Meniere's Disease: Etiology, Natural History, and Results of Treatment

Pulec, Jack L.

doi:10.1016/s0030-6665(20)32939-x

Cited by 24 publications

(7 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…One third of their patients however presented within 1 month of injury 8 . In another series with 120 MD patients, less than 3% were found to have the condition arise from trauma 18 . MD additionally has been reportedly associated with temporal bone fracture 19 , 20 .…”

Section: Discussionmentioning

confidence: 93%

Post-traumatic peripheral vestibular disorders (excluding positional vertigo) in workers following head injury

Misale

Hassannia

Dabiri

et al. 2021

Sci Rep

View full text Add to dashboard Cite

Benign paroxysmal positional vertigo has typically been reported to be the most common cause of post-traumatic dizziness. There is however paucity in the literature about other peripheral vestibular disorders post-head injury. This article provides an overview of other causes of non-positional dizziness post-head trauma from our large institutional experience. The UHN WSIB Neurotology database (n = 4291) between 1998 and 2018 was retrospectively studied for those head-injured workers presenting with non-positional peripheral vestibular disorders. All subjects had a detailed neurotological history and examination and vestibular testing including video nystagmography, video head impulse testing (or a magnetic scleral search coil study), vestibular-evoked myogenic potentials, and audiometry. Imaging studies included routine brain and high-resolution temporal bone CT scans and/or brain MRI. Based on a database of 4291 head-injured workers with dizziness, 244 were diagnosed with non-positional peripheral vertigo. Recurrent vestibulopathy (RV) was the most common cause of non-positional post-traumatic vertigo. The incidence of Meniere’s disease in the post-traumatic setting did not appear greater than found in the general population. The clinical spectrum pertaining to recurrent vestibulopathy, Meniere’s disease, delayed endolymphatic hydrops, drop attacks, superior semicircular canal dehiscence syndrome, and uncompensated peripheral vestibular loss are discussed.

show abstract

Section: Discussionmentioning

confidence: 93%

Post-traumatic peripheral vestibular disorders (excluding positional vertigo) in workers following head injury

Misale

Hassannia

Dabiri

et al. 2021

Sci Rep

View full text Add to dashboard Cite

show abstract

“…Historically, a number of investigators initially suggested that the metabolic changes occuring in hypothyroidism were capable of producing the symptoms seen in MD. 2,5,[14][15][16][17] Others later refuted this explanation, however. [18][19][20][21] Another possibility would be that autoimmune thyroid disease may directly cause some cases of MD; yet, this also seems unlikely as a clear association between MD and clinically significant autoimmune thyroid disease (ie, disease requiring treatment) has been reported in only a handful of patients.…”

Section: Commentmentioning

confidence: 99%

Prevalence of Thyroid Dysfunction in Patients With Ménière's Disease

Brenner¹,

Hoistad²,

Hain³

2004

Arch Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

To estimate the prevalence of hypothyroidism in a population of patients with Ménière's disease (MD).Design: Retrospective case-control study comparing the use of thyroid hormone supplements between patients with MD and controls.Setting: Outpatient neurology clinic specializing in the management of patients experiencing dizziness.Patients: Fifty patients who met the 1995 American Academy of Otolaryngology criteria for MD and 50 controls matched for age and sex also experiencing dizziness. Results:The 50 patients who met the criteria for MD were identified from a database of more than 2000 patients with dizziness seen over a 5-year period. Of these, 16 (32%) were taking thyroid hormone supplements in contrast to 2 (4%) of the 50 matched controls (PϽ.001). The median age of the patients with MD was 60 years, and 5 (19%) of the 26 patients younger than 60 years were taking thyroid hormone supplements, compared with 11 (46%) of 24 patients 60 years or older (PϽ.05). There were no statistically significant differences in the severity of hearing loss, pattern of hearing loss, or prevalence of bilateral hearing loss between patients with MD who were taking thyroid hormone supplements and patients with MD who were not. Conclusion:Ménière's disease is associated with corrected hypothyroidism.

show abstract

“…Bei der Behandlung einer Otosyphilis wird zumeist eine Therapie mit Antibiotikum und Steroiden empfohlen [58,59,60,61,62,63,64]. Bezüglich der antibiotischen Therapie gibt es sowohl Autoren, die eine Therapie der Otosyphilis als spät latente Syphilis [58,60], als auch Autoren, die eine Therapie als Neurosyphilis [65,66,67] empfehlen.…”

Section: Therapie Der Syphilisunclassified

“…In einer retrospektiven Studie von Yimtae et al [59] zeigten Patienten, die die antibiotische Therapie wie bei Neurosyphilis erhielten, ein besseres Hörergebnis nach Therapie, wobei dies nicht signifikant war. Die Dosierungsempfehlung der Steroide variiert in verschiedenen Studien [63,58,59,60,62,61,64] [68]. Dies ist vermutlich auf eine Veränderung des Felsenbeinknochens zurückzuführen, die bei der Syphilis auftreten kann.…”

Section: Therapie Der Syphilisunclassified

Syphilisinfektion im HNO-Bereich

Seuthe

Eichhorn

Kim

et al. 2022

Laryngorhinootologie

View full text Add to dashboard Cite

ZusammenfassungDie Anzahl der gemeldeten Syphilis-Fälle steigt seit Jahren an. Die sexuell übertragbare Erkrankung wird durch die Spirochäte Treponema pallidum Subspezies pallidum verursacht und verläuft hierbei in verschiedenen Stadien. In allen Stadien können hierbei Symptome im HNO-Bereich auftreten. Hierdurch ist bei passenden Symptomen eine Syphilis-Infektion als Differenzialdiagnose vom HNO-Arzt stets zu bedenken. So ist bei zunehmendem oralem Geschlechtsverkehr der Primäraffekt/harter Schanker zunehmend häufig im Mundraum zu beobachten. Zudem können Symptome nicht nur im Mundraum, sondern auch im Bereich des Ohrs, der Nase, des Larynx sowie auch zervikal und fazial auftreten. Die Diagnose wird hierbei über den direkten Erregernachweis oder über einen serologischen Nachweis gesichert. Die Spirochäte ist nicht kultivierbar. Der therapeutische Goldstandard ist die Gabe von Benzathin-Penicillin G oder Procain-Penicillin G. Als Alternative stehen Doxycyclin, Makrolide oder Ceftriaxon zur Verfügung. Bei einer Innenohr- oder Hirnnervenbeteiligung ist die zusätzliche Gabe eines Glukokortikoids zu empfehlen. Vor Durchführung der antibiotischen Therapie ist der Patient über die Möglichkeit einer Jarisch-Herxheimer-Reaktion aufzuklären. Bei einer Syphilis-Infektion ist stets eine kollegiale Zusammenarbeit mit den Venerologen zu empfehlen, sodass eine effektive und umfassende Diagnostik und Therapie erfolgen kann.

show abstract

Meniere's Disease: Etiology, Natural History, and Results of Treatment

Cited by 24 publications

References 7 publications

Post-traumatic peripheral vestibular disorders (excluding positional vertigo) in workers following head injury

Post-traumatic peripheral vestibular disorders (excluding positional vertigo) in workers following head injury

Prevalence of Thyroid Dysfunction in Patients With Ménière's Disease

Syphilisinfektion im HNO-Bereich

Contact Info

Product

Resources

About