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

2011 ◽  
Vol 64 (4) ◽  
pp. 351-355 ◽  
Author(s):  
Paul Selvakumar ◽  
Achamma Balraj ◽  
Regi Kurien ◽  
Thenmozhi Krishnan
2016 ◽  
Vol 131 (2) ◽  
pp. 144-149 ◽  
Author(s):  
R F Bento ◽  
J C Cisneros ◽  
A C De Oliveira Fonseca

AbstractObjective:To describe the results obtained with endolymphatic sac drainage in patients with Ménière's disease.Method:A retrospective case review study was conducted of 95 Ménière's disease patients who underwent endolymphatic sac drainage in a tertiary care referral centre, after failing a long course of medical management. The main outcome measures were vertigo control and hearing preservation.Results:In patients with unilateral disease, vertigo control was obtained in 94.3 per cent of patients. A significant improvement in cochlear function was seen in 14 per cent of patients, and hearing was preserved or improved in 88 per cent. For the bilateral group, vertigo control was obtained in 85.7 per cent of patients and cochlear function improved in 28 per cent. Hearing preservation was attained in 71 per cent of these patients.Conclusion:Endolymphatic sac drainage is a good surgical option for patients with incapacitating endolymphatic hydrops, providing a high percentage of vertigo control and hearing preservation.


2021 ◽  
Vol 12 ◽  
Author(s):  
Roeland B. van Leeuwen ◽  
Tjard R. Schermer ◽  
Carla Colijn ◽  
Tjasse D. Bruintjes

Background: People with dizziness may experience driving-related limitations. Few data are available about the impact of dizziness on driving.Aim: The aim of this study is to investigate the impact of dizziness on driving, factors related to impairment (age, gender, and type of diagnosis), and the potential consequences for patients' ability to work. We also investigated whether the patients expected and actually received information about their dizziness-related fitness to drive from their physician.Methods: A cross-sectional, observational study was conducted in the Apeldoorn Dizziness Centre, a tertiary care referral centre for patients with dizziness. A consecutive cohort of patients was asked to complete a study-specific questionnaire about driving.Results: Between January 1, 2020, and December 20, 2020, 432 patients were included. Fifty-six percent of the patients in this group were female. The average age of patients was 58.3 years (SD 16). Overall, 191 of the 432 patients (44%) experienced limitations related to driving, and 40% of the patients who experienced limitations also experienced limitations to work related to their inability to drive. The subject of fitness to drive had not been discussed with their physician in 92% of the patients, and 24% of the whole patient group indicated that they would have liked to discuss this topic. The following factors, independently from each other, increased the chance of experiencing driving-related limitations: younger age, female sex, and the diagnosis of Meniere's disease.Conclusion: Dizzy patients, especially younger patients, women, and patients with Meniere's disease, regularly experience limitations related to driving, and this often means that they are unable to work. Driving is hardly ever discussed during a medical consultation. In our opinion, the topic of driving and dizziness should always be addressed during medical consultations in dizzy patients.


Author(s):  
Suman S. Penwal ◽  
Deepa A. Valame

<p><strong>Background:</strong> The disorder of the inner ear related to abnormally increased levels of endolymph in the membranous labyrinth is called Meniere’s disease.  It is well studied that the prevalence of Meniere’s disease varies widely across regions.  It was found to be 13% to 42% around the world in various places.  It is important to know the incidence in India to know the population suffering and to plan better treatment strategies to cater to rehabilitation strategies. Hence, the current study was planned to estimate a load of Meniere’s disease in a tertiary care hospital in Mumbai.</p><p><strong>Methods:</strong> A retrospective analysis of the case reports was undertaken.  As per American academy of otolaryngology-head and neck surgery (AAO-HNS, 2020), the patients were separated as definite and probable Meniere’s disease.</p><p><strong>Results:</strong> The descriptive analysis revealed that 6 in 1000 patients reporting for hearing evaluation in a tertiary care hospital are suffering from Meniere’s disease. There was a female preponderance found in the patients with a gender ratio of 1.85:1.</p><p><strong>Conclusions:</strong> The incidence of Meniere’s disease in a tertiary care hospital in Mumbai was found to be 0.61% of all the patients tested for hearing impairment.</p>


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