains a diagnostic dilemma that challenges clinicians for its management. Proper history taking and diagnostic criteria are helpful for diagnosis with early treatment of MD and improve the quality of life. There are several therapeutic options available for MD, but no one is considered a highly effective modality for the cure of the MD. The primary purpose of the medical treatment of MD is to treat his or her symptoms rather than disease. Betahistine and diuretics are usually effective medical treatments for controlling vertigo in MD. There are several reports in favor of intratympanic use of aminoglycosides for the control of vertigo. Endolymphatic sac decompression is a surgical treatment option in the case of medically intractable MD. Vestibular neurectomy and labyrinthectomy are two important surgical techniques for the treatment of disabling vertigo of MD, but these surgical procedures are associated with relatively higher surgical morbidity. The objective of this review article is to discuss MD in the pediatric age group including its epidemiology, etiopathology, clinical manifestations, diagnosis, and current treatment options to relieve disabling symptoms of MD and so improving the quality of life of children.

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“…Initial upbeat nystagmus might reflect inhibition of the superior semicircular canal in the involved ear. 14 …”

Section: General Findingsmentioning

confidence: 99%

Update on Nystagmus and Other Ocular Oscillations

Jeong

Kim

2021

J Clin Neurol

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This review reports on recent advances in understanding nystagmus and other involuntary eye movements. Advances in quantitative evaluations of eye movements using oculography, computational model simulations, genetics, and imaging technologies have markedly improved our understanding of the pathophysiology of involuntary eye movements, as well as their diagnosis and management. Patient-initiated capture of eye movements, especially when paroxysmal, and the online transfer of these data to clinicians would further enhance the ability to diagnose involuntary eye movements.

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Delayed endolymphatic hydrops. Special emphasis on nystagmus associated with episodes and contribution of chemical labyrinthectomy

Cited by 8 publications

References 24 publications

Clinical Features and Management of Drop Attacks in Menière's Disease. Special Emphasis on the Possible Occurrence of Vertigo After the Drop Attacks

Clinical Features and Management of Drop Attacks in Menière's Disease. Special Emphasis on the Possible Occurrence of Vertigo After the Drop Attacks

Meniere’s disease in the pediatric age group-a review

Update on Nystagmus and Other Ocular Oscillations

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