Electrocochleography for Ménière's disease: is it reliable?

Lamounier, Pauliana; Gobbo, Débora Aparecida; Souza, Thiago Silva Almeida de; Oliveira, Carlos Augusto Costa Pires de; Bahmad, Fayez

doi:10.1016/j.bjorl.2014.08.010

Cited by 26 publications

(24 citation statements)

References 28 publications

(81 reference statements)

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“…ECoG may not correlate with the stage of disease, duration of symptoms, patient history, and audiometric findings all the time (6,(36)(37)(38). Moreover, even if vertigo attacks disappear completely after treatment, the SP/AP ratio does not recover (38).…”

Section: Ecogmentioning

confidence: 99%

“…Moreover, even if vertigo attacks disappear completely after treatment, the SP/AP ratio does not recover (38). Besides that, ECoG is an informative test, in prediction of when the disease will be bilateral, decision of treatment choices, or renewal of the treatment method (6,36,37). The sensitivity of the ECoG test in the diagnosis of MD variants, vestibular MD (recurrent vestibulopathy) and cochlear MD (acute low tone sensorineural hearing loss), were reported to be 62.5% and 67%, respectively (39).…”

Section: Ecogmentioning

confidence: 99%

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Validity and Reliability of the Diagnostic Tests for Ménière's Disease

Günerı

Çakır

Mutlu

2016

Turk Arch Otorhinolaryngol

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Ménière's disease is defined as an idiopathic syndrome characterized by endolymphatic hydrops. Various tests and measurement methods have been employed for the diagnosis of Ménière's disease. These include audiological, vestibular, radiological, clinical, and biochemical tests. However, the lack of a definitive or gold standard diagnostic test sometimes complicates the process of diagnosis. Hence, the clinician should be well-experienced in deciding when to perform a test and how to interpret the results of the test. Furthermore, having the knowledge of the validity and reliability of these tests plays a critical role. This review particularly emphasizes on remarking the validity and reliability of each test performed for the diagnosis of Ménière's disease and discussing the results according to the up-to-date literature.

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Section: Ecogmentioning

confidence: 99%

Section: Ecogmentioning

confidence: 99%

Validity and Reliability of the Diagnostic Tests for Ménière's Disease

Günerı

Çakır

Mutlu

2016

Turk Arch Otorhinolaryngol

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“…Lamounier et al also found in the systematic review that the analysis of the SP/AP ratio curve of the transtympanic electrocochleography did not necessarily increase sensitivity in the diagnosis of hydrops when compared with the SP/AP amplitude [14,[16][17][18].…”

Section: Electrocochleography (Ecochg)mentioning

confidence: 96%

“…In most studies selected, the transtympanic electrode is the most widely used. EcochG in MD presents a variable sensitivity, as in cases of hearing loss due to disease progression, patients may experience a reduction in the amplitude of AP due to loss of auditory nerve fibers [14][15][16][17].…”

Section: Electrocochleography (Ecochg)mentioning

confidence: 99%

Electrophysiology in Ménière’s Disease

Lamounier¹

2017

Up to Date on Meniere's Disease

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Ménière's disease (MD) is a progressive inner ear disorder that affects at least 0.2% of the population in EUA. The symptoms triad of fluctuating hearing loss, tinnitus, and vertigo was described by Prosper Ménière for more than a century and its pathophysiology is still unknown. MD has a fluctuating course and in many cases, difficult clinical management. Progressive hearing loss and intense dizzying seizures becomes more frequent as the disease progresses. All of this increases the challenges of accurate identification and has probably led to the trial of several tests for identifying MD. The tests are useful tools to assist the otolaryngologist both in diagnosis and prognosis of MD. These tests includes audiometry, otoacustic emission (OAE), electrocochleography (EcochG), vestibular evoked myogenic potentials (VEMP), cochlear hydrops analysis masking procedure (CHAMP) and video head impulse test (vHIT).

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“…Although more relective of real life than an artiicial experiment, retrospective observational studies are susceptible to bias [4].…”

mentioning

confidence: 99%