Vestibulär-zerebrale Synkopen

Kühl, Walter

doi:10.1055/s-2008-1070600

Cited by 11 publications

(1 citation statement)

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“…Depending on which criterion is taken into account—as certain criteria for defining vestibular drop attacks may be more or less restrictive—the incidence of TC in MD patients has been reported in the literature to range from 3 to 72% [ 7 , 8 ] (for severe or mild forms of the phenomenon). We prefer the term Tumarkin crisis to vestibular drop attacks because, in our experience and as noted by Kuhl [ 9 ], the patients most frequently refer to a lateral pushing sensation rather than vertical falls like a drop, which are more typical in non-vestibular forms of drop attacks. The exact mechanism responsible of TC is currently unknown.…”

Section: Introductionmentioning

confidence: 93%

Posterior Semicircular Canal Plugging Relieves Tumarkin’s Crisis in Ménière’s Disease Patients

Comacchio,

Bordin,

Di Pasquale Fiasca

et al. 2024

Audiology Research

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(1) Background: Patients affected by Ménière’s disease can experience Tumarkin’s syndrome, which is characterized by postural instability, gait abnormalities, and, occasionally, an abrupt loss of balance known as vestibular drop attack or Tumarkin’s crisis. In this study, semicircular canal plugging is proposed as the definitive treatment for this condition. The outcomes of this type of surgery are discussed. (2) Methods: A total of 9 patients with a confirmed diagnosis of Ménière disease suffering from Tumarkin crisis underwent posterior semicircular canal plugging. These patients were assessed with Video Head Impulse Tests, vestibular evoked myogenic potentials, and Pure Tone Audiometry preoperatively and postoperatively. (3) Results: VHIT showed a postoperative decrease in PSC gain median (Preop. 0.86 and postop. 0.52; p < 0.009). No statistically significant differences were described for the anterior semicircular canal and the lateral semicircular canal. No patient experienced new Tumarkin crisis after the surgical treatment. (4) Conclusions: Our ten years of experience with posterior semicircular canal plugging in Ménière disease patients with Tumarkin’s syndrome has shown that this type of surgical procedure is successful in controlling Tumarkin’s crisis, with high patient satisfaction and little worsening in hearing level.

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Section: Introductionmentioning

confidence: 93%

Posterior Semicircular Canal Plugging Relieves Tumarkin’s Crisis in Ménière’s Disease Patients

Comacchio,

Bordin,

Di Pasquale Fiasca

et al. 2024

Audiology Research

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Drop attacks with Meniere's syndrome

Baloh

Jacobson

Winder

1990

Annals of Neurology

104

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We report the clinical features of 12 patients with drop attacks associated with Meniere's syndrome. Each described a sensation of being pushed, thrown, or knocked to the ground or a sudden illusion of movement of the environment that led to a fall. These episodes were not accompanied by symptoms of their typical attacks of Meniere's syndrome. The drop attacks occurred early and late in the course of the disease; they were the initial manifestation in 1 patient. In the majority the episodes spontaneously remitted, although Meniere's syndrome continued to progress. These attacks probably result from a sudden mechanical deformation of the otolithic membrane of the utricle or saccule due to pressure gradients within the inner ear. They are important to recognize because their prognosis is relatively benign compared to other causes of drop attacks.

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Menière’s disease

Brandt¹

1999

Vertigo

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Vestibulär-zerebrale Synkopen

Cited by 11 publications

References 0 publications

Posterior Semicircular Canal Plugging Relieves Tumarkin’s Crisis in Ménière’s Disease Patients

Posterior Semicircular Canal Plugging Relieves Tumarkin’s Crisis in Ménière’s Disease Patients

Drop attacks with Meniere's syndrome

Menière’s disease

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