Criterios diagnósticos de enfermedad de Menière. Documento de consenso de la Bárány Society, la Japan Society for Equilibrium Research, la European Academy of Otology and Neurotology (EAONO), la American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) y la Korean Balance Society

Lopez-Escamez, José A.; Carey, John P.; Chung, Won Ho; Goebel, Joel A.; Magnusson, Måns; Mandalà, Marco; Newman‐Toker, David E.; Strupp, Michael; Suzuki, Mamoru; Trabalzini, Franco; Bisdorff, Alexandre

doi:10.1016/j.otorri.2015.05.005

Cited by 101 publications

(110 citation statements)

References 44 publications

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“…Further understanding of this discrepancy is beyond the scope of this manuscript; however, our findings suggest this discrepancy is tied to physiologic factors and not related to device/algorithm. Interestingly, in our 11 vestibular patients, 4 demonstrated normal vHIT gain; of those, 2 were diagnosed with definite Meniere’s disease, 1 with probable Meniere’s disease, and 1 with unspecified vestibular dysfunction [Lopez-Escamez et al, 2016]. …”

Section: Discussionmentioning

confidence: 99%

Effects of Device on Video Head Impulse Test (vHIT) Gain

et al. 2017

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Numerous video head impulse test (vHIT) devices are available commercially; however, gain is not calculated uniformly. An evaluation of these devices/algorithms in healthy controls and patients with vestibular loss is necessary for comparing and synthesizing work that utilizes different devices and gain calculations.Using three commercially available vHIT devices/algorithms, the purpose of the present study was to compare: (1) horizontal canal vHIT gain among devices/algorithms in normal control subjects; (2) the effects of age on vHIT gain for each device/algorithm in normal control subjects; and (3) the clinical performance of horizontal canal vHIT gain between devices/algorithms for differentiating normal versus abnormal vestibular function.Prospective.Sixty-one normal control adult subjects (range 20–78) and eleven adults with unilateral or bilateral vestibular loss (range 32–79).vHIT was administered using three different devices/algorithms, randomized in order, for each subject on the same day: (1) Impulse (Otometrics, Schaumberg, IL; monocular eye recording, right eye only; using area under the curve gain), (2) EyeSeeCam (Interacoustics, Denmark; monocular eye recording, left eye only; using instantaneous gain), and (3) VisualEyes (MicroMedical, Chatham, IL, binocular eye recording; using position gain).There was a significant mean difference in vHIT gain among devices/algorithms for both the normal control and vestibular loss groups. vHIT gain was significantly larger in the ipsilateral direction of the eye used to measure gain; however, in spite of the significant mean differences in vHIT gain among devices/algorithms and the significant directional bias, classification of “normal” versus “abnormal” gain is consistent across all compared devices/algorithms, with the exception of instantaneous gain at 40 msec. There was not an effect of age on vHIT gain up to 78 years regardless of the device/algorithm.These findings support that vHIT gain is significantly different between devices/algorithms, suggesting that care should be taken when making direct comparisons of absolute gain values between devices/algorithms.

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Section: Discussionmentioning

confidence: 99%

Effects of Device on Video Head Impulse Test (vHIT) Gain

et al. 2017

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“…The most common classification (AAOHNS, 1995), despite its widespread nature, does not appear completely satisfactory as shown a revision proposed in the 2015 [15]. To confirm this, a retrospective analysis of cases proposed by Ménière [16] itself raised doubts about their correct classification with a strong clinical suspicion of intralabyrinthine hemorrhage in a patient [17].…”

Section: Discussionmentioning

confidence: 99%

Is Electrocochleography Still Helpful in Early Diagnosis of Meniere Disease?

et al. 2017

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Background and ObjectivesDespite the extensive research for the Meniere’s disease (MD), it’s pathophysiology still remains uncertain and questionable among scientists. Clinical symptoms and audiometric tests form the basis for the diagnosis. Nevertheless the differential diagnosis can be extremely challenging, due to subjective and not specific results. Incorrect diagnosis is most likely and for this reason there is a great demand for objective and reliable tests.Subjects and MethodsThe presence of endolymphatic hydrops is necessary condition but non enough for the diagnosis. In this study we analyze retrospectively the summating potentials (SP)/action protentials (AP) ratio from peritympanic electrocochleography in 34 patients,divided in two groups (13 patients classified as defined MD and 21 patients classified as probable MD). The purpose was to identify the utility of the exam so to be able to achieve an early defined diagnosis. Furthermore our intention was to obtain an objective test, besides the clinical criteria currently in use for the diagnosis and the classification of the MD.ResultsThe analysis of the SP/AP results shows high predictability for the MD (positive in six out of seven cases with a sensitivity greater than 80%).ConclusionsOur study demonstrates a satisfactory sensibility percentage in recurrent defined MD presentation (>80%). Early identification of MD can lead to an early treatment and control of the progression of the disease. Furthermore it could be a valuable instrument for the follow up and evaluation of the patients classified as probable MD in accordance with the criteria of the American Academy of Otolaryngology-Head and Neck Surgery (1995).

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“…Ménière disease (MD) is a chronic, progressive, innerear disorder that is characterized by sudden attacks of vertigo with tinnitus, ear pressure, and low-tone fluctuating hearing loss [Lopez-Escamez et al, 2016]. During the disease course, the auditory and vestibular functions become progressively and, at times, independently affected regardless of the chosen treatment.…”

Section: Delayed Effect Of Active Pressure Treatment On Endolymphaticmentioning

confidence: 99%

Delayed Effect of Active Pressure Treatment on Endolymphatic Hydrops

Covelli

Volpini²,

Atturo³

et al. 2017

Audiol Neurotol

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Objective: To identify eventual correlations between the effect of low-pressure treatment and endolymphatic hydrops in Ménière patients. Material and Methods: The study group consisted of subjects affected by definite Ménière disease (2015) and a severe degree of disability, who received a ventilation tube with or without a low-pressure treatment before undergoing a surgical procedure (vestibular neurectomy). After the placement of the ventilation tube, the subjects were either left alone with the tube or received 1 month of self-administered low-pressure therapy with a portable device. In all subjects, an electrocochleography (ECochG) was performed and specific questionnaires - Dizziness Handicap Inventory (DHI) and Functional Scale Level (FSL) - were completed before starting either arm of treatment, at the end of treatment, and then 3 and 6 months later. Results: All selected subjects presented with an ECochG pattern that was indicative of endolymphatic hydrops before starting either treatment. At the end of pressure treatment, 80% showed symptomatic improvement while maintaining the hydropic ECochG pattern. At the 3-month control stage, the hydropic pattern resulted normalized (<0.5) in all the improved subjects. Conclusions: Although 1 month of low-pressure treatment provided a positive symptomatological outcome, normalization of the hydropic ECochG parameters occurred only at a later time. Therefore, it is possible to assume that endolymphatic hydrops could be concurrent with a non-symptomatic stage of Ménière disease, and that the anti-hydropic effect of the low-pressure treatment, if any, would present with a certain delay after its completion.

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Criterios diagnósticos de enfermedad de Menière. Documento de consenso de la Bárány Society, la Japan Society for Equilibrium Research, la European Academy of Otology and Neurotology (EAONO), la American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) y la Korean Balance Society

Cited by 101 publications

References 44 publications

Effects of Device on Video Head Impulse Test (vHIT) Gain

Effects of Device on Video Head Impulse Test (vHIT) Gain

Is Electrocochleography Still Helpful in Early Diagnosis of Meniere Disease?

Delayed Effect of Active Pressure Treatment on Endolymphatic Hydrops

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