Clinical and Audio Vestibular Profile of Meniere’s Disease in a Tertiary Care Centre in India

Selvakumar, Paul; Balraj, Achamma; Kurien, Regi; Krishnan, Thenmozhi

doi:10.1007/s12070-011-0352-1

Cited by 8 publications

(4 citation statements)

References 18 publications

(19 reference statements)

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“…Our finding was the same. Moreover, the audiological, eye movement, and bithermal caloric test findings of the patients were similar to the literature [19,35,[37][38][39][45][46][47][48][49][50][51][52] . Head-shaking nystagmus has been reported as 60% previously, though the value was 20.4% in this study [38] .…”

Section: Discussionsupporting

confidence: 87%

The Reliability and Validity of “Dokuz Eylül University Meniere’s Disease Disability Scale”

et al. 2018

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OBJECTIVE:Ménière's Disease (MD) is a chronic, non-life threatening inner ear disease, with attacks of disabling vertigo, progressive hearing loss, and tinnitus as the major symptoms. All three symptoms, separately or in combination, cause great distress and have a considerable impact on the quality of life of the patients. The aims of this study were to develop a disease-specific quality of life survey for patients with MD and to analyze the relationships between the audiovestibular findings and the survey. MATERIALS and METHODS:Following Ear-Nose-Throat examination and audiovestibular tests, the Dokuz Eylül University Meniere's Disease Disability Scale (DEU-MDDS) and Turkish version of the Dizziness Handicap Inventory (DHI-T) were administered to 93 patients with definite MD. Reliability and validity analyses of the scale were performed. RESULTS:There were 45 (48.4%) male and 48 (51.6%) female patients and the mean age was 48.9±12.1 years. Cronbach's alpha was 0.92 and intraclass correlation coefficients of the DEU-MMDS were significant (p<0.001). Results of the Goodness of Fit Statistics showed that the expression levels of the items were high and the correlation coefficients of each item with the scale were sufficient. There was a statistically significant correlation between DHI-T scores and MDDS. DEU-MDDS was not related to the vestibular tests, age or gender (p>0.05). CONCLUSION:The MDDS is a valid and reliable scale as a disease-specific quality of life questionnaire for patients with MD.

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Section: Discussionsupporting

confidence: 87%

The Reliability and Validity of “Dokuz Eylül University Meniere’s Disease Disability Scale”

et al. 2018

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“…It has been suggested that extended high frequency audiometry (HFA) testing might reveal cochlear damage at higher frequencies than investigated by a conventional audiogram (Yildirim et al, 2010 ; Mehrparvar et al, 2011 ). Concerning the application of HFA in young people exposed to recreational noise, only limited research has been performed so far.…”

Section: Discussionmentioning

confidence: 99%

Decreased Speech-In-Noise Understanding in Young Adults with Tinnitus

et al. 2016

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Objectives: Young people are often exposed to high music levels which make them more at risk to develop noise-induced symptoms such as hearing loss, hyperacusis, and tinnitus of which the latter is the symptom perceived the most by young adults. Although, subclinical neural damage was demonstrated in animal experiments, the human correlate remains under debate. Controversy exists on the underlying condition of young adults with normal hearing thresholds and noise-induced tinnitus (NIT) due to leisure noise. The present study aimed to assess differences in audiological characteristics between noise-exposed adolescents with and without NIT.Methods: A group of 87 young adults with a history of recreational noise exposure was investigated by use of the following tests: otoscopy, impedance measurements, pure-tone audiometry including high-frequencies, transient and distortion product otoacoustic emissions, speech-in-noise testing with continuous and modulated noise (amplitude-modulated by 15 Hz), auditory brainstem responses (ABR) and questionnaires.Nineteen students reported NIT due to recreational noise exposure, and their measures were compared to the non-tinnitus subjects.Results: No significant differences between tinnitus and non-tinnitus subjects could be found for hearing thresholds, otoacoustic emissions, and ABR results.Tinnitus subjects had significantly worse speech reception in noise compared to non-tinnitus subjects for sentences embedded in steady-state noise (mean speech reception threshold (SRT) scores, respectively −5.77 and −6.90 dB SNR; p = 0.025) as well as for sentences embedded in 15 Hz AM-noise (mean SRT scores, respectively −13.04 and −15.17 dB SNR; p = 0.013). In both groups speech reception was significantly improved during AM-15 Hz noise compared to the steady-state noise condition (p < 0.001). However, the modulation masking release was not affected by the presence of NIT.Gilles et al. Decreased Speech Recognition in Tinnitus SubjectsConclusions: Young adults with and without NIT did not differ regarding audiometry, OAE, and ABR.However, tinnitus patients showed decreased speech-in-noise reception. The results are discussed in the light of previous findings suggestion NIT may occur in the absence of measurable peripheral damage as reflected in speech-in-noise deficits in tinnitus subjects.

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“…Meniere's disease was diagnosed in 39 patients (29.77%) with ENG trinary code of ''1101'', ''0111'', ''2000'', ''0101'', ''0001'', ''2011'', ''0100'', ''2021'', ''1120'', ''2111'' and ''2100''. All the patient diagnosed as Meniere's disease were subjected to Electro Cochleo-graphy (EcochG) and the SP/AP ratio were elevated ([ 0.5) in all the patients in the ear showing unilateral/bilateral cold hypo response or unilateral/bilateral warm cold dissociation in bithermal caloric parameter in ENG [15,20]. Right canal paresis was observed in 10 patients (7.63%) with ENG pattern ''1000'', ''1100'' and ''1120''.…”

Section: Observations and Resultsmentioning

confidence: 99%

Role of Electronystagmography in Diagnosis of Secondary BPPV in Elderly Patients with Vertigo: A Retrospective Study

Gupta

Upadhyay

Mundra

2018

Indian J Otolaryngol Head Neck Surg

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Elderly population is frequently affected by vertigo which affects their mobility and makes them vulnerable to fall and other morbidities. Often these patient visit neurologist and are often subjected to CT scan, MRI brain etc. to rule out a central cause of vertigo; whereas majority of these patients suffer from vestibular cause of vertigo. A schematic approach by detailed history, simple tests for vestibular functions like Dix Hallpike, supine roll and head impulse test give important clue to diagnosis. Often the diagnosis is benign paroxysmal positional vertigo (BPPV) which is treated by repositioning maneuver. There are often other vestibular causes which may be diagnosed by Electronystagmography (ENG), electrocochleography and other tests. This study was undertaken to study occurrence of secondary BPPV utilizing various parameters of ENG. The study group comprised of 131 patients from the neuro-otology proforma data base at ENT centre and vertigo clinic from January 2015 to December 2017. Inclusion criterion was male and female aged 51 years and above presenting with dizziness, imbalance, rotational vertigo, unsteadiness as the chief complaint. Exclusion criterion was BPPV relieved after Epley's maneuver, Otitis externa, acute Otitis media, Suppurative Otitis media, pre existing neurological condition and history of ear surgery. Neuro-otology Data obtained and the ENG findings were tabulated in the master chart and the observations interpreted and transferred to Claussen's butterfly chart. The study group comprised of 58 male (44.27%) and 73 female (55.73%) with a male female ratio of 1:1.25. ENG exhibited 36 patients (27.49) to have recurrent BPPV, 53 (40.45%) were found to have unilateral/bilateral canal paresis. Meniere's disease was diagnosed in 39 (29.77%) patients and brain stem pathology identified in 3 (2.29%) cases.

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Clinical and Audio Vestibular Profile of Meniere’s Disease in a Tertiary Care Centre in India

Cited by 8 publications

References 18 publications

The Reliability and Validity of “Dokuz Eylül University Meniere’s Disease Disability Scale”

The Reliability and Validity of “Dokuz Eylül University Meniere’s Disease Disability Scale”

Decreased Speech-In-Noise Understanding in Young Adults with Tinnitus

Role of Electronystagmography in Diagnosis of Secondary BPPV in Elderly Patients with Vertigo: A Retrospective Study

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