Effect of Hyperinsulinism on Sensorineural Hearing Impairment in Ménière’s Disease

Abstract

Hyperinsulinism in MD is associated with greater clinical hearing damage.

A Rare Case of Elongated Styloid Process Fracture

“…The fracture is caused by trauma in the vast majority of the cases, although other causes such as dental treatment have been reported [ 9 ]. Arechvo et al [ 10 ] reported that traumatic fracture is often caused by car accidents and can also be caused by dental treatment and tonsillectomy. Spontaneous fracture may occur due to swallowing, yawning, coughing, or sudden laughing [ 10 ].…”

“…Arechvo et al [ 10 ] reported that traumatic fracture is often caused by car accidents and can also be caused by dental treatment and tonsillectomy. Spontaneous fracture may occur due to swallowing, yawning, coughing, or sudden laughing [ 10 ]. The underlying causes of traumatic fracture are clear, while those of spontaneous fracture are not; therefore, patients may often be left undiagnosed and the symptoms may be interpreted as “symptoms of unknown cause” or “indefinite complaints.” Recently, many studies have used 3D-CT or 3D-CT angiography when an elongated styloid process is suspected [ 3 , 7 ].…”

Associations of Leg Length, Trunk Length, and Total Adult Height With Ménière’s

“…A recent study demonstrated an association between leg length and metabolic disorders underlying type 2 diabetes, including lower insulin sensitivity and beta-cell function (Johnston et al 2013). Previous studies into Ménière's have suggested an association between the disease and insulin resistance (Lavinsky et al 2013).…”

Bridging the gap between chronic cerebrospinal venous insufficiency and Ménière disease

“…Some aspects of MD may be explained also without considering CCSVI. For example, lifestyle changes and hypertension 32 treatment, including salt restriction, 33 one of the most popular treatment regimen in MD and continuous positive airway pressure in obstructive sleep apnea syndrome (OSAS), 34 may act directly on inner ear vascularization 35 and therefore on endolymph production, frank hypoglycemia 36 and hyperinsulinemia, rather than diabetes, [37][38][39] it is known to alter Na +/ K + inner ear pump, the same pump on which is supposed acts proton pump inhibitors. 40 Since MD has been correlated mostly to a wide and different diseases and treatments in addition to those mentioned above, 41 CCSVI may be considered more than a cause of MD per se, rather the anatomical predisposition to develop the disease.…”