Evolution of Symptoms in Ménière’s Disease

Abstract

Objective: To investigate the sequence and correlation of symptoms of Ménière’s disease (MD) depending on their order of manifestation. Methods: Descriptive, longitudinal study of the symptoms in 237 tertiary hospital patients who had been diagnosed with definite MD according to the criteria of the American Academy of Otolaryngology. Patients were followed for 1–31 years. Results: Disease began with the three classic symptoms in only 40% of the patients. We recorded the mean, median and maximum time needed to complete the symptoms as well as the time elapsed in some patients from disease onset in one ear to bilateral involvement. Conclusions: We reckon that this study may be of great help in ruling out a diagnosis of MD when the patient presents with only one or two symptoms of the triad. Furthermore, regarding the planning of treatment, the time interval between unilateral and bilateral involvement (5–7 years) is very important since bilateral involvement has great repercussions on treatment, especially surgical treatment.

Response Over Time of Vertigo Spells to Intratympanic Dexamethasone Treatment in Meniere’s Disease Patients

“…The reduction of vertigo spells could result from the natural history of the disease [15] . This is the main reason that justifies the use of a control group with the same characteristics with regard to vertigo spells to avoid the confounding effect of the decrease in the number of vertigo spells that results from the natural course of the disease.…”

Implante coclear en enfermedad de Ménière bilateral. Descripción de un caso

“…Así, IC con LQx simultánea no sólo alivia los ataques vertiginosos, también la audición. Como hemos visto, y dependiendo de los resultados a largo plazo de la audición tras IC, puede ser razonable ampliar la indicación de LQx a pacientes con vértigo intratable y audición residual [30,31]. Esto es lo que nos planteamos en el caso presentado, tras frecuentes crisis de vértigo y de Tumarkin no controlables con fármacos o terapias intratimpánicas y una pérdida de audición unilateral con fluctuaciones contralaterales, se decidió realizar la laberintectomía con la colocación de IC en el oído causante de sus crisis de forma simultánea, con la previsión de que el lado contralateral se vea afectado en el futuro, ejemplo del planteamiento del IC en EM bilateral.…”

Treatment of vestibular disorders with weak asymmetric base-in prisms: An hypothesis with a focus on Ménière’s disease

“…Moreover, despite the fact that MD has been judged idiopathic, and the hydrops has not been confirmed to be a necessary and sufficient condition for the disease [30], there is little doubt as to its vestibular cause [6,40,54,81]. In particular, it has been shown that MD is characterised by vestibular hypofunction [56,57,65,71,80].…”