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https://www.readbyqxmd.com/read/29688822/clinical-subtyping-of-m%C3%A3-ni%C3%A3-re-s-disease
#1
John S Phillips, Louisa Murdin, Peter Rea, Liam Sutton
Fundamentally, Ménière's disease is a constellation of symptoms and, as such, may represent the final common pathway for a number of disease processes, as opposed to being the consequence of a single isolated pathology. Within this type of consideration, much can be learned regarding the etiology, presentation, prognosis, and treatment of these individual conditions by applying subtyping techniques currently employed to better understand similar disease processes that are encountered in other allied fields of medicine...
April 1, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29663119/multicenter-data-banking-in-management-of-dizzy-patients-first-results-from-the-dizzynet-registry-project
#2
Eva Grill, Gülden Akdal, Sandra Becker-Bense, Steffen Hübinger, Doreen Huppert, Erna Kentala, Ralf Strobl, Andreas Zwergal, Nese Celebisoy
PURPOSE: Comprehensive phenotypical data across countries is needed to understand the determinants, prognosis and consequences of vestibular disease. The registry is a data repository for the members of the European DizzyNet. We report results from a pilot study using data from Turkey and Germany. METHODS: The pilot study included a convenience sample of patients aged 18 or above referred to Ege University Medical School Hospital, Dokuz Eylül University Hospital, Izmir, Turkey, and the German Center for German Center for Vertigo and Balance Disorders, University on Munich, Germany, with symptoms of vertigo or dizziness...
April 16, 2018: Journal of Neurology
https://www.readbyqxmd.com/read/29649052/recurrence-in-benign-paroxysmal-positional-vertigo-a-large-single-institution-study
#3
Alexander L Luryi, Juliana Lawrence, Dennis I Bojrab, Michael LaRouere, Seilesh Babu, John Zappia, Eric W Sargent, Eleanor Chan, Ilka Naumann, Robert S Hong, Christopher A Schutt
OBJECTIVE: To report rates of recurrence in benign paroxysmal positional vertigo (BPPV) and associated patient and disease factors. STUDY DESIGN: Retrospective chart review. SETTING: Single high-volume otology practice. PATIENTS: Patients diagnosed with BPPV from 2007 to 2016 with documented resolution of symptoms. INTERVENTION: Diagnostic and particle repositioning maneuvers for BPPV. MAIN OUTCOME MEASURES: BPPV recurrence, time to recurrence, and ear(s) affected at recurrence...
April 11, 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29624570/are-diuretics-effective-for-m%C3%A3-ni%C3%A3-re-s-disease
#4
Andrés Rosenbaum, Matías Winter
INTRODUCTION: Ménière`s disease is an inner ear disorder characterized by episodes of spontaneous vertigo, fluctuating hearing loss and tinnitus. Diuretics have been widely used for the treatment of attacks, but there is controversy about their effectiveness. METHODS: To answer this question we used Epistemonikos, the largest database of systematic reviews in health, which is maintained by screening multiple information sources, including MEDLINE, EMBASE, Cochrane, among others...
March 28, 2018: Medwave
https://www.readbyqxmd.com/read/29619111/intratympanic-gentamicin-for-intractable-m%C3%A3-ni%C3%A3-re-s-disease-a-review-and-analysis-of-audiovestibular-impact
#5
Sertaç Yetişer
Introduction  Intratympanic gentamicin regulates the symptoms in most patients with incapacitating Ménière's disease. The treatment protocols have changed over the years from medical labyrinthectomy to preservation of vestibular function. Objectives  This study aims to review the audiovestibular response related to the effect of the drug in controlling vertigo. Data Synthesis  Articles were identified by means of a search in the PubMed database using the key words Meniere and intratympanic or transtympanic gentamicin ...
April 2018: International Archives of Otorhinolaryngology
https://www.readbyqxmd.com/read/29582143/genetic-contribution-to-vestibular-diseases
#6
REVIEW
Alvaro Gallego-Martinez, Juan Manuel Espinosa-Sanchez, Jose Antonio Lopez-Escamez
Growing evidence supports the contribution of allelic variation to vestibular disorders. Heritability attributed to rare allelic variants is found in familial vestibular syndromes such as enlarged vestibular aqueduct syndrome or familial Meniere disease. However, the involvement of common allelic variants as key regulators of physiological processes in common and rare vestibular diseases is starting to be deciphered, including motion sickness or sporadic Meniere disease. The genetic contribution to most of the vestibular disorders is still largely unknown...
March 26, 2018: Journal of Neurology
https://www.readbyqxmd.com/read/29577849/facial-nerve-stimulation-after-cochlear-implantation-our-experience-in-448-adult-patients
#7
Joana Sanches Pires, Ana Sofia Melo, Ricardo Caiado, Jorge Humberto Martins, João Elói Moura, Luís Filipe Silva
Facial nerve stimulation (FNS) after cochlear implant activation is a well-known side effect, with an incidence rate raging between 1% and 14.9%. Some causes of deafness have been associated with a higher incidence of this entity, however, there is still no consensus regarding its pathophysiological mechanisms. Although FNS can be solved with changes in speech processor programming, in some cases this can lead to a decrease in performance. The aim of this work was to review the epidemiologic, clinical aspects, and performance results in a group of FNS after cochlear implantation...
March 25, 2018: Cochlear Implants International
https://www.readbyqxmd.com/read/29573626/effects-of-combined-oral-contraception-containing-drospirenone-on-premenstrual-exacerbation-of-meniere-s-disease-preliminary-study
#8
Salvatore Caruso, Diletta Mauro, Luigi Maiolino, Caterina Grillo, Agnese Maria Chiara Rapisarda, Stefano Cianci
OBJECTIVES: Meniere's disease is caused by an augmented endolymph pressure in the inner ear; symptoms are vertigo, fluctuating hearing loss and tinnitus. Exacerbations has been noted during premenstrual phase. The study aims to evaluate the effects of a 20 μm Ethinylestradiol (EE) and 3 mg Drospirenone (DRSP) oral contraceptive (20 μmEE/3mgDRSP) in continuous regimen, associated with rehabilitation therapy on Meniere's disease. STUDY DESIGN: This non-randomized controlled study was performed from October 2015 to October 2017...
March 10, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29568697/intratympanic-it-therapies-for-meni%C3%A3-re-s-disease-some-consensus-among-the-confusion
#9
Desi P Schoo, Grace X Tan, Matthew R Ehrenburg, Seth E Pross, Bryan K Ward, John P Carey
Purpose of Review: Aminoglycosides and corticosteroids are commonly used to treat Menière's disease. Intratympanic (IT) administration of these medications allows high inner ear concentrations without significant adverse systemic effects. As a direct result, IT therapy has grown in popularity. Recent studies have compared patient outcomes between IT aminoglycosides and corticosteroids. This review summarizes these findings. Recent Findings: Trials comparing IT corticosteroids to IT placebo or oral therapy have had conflicting results...
June 2017: Current Otorhinolaryngology Reports
https://www.readbyqxmd.com/read/29564597/in-vivo-imaging-of-saccular-hydrops-in-humans-reflects-sensorineural-hearing-loss-rather-than-meniere-s-disease-symptoms
#10
Arnaud Attyé, Michael Eliezer, Maud Medici, Irène Tropres, Georges Dumas, Alexandre Krainik, Sébastien Schmerber
OBJECTIVES: A case-controlled imaging study demonstrated that saccular hydrops was specific to Meniere's disease (MD), but only present in a subset of patients. Here, we compared patients with definite MD, vertigo and sensorineural hearing loss (SNHL) to elucidate the relationship between saccular hydrops and extent of SNHL. METHODS: In this prospective study, we performed 3D-FLAIR sequences between 4.5 and 5.5 h after contrast media injection in patients with MD (n=20), SNHL (n=20), vertigo (n=20) and 30 healthy subjects...
March 21, 2018: European Radiology
https://www.readbyqxmd.com/read/29561380/comment-on-mastoid-and-inner-ear-measurements-in-patients-with-meni%C3%A3-re-s-disease
#11
Eric M Sugihara, Seilesh C Babu
No abstract text is available yet for this article.
March 20, 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29561379/comment-on-mastoid-and-inner-ear-measurements-in-patients-with-meni%C3%A3-re-s-disease
#12
Lucas Resende Lucinda, Rita De Cassia Cassou Guimarães, Otávio Pereira Lima Zanini
No abstract text is available yet for this article.
March 20, 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29553505/in-vivo-morphometric-analysis-of-human-cranial-nerves-using-magnetic-resonance-imaging-in-meni%C3%A3-re-s-disease-ears-and-normal-hearing-ears
#13
Wilhelm H Flatz, Annika Henneberger, Maximilian F Reiser, Robert Gürkov, Birgit Ertl-Wagner
Analysis of neural structures in Menière's Disease (MD) is of importance, since a loss of such structures has previously been proposed for this patient group but has yet to be confirmed. This protocol describes a method of in vivo evaluation of neural changes especially well suitable for cranial nerve analysis using magnetic resonance imaging (MRI). MD-patients and normal hearing persons were examined in a 3-T MR-scanner using a scan protocol including strongly T2-weighted 3D gradient-echo-sequence (3D-CISS)...
February 21, 2018: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/29546771/newly-diagnosed-meniere-s-disease-clinical-course-with-initiation-of-noninvasive-treatment-including-an-accounting-of-vestibular-migraine
#14
Firas Sbeih, Florian Christov, Michael B Gluth
OBJECTIVE: To describe the course of Meniere's disease with noninvasive treatment during the first few years after initial diagnosis. METHODS: A retrospective review of consecutive patients with newly diagnosed definite Meniere's disease between 2013 and 2016 and a minimum follow-up of 1 year. Patients received a written plan for low sodium, water therapy, and treatment with a diuretic and/or betahistine. Subjects were screened and treated for vestibular migraine as needed...
March 1, 2018: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/29545765/clinical-characteristics-and-etiology-of-bilateral-vestibular-loss-in-a-cohort-from-central-illinois
#15
Jorge C Kattah
Background: Previous series of bilateral vestibular loss (BVL) identified numerous etiologies, but surprisingly, a cause in a significant number of cases remains unknown. In an effort to understand possible etiology and management strategies, a global effort is currently in progress. Here, I contribute my 10-year experience with both acute and chronic BVL during the 2007-2017 decade. Methods: This is a retrospective review of the charts and EMR of patients diagnosed with BVL in the last 10 years...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29544670/analysis-of-non-posterior-canal-benign-paroxysmal-positional-vertigo-in-patients-treated-using-the-particle-repositioning-chair-a-large-single-institution-series
#16
Alexander L Luryi, David Wright, Juliana Lawrence, Seilesh Babu, Michael LaRouere, Dennis I Bojrab, Eric W Sargent, John Zappia, Christopher A Schutt
PURPOSE: Benign paroxysmal positional vertigo (BPPV) involving the horizontal and superior semicircular canals is difficult to study due to variability in diagnosis. We aim to compare disease, treatment, and outcome characteristics between patients with BPPV of non-posterior semicircular canals (NP-BPPV) and BPPV involving the posterior canal only (P-BPPV) using the particle repositioning chair as a diagnostic and therapeutic tool. METHODS: Retrospective review of patients diagnosed with and treated for BPPV at a high volume otology institution using the particle repositioning chair...
March 7, 2018: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29536178/dizziness-in-europe-from-licensed-fitness-to-drive-to-licence-without-fitness-to-drive
#17
Doreen Huppert, Dominik Straumann, Mans Magnusson, Ilmari Pyykkö, Thomas Brandt
A common European Community driving licence was established in 1980. However, there are major differences among the countries as regards medical conditions that legally affect driving ability. This article discusses various assessment guidelines for dizzy patients. These range from a total absence of specified binding requirements in Finland or regulations open to clinical interpretation in Switzerland, to inappropriately strict regulations in Germany. We focus on requirements for patients with vestibular disorders in Germany which have been in force since 2014...
March 13, 2018: Journal of Neurology
https://www.readbyqxmd.com/read/29535671/predictive-capability-of-an-ipad-based-medical-device-me-d-x-for-the-diagnosis-of-vertigo-and-dizziness
#18
Katharina Feil, Regina Feuerecker, Nicolina Goldschagg, Ralf Strobl, Thomas Brandt, Albrecht von Müller, Eva Grill, Michael Strupp
Background: Making the correct diagnosis of patients presenting with vertigo and dizziness in clinical practice is often challenging. Objective: In this study we examined the performance of the iPad based program me d x in the prediction of different clinical vertigo and dizziness diagnoses and as a diagnostic tool to distinguish between them. Patients and methods: The data collection was done in the outpatient clinic of the German Center of Vertigo and Balance Disorders...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29532729/thomsen-j-et-al-the-non-specific-effect-of-endolymphatic-sac-surgery-in-treatment-of-meniere-s-disease-a-prospective-randomized-controlled-study-comparing-classic-endolymphatic-sac-surgery-with-the-insertion-of-a-ventilating-tube-in-tympanic-membrane-acta-oto
#19
https://www.readbyqxmd.com/read/29532287/meni%C3%A3-re-s-disease-combined-pharmacotherapy-with-betahistine-and-the-mao-b-inhibitor-selegiline-an-observational-study
#20
Michael Strupp, Ludwig Kraus, Franz Schautzer, Dan Rujescu
OBJECTIVES: Since oral betahistine has a very high first-pass effect (ca. 99%), metabolized by monoamine oxidases (MAO), the benefits of a high-dosage betahistine monotherapy were compared with those of a lower dosage of betahistine in combination with the MAO-B inhibitor (MAO-B) selegiline on the frequency of acute attacks of vertigo in patients with Menière's disease (MD). METHODS: Thirteen adults aged 40-75 years (mean 58.9 years; six females) had initially been treated with a high dosage of betahistine dihydrochloride for at least 1 year...
March 12, 2018: Journal of Neurology
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