scholarly journals Does Ménière's Disease in the Elderly Present Some Peculiar Features?

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
R. Teggi ◽  
A. Meli ◽  
M. Trimarchi ◽  
F. LiraLuce ◽  
M. Bussi

Object. Aim of our study was to establish some peculiar features of Ménière's Disease (MD) in a group of elderly MD patients, in which the first vertigo spell happened when over 65 years old.Material and Methods. We analyzed a group of 73 younger than 65-years-old and a group of 30 elderly MD patients. All patients underwent a neurotological evaluation, an anamnestic evaluation including a lifetime history of migraine, and blood withdrawal for autoantibody screening.Results. Some differences were found between elderly and younger MD patients. Elderly MD patients presented a higher prevalence of Tumarkin attacks and a lower prevalence of lifetime history of migraine; moreover, they presented a faster develop of hearing loss and vertigo spells than a subgroup of 32 younger patients matched for the duration of illness.Conclusions. Some clinical features of MD in elderly have been pointed out. Particularly, the lower rate of migrainous history and positivity for autoantibodies often associated with MD, in our opinion, support the hypothesis of a vascular disorder acting as a predisposing factor for MD in elderly.

Author(s):  
So-Young Kim ◽  
Chang-Ho Lee ◽  
Dae-Myoung Yoo ◽  
Chan-Yang Min ◽  
Hyo-Geun Choi

This study explored the relation between Ménière’s disease and chronic obstructive pulmonary disease (COPD). The ≥40-year-old population of the Korean National Health Insurance Service-Health Screening Cohort was included. In total, 7734 Ménière’s disease patients and 30,936 control participants were enrolled. Control participants were matched for age, sex, income, and region of residence with Ménière’s disease participants. The odds of having Ménière’s disease given a history of COPD were analyzed using conditional logistic regression. Subgroup analyses were conducted according to age, sex, income, and region of residence. The odds of having Ménière’s disease were found to be 1.18-fold higher with a history of COPD than with no history of COPD (95% confidence intervals (CI) = 1.06–1.32, E-value (CI) = 1.64 (1.31)). The ≥60 years old, male, low-income, and rural subgroups showed increased odds of developing Ménière’s disease when a history of COPD was reported. A history of COPD was associated with an increased risk of Ménière’s disease in the adult population.


2002 ◽  
Vol 35 (3) ◽  
pp. 565-580 ◽  
Author(s):  
Fernando Mancini ◽  
Maurizio Catalani ◽  
Michela Carru ◽  
Barbara Monti

2010 ◽  
Vol 43 (5) ◽  
pp. 1041-1046 ◽  
Author(s):  
Dominique Vibert ◽  
Marco Caversaccio ◽  
Rudolf Häusler

1987 ◽  
Vol 96 (1) ◽  
pp. 39-42 ◽  
Author(s):  
Alan B. McDaniel ◽  
Herbert Silverstein

Although total excision is accepted as the standard of care in the treatment of acoustic neuromas, for the elderly patient this approach is modified. Small tumors which cause only eighth nerve symptoms of hearing loss and tinnitus can be followed radiologically while larger tumors with brain stem compression may be subtotally excised through the translabyrinthine route. Our standard treatment for Meniere's disease—that is re-factory to medical management—has been vestibular nerve section through a retro-labyrinthine approach. In the event of bilateral Meniere's disease or Meniere's disease in an only hearing ear, treatment with low-dose intramuscular injections of streptomycin sulfate is preferred. Two elderly patients are discussed, each of whom has an acoustic neuroma in one ear and Meniere's disease in the other. These patients' histories, diagnostic evaluations, treatment rationale, and follow-up data are presented to illustrate the decision-making process and the management of complicated and unusual cases.


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