Kerber's current research focus is using health services research approaches to optimize patient care and health care utilization for dizziness presentations. [books.google.com]

This case study describes a 48-year-old male who presented with complaints of episodic vertigo and disequilibrium 15 years following the onset of unilateral sensorineural hearing loss. [mayoclinic.pure.elsevier.com]

Only in 1 case was grade II vestibular EH present in addition to a grade I cochlear EH. [ajnr.org]

• Falling

  It is the third most common symptom presentation (combined with imbalance and falls) for outpatient medical consultation, behind chest pain and fatigue. [clevelandclinicmeded.com]

  Drop attacks Drop attacks (Otolithic crisis of Tumarkin) is a form of Menière’s disease where patients experience sudden unpredictable falls whilst maintaining full consciousness. [lmhofmeyr.co.za]

  […] and terminology In 1861 French otologist Prosper Meniere (1799-1862) described a group of 11 patients, mostly young men in their 30s and 40s, with recurrent episodes of vertigo, deafness, and tinnitus with associated nausea, vomiting, gait ataxia, and falls [medlink.com]

  Drop attacks : Sudden falls without loss of consciousness are defined as drop attacks. In 64% of patients they are idiopathic. Other causes are vertebrobasilar insufficiency, Ménière syndrome and delayed endolymphatic hydrops. [neuroweb.us]

  Rarely, some patients may experience explosive attacks precipitating a fall. These drop attacks, termed Crisis of Tumarken or utricular crises, usually occur in the later stages of the disease. [michiganear.com]

• Weakness

  My arms and legs felt weak. The sensation of needing the toilet was worryingly different. [myhearinglossstory.wordpress.com]

  Apparent risk factors for cervicogenic dizziness include head trauma, neck trauma (commonly whiplash), peripheral vestibular dysfunction, and focal paraspinal muscle weakness. [clevelandclinicmeded.com]

  Talking out the emotional aftermath of this process, and setting goals for the future, and working out the weak spots in my brain are really helpful, and I’d recommend it to anyone pre or post-op. [superiorcanaldehiscence.com]

  There is a 2% incidence of facial weakness. [michiganear.com]

  • They include promethazine, a long-acting antihistamine with antiemetic, central sedative and anticholinergic properties and prochlorperazine, a dopa- mine and histamine antagonist, with weak anticholinergic action. • buccal prochlorperazine is faster [slideshare.net]

• Collapse

  There was the memory of collapsing on a flight to Rome, nearly 8 years ago, when I was traveling there with my sister. [myhearinglossstory.wordpress.com]

  Distortion of the membranous labyrinth, labyrinthine ruptures, and complete collapse of the membranous labyrinth may disturb the homeostasis of the inner ear. [nature.com]

• Intravenous Administration

  […] provided higher perilymphatic signal compared with intravenous administration. [ajnr.org]

• Fracture

  Traumatic perforations of the tympanic membrane can occur because of water accidents, barotrauma, explosions, penetrating injury, or temporal bone fractures. [aafp.org]

  Our opinion is that it would seem reasonable that severe ear trauma, such as a temporal bone fracture, could result in DEH as in the case presented here. [dizziness-and-balance.com]

  Transverse temporal bone fractures, typically involve the otic capsule and cause labyrinthine dysfunction. [michiganear.com]

  /k/a tumarkin or otolithic crises • Reason - acute otolithic dysfunction of utricle or saccule due to changes in endolymphatic pressure • Occur in the later stages of the disease • Patient simply drops to the ground without warning and can sustain a fracture [slideshare.net]

• Macula

  SACCULE • Lies in the bony vestibule, anterior to utricle & opposite the stapes footplate • Its sensory epithelium is called macula • Exact function of it is not known, probably responds to linear acceleration & deceleration • In Meniere’s, distended [slideshare.net]

  (figure 2) Under direct vision, the ampullae of the three semicircular canals and maculae of the saccule and utricle can be completely removed. [michiganear.com]

  However hair cell damage does occur and the initial and most extensive one occurs in the apex of the cristae and the striolae of maculae, and then progress to periphery and involve otoconial membrane and otolith structures as well. [12] Once aminoglycosides [indianjotol.org]

  The goal of the repositioning maneuver is to return the stray otoconia to the utricular macula. The maneuvers may be performed repetitively. [clevelandclinicmeded.com]

• Photophobia

  In both patients, hyperacusis emerged with other central nervous system symptoms: memory loss, new-onset dyslexia, photophobia, and disturbances in spatial orientation. [lymeneteurope.org]

  Vestibular migraine : The diagnostic criteria are the following: 1) recurrent vestibular vertigo attacks; 2) migraine according to the IHS; 3) migrainous symptoms during at least two vertiginous attacks (migrainous headache, photophobia, phonophobia, [neuroweb.us]

  […] vertigo are: Recurrent episodic vestibular symptoms (attacks) Migraine headache meeting International Headache Society (1988) criteria 10 At least one of the following migrainous symptoms during at least two of these attacks: Migraine-type headache Photophobia [clevelandclinicmeded.com]

• Drop Attacks

  Drop attacks : Sudden falls without loss of consciousness are defined as drop attacks. In 64% of patients they are idiopathic. Other causes are vertebrobasilar insufficiency, Ménière syndrome and delayed endolymphatic hydrops. [neuroweb.us]

  A drop attack feels as if you are being pushed violently and suddenly, causing you to fall. [menieres.org.uk]

  Failure to warn patients of the possibility of drop attacks, which could result in injury, is a pitfall. [emedicine.medscape.com]

  Drop attacks Drop attacks (Otolithic crisis of Tumarkin) is a form of Menière’s disease where patients experience sudden unpredictable falls whilst maintaining full consciousness. [lmhofmeyr.co.za]

  These drop attacks, termed Crisis of Tumarken or utricular crises, usually occur in the later stages of the disease. More than a century has passed, there continues to be ambiguity as to the pathophysiology of this disorder. [michiganear.com]

• Lethargy

  The side effects may also be deleterious, and they include fatigue, lethargy, and dry mouth. Antinausea medications (e.g., prochlorperazine, promethazine) may also be prescribed. [clevelandclinicmeded.com]

Overview The author discusses the clinical presentation, pathophysiology, diagnostic workup, and management of Meniere syndrome. [medlink.com]

[…] during surgery to have an intravestibular lipoma. [6]) As is the procedure for assessing other patients with dizziness and vertigo, the evaluation of these 160 patients included (1) a careful history, (2) an otolaryngologic examination, (3) a blood workup [thefreelibrary.com]

Beginning with basic anatomy, physiology and epidemiology of dizziness, the following chapters examine different causes of vertigo, their diagnosis and treatment. [books.google.com]

Surgical Treatment: Surgical treatment is indicated when a patient is incapacitated with unilateral Meniere's Disease and quality of life is affected. [audiologyonline.com]

Finally, the patient will be seen by an otolaryngologist to determine a diagnosis and discuss treatment options. Treatment Options Much research has been done to determine the efficacy of treatment options for patients with Ménière's disease. [asha.org]

Treatments include the use of steroids and other medications, cell and gene therapy and cochlear implant surgery. [healthyhearing.com]

At present, corticosteroids are the most commonly used treatment for SSHL, and therefore it is ethically not feasible to stop this treatment. [jove.com]

The prognosis of patients with Ménière disease varies. Periods of remission punctuated by exacerbations of symptoms are typical. [15] Some patients have minimal symptoms, whereas others have severe attacks. [emedicine.medscape.com]

Prognosis of Meniere’s disease by conservative treatment: retrospective study on the time course of the disease. Acta Otolaryngol Suppl (1995) 519:216–8. doi:10.3109/00016489509121908 CrossRef Full Text | Google Scholar 15. [journal.frontiersin.org]

The cause of hearing loss can be viral, head injury, meningitis or any other etiology. Patients develop symptoms of Meniere’s disease. If one ear affected then labyrinthectomy gives excellent result. [otologytextbook.net]

The etiology of BPV has been a source of controversy. [michiganear.com]

In other words, Ménière syndrome is endolymphatic hydrops caused by a specific condition, and Ménière disease is endolymphatic hydrops of unknown etiology (ie, idiopathic endolymphatic hydrops). [emedicine.medscape.com]

The clinical results of this study would seem to support the observations of others that DEH and Meniere's disease are related disorders caused predominantly by cases of viral labyrinthitis with unknown etiology. [thefreelibrary.com]

[…] vestibular symptoms are identical to those of Ménière's disease secondary endolymphatic hydrops secondary to: endocrine abnormalities trauma electrolyte imbalance autoimmune dysfunction parasitic infections hyperlipidemia hypothesized to be a factor, not an etiology [ozemedicine.com]

Beginning with basic anatomy, physiology and epidemiology of dizziness, the following chapters examine different causes of vertigo, their diagnosis and treatment. [books.google.com]

Although some analytic epidemiologic studies have suggested an association between migraine and Meniere disease, more recent studies have not found an elevated incidence of migraine headache in patients with Meniere syndrome compared to the general population [medlink.com]

Epidemiology In the United States, a prevalence of 1,000 cases of endolymphatic hydrops per 100,000 population is a reasonable approximation, though it is probably an underestimate. [emedicine.medscape.com]

Wuhan, Hubei, China Sulin Zhang, Yangming Leng, Bo Liu & Weijia Kong Key Laboratory of Neurological Disorders of Education Ministry, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China Weijia Kong Department of Epidemiology [nature.com]

Several epidemiological studies 2,3 reported SSHL incidence rates of 5-30 cases per 100,000 people per year in industrialized countries. [jove.com]

Ispilateral DEH and Meniere's disease may show different pathophysiologies. The incidence of dominant negative summating potential in the better-hearing ear was 20% in the ispilateral DEH cases and 60% in the contralateral DEH cases. [unboundmedicine.com]

Pathophysiology The pathophysiology of Ménière's disease is not clearly understood. [asha.org]

Schuknecht HF (1976) Pathophysiology of endolymphatic hydrops. Arch Otorhinolaryngol 212: 253–262. PubMed CrossRef Google Scholar 9. Schuknecht HF (1978) Delayed endolymphatic hydrops. Ann Otol Rhinol Laryngol 87: 743–748. PubMed Google Scholar 10. [link.springer.com]

Pathophysiology, etiology, and differential diagnosis of vertigo. UpToDate [online serial]. Waltham, MA: UpToDate; reviewed March 2018. [aetna.com]

The underlying pathophysiologic mechanism for the development of DEH has been explained as progressive endolymphatic hydrops in the inner ear due to delayed atrophy or fibrous obliteration of the endolymphatic resorption system, resulting from a previous [jstage.jst.go.jp]

One point is the prevention of acoustic trauma. [jove.com]

Preventive Services Task Force. Guide to clinical preventive services: report of the U.S. Preventive Services Task Force. 3d ed. Alexandria, Va.: International Medical Pub., 2002. 14. Salley LH Jr, Grimm M, Sismanis A, Spencer RF, Wise CM. [aafp.org]

Management Treatment is with high dose steroid (prednisone 2mg/kg/day) this might prevent permanent hearing loss if administered early. Cyclophosphamide can be used for systemic disease. References 27. [otologytextbook.net]

• The aims of management of Meniere disease are to (1) reduce the number and severity of acute vertiginous attacks and their associated symptoms (eg, hearing loss and tinnitus), (2) alleviate chronic symptoms (eg, hearing loss and tinnitus), and (3) prevent [medlink.com]

Medication to prevent the attacks. Medication to destroy the inner ear function. Devices Devices like the Menniet device are no better than placebo. [lmhofmeyr.co.za]