Long-Term Follow up of 610 Cases of Ménière's Disease

Thomas, Kelly; Harrison, M. Spencer

doi:10.1177/003591577106400823

Cited by 62 publications

(49 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Abnormal VEMP responses in the presence of normal caloric responses are frequently observed in Meniere's disease especially at the early stages [12]. Frequent vertigo attacks of our patients were similar to those of Meniere's disease, and Meniere's disease frequently involves bilateral ears [13,30,34]. It is possible that bilateral endolymphatic hydrops in saccular region resulted in absent VEMP responses in the presence of normal caloric responses in our patients.…”

Section: Discussionsupporting

confidence: 67%

Novel subtype of idiopathic bilateral vestibulopathy: bilateral absence of vestibular evoked myogenic potentials in the presence of normal caloric responses

et al. 2009

View full text Add to dashboard Cite

To characterize clinical features of those patients who showed an absence of vestibular evoked myogenic potential (VEMP) responses in the presence of normal caloric responses bilaterally, we reviewed clinical records of 1,887 consecutive outpatients who complained of balance problems, and identified three patients, who showed absent VEMPs in the presence of normal caloric responses bilaterally with unknown causes. All three patients had episodes of recurrent vertigo without spontaneous, gaze-evoked, or positional nystagmus at the time of examination. They complained of oscillopsia while moving their body or head and showed positive Romberg's signs. Drawing on these cases, we underscore the importance of examining the function of the inferior vestibular nerve system, even with no nystagmus and normal caloric findings, in patients complaining of dizziness or oscillopsia during locomotion.

show abstract

Section: Discussionsupporting

confidence: 67%

Novel subtype of idiopathic bilateral vestibulopathy: bilateral absence of vestibular evoked myogenic potentials in the presence of normal caloric responses

et al. 2009

View full text Add to dashboard Cite

show abstract

“…Meniere's disease has also been demonstrated to cause BPPV and vestibulopathy (Stahle & Bergman, 1967;Thomas & Harrison, 1971;Hulshof & Baarsma, 1981;Hughes & Proctor, 1997;Bath et al, 2000). In the current study, Meniere's disease was present in 4 (2%) of the patients.…”

Section: Otologic Disease and Vestibulopathysupporting

confidence: 45%

“…Two (50%) of these Meniere's patients also had a vestibulopathy. This is slightly lower than the 60 Á/74% prevalence of vestibulopathy reported to occur with Meniere's disease in the literature (Stahle & Bergman, 1967;Thomas & Harrison, 1971;Hulshof & Baarsma, 1981). This apparent discrepancy could be associated with the fact that the stage of the Meniere's disease, active or destructive, was not taken into account.…”

Section: Otologic Disease and Vestibulopathymentioning

confidence: 58%

Prevalence of vestibulopathy in benign paroxysmal positional vertigo patients with and without prior otologic history Prevalencia de vestibulopatía en pacientes con vértigo postural paroxístico benigno (BPPV), con y sin historia previa de patología otológica

Roberts

Gans

Kastner

et al. 2005

International Journal of Audiology

View full text Add to dashboard Cite

The purpose of this study was to determine the prevalence of reduced or absent labyrinthine reactivity (vestibulopathy) in two groups of participants with posterior canal BPPV. One group had prior diagnosis of otologic disease (positive history group). No one in the second group had ever been diagnosed with otologic disease (negative history group). Caloric responses were retrospectively analyzed for the two groups. Patients with a positive history exhibited a greater prevalence of vestibulopathy than patients with a negative history. The positive history group, on average, also exhibited a larger unilateral weakness than those patients in the negative history group. We conclude that patients with BPPV and a history of otologic disease are more likely to present with vestibulopathy, than patients with BPPV and no history of otologic disease. This finding supports the benefit of complete vestibular evaluation in patients with BPPV to ensure comprehensive and successful treatment outcome.

show abstract

“…In advanced Meniere's disease, the patient has a nearly flat audiogram with little fluc¬ tuation between hearing tests. 6 We often have observed a variation in this classic audiometrie configura¬ tion in our patients with Meniere's disease. The audiometrie variation is characterized by nearly normal hear¬ ing at around 2,000 Hz and decreased sensorineural hearing at lower and higher frequencies.…”

mentioning

confidence: 72%