Drop Attacks in Meniere's Disease

1988 ◽  
Vol 105 (sup455) ◽  
pp. 82-85 ◽  
Author(s):  
L. M. Ödkvist ◽  
J. Bergenius
Keyword(s):  
Meniere’S Disease ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Drop Attacks ◽  
Ménière's Disease

scholarly journals STEP TOWARDS UNDERSTANDING THE MYSTERY OF MENIERE’S DISEASE THROUGH AYURVEDA

2021 ◽  
Vol p5 (02) ◽  
pp. 2740-2745
Author(s):  
Anuradha Biserotti ◽  
Prashanth A. S
Keyword(s):  
Hearing Loss ◽  
Meniere’S Disease ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Drop Attacks ◽  
Inner Ear Disease ◽  
Ménière's Disease

Meniere’s disease is an inner ear disease characterised by episodes of Vertigo, fluctuating sensorineural hearing loss and Tinnitus, associated with Aural pressure Drop attacks (falls without loss of consciousness), Nystagmus, Headache and Nausea. Relapsing nature of the disease hampers the quality of life in patients. And also affects the psychosocial status of the patient. The main pathology occurs as the result of endo-lymphatic system distension, caused by the excessive accumulation of endolymph. This can result from excessive production or reduced absorption of endolymph or both. By knowing the pathology of the Meniere’s disease, clinical features and signs we can consider Karna Nada, Karna Kshweda, (Tinnitus) Badhirya (Hearing Loss) and Bhrama (vertigo) into consideration in which we encounter the vitiation of Karnagata Tarpaka Kapha and Vata. Hence treatment should be aimed at Agni deepana, Vata Anulomana, Vata Kapha Shamana. Nasya Karma, Karna Poorana, Shamana Snehapana, Snigdha Virechana can be employed in the management of Meniere’s Disease.

scholarly journals Two Cases of Meniere's Disease with Drop Attacks

2005 ◽  
Vol 108 (3) ◽  
pp. 222-225
Author(s):  
Fumiyuki Goto ◽  
Takanobu Kunihiro ◽  
Yasutomo Araki ◽  
Akira Saito ◽  
Kaoru Ogawa
Keyword(s):  
Meniere’S Disease ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Drop Attacks ◽  
Ménière's Disease

scholarly journals STEP TOWARDS UNDERSTANDING THE MYSTERY OF MENIERE’S DISEASE THROUGH AYURVEDA

2021 ◽  
Vol 9 (2) ◽  
pp. 473-478
Author(s):  
Anuradha Biserotti ◽  
Prashanth A. S
Keyword(s):  
Hearing Loss ◽  
Meniere’S Disease ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Drop Attacks ◽  
Inner Ear Disease ◽  
Ménière's Disease

Meniere’s disease is an inner ear disease characterised by episodes of Vertigo, fluctuating sensorineural hearing loss and Tinnitus, associated with Aural pressure Drop attacks (falls without loss of consciousness), Nystagmus, Headache and Nausea. Relapsing nature of the disease hampers the quality of life in patients. And also affects the psychosocial status of the patient. The main pathology occurs as the result of endo-lymphatic system distension, caused by the excessive accumulation of endolymph. This can result from excessive production or reduced absorption of endolymph or both. By knowing the pathology of the Meniere’s disease, clinical features and signs we can consider Karna Nada, Karna Kshweda, (Tinnitus) Badhirya (Hearing Loss) and Bhrama (vertigo) into consideration in which we encounter the vitiation of Karnagata Tarpaka Kapha and Vata. Hence treatment should be aimed at Agni deepana, Vata Anulomana, Vata Kapha Shamana. Nasya Karma, Karna Poorana, Shamana Snehapana, Snigdha Virechana can be employed in the management of Meniere’s Disease.

Long-term efficacy of vestibular neurotomy in disabling Ménière’s disease and Tumarkin drop attacks

2022 ◽  
pp. 1-7
Keyword(s):  
Meniere’S Disease ◽  
Menière’S Disease ◽  
Csf Leak ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Hearing Level ◽  
Menière's Disease ◽  
Drop Attacks ◽  
Ménière's Disease

OBJECTIVE When Ménière’s disease (MD) becomes disabling due to the frequency of attacks or the appearance of drop attacks (i.e., Tumarkin otolithic crisis) despite "conservative" medical and surgical treatments, a radical treatment like vestibular neurotomy (VN) is possible. An ideal MD treatment would relieve symptoms immediately and persist after the therapy. The aim of this study was to identify if VN was effective after 10 years of follow-up regarding vertigo and drop attacks, and to collect the immediate complications. METHODS The authors report a retrospective, single-center (i.e., in a single tertiary referral center with otoneurological surgery activity) cohort study conducted from January 2003 to April 2020. All patients with unilateral disabling MD who had received a VN with at least 10 years of follow-up were included. The therapeutic efficacy was defined by complete disappearance of vertigo and drop attacks. The postoperative complications (CSF leak, total deafness, meningitis, death) were determined immediately after the surgery, and the hearing thresholds were determined during the patient follow-up with the pure tone average (PTA). RESULTS A total of 74 patients (of 85 who were eligible), average age 51.9 ± 11.1 years, including 38 men (51.4%), with disabling MD and/or Tumarkin drop attacks (24.3%) received VN, with at least 10 years of follow-up after surgery. After an average follow-up of 12.4 ± 1.7 years (range 10.0–16.3 years), 67 patients (90.5%) no longer presented any vertiginous attacks, and no patient experienced drop attack. The mean variation in early pre- and postoperative PTA was not statistically significant (n = 64, 2.2 ± 10.3 decibels hearing level [range −18 to 29], 95% CI [−0.4 to 4.37]; p = 0.096), and 84.4% of the patients evaluated had unchanged or improved postoperative PTA. Three significant complications were noted, including two surgical revisions for CSF leak. There was no permanent facial paralysis, meningitis, or death. CONCLUSIONS In case of disabling MD (disabling vertigo refractory to conservative vestibular treatments—Tumarkin drop attacks), VN via the retrosigmoid approach must be the prioritized proposal in comparison to intratympanic gentamicin injections, because of the extremely low complication rate and the immediate and long-lasting effect of this treatment on vertigo and falls.

Contralateral cochlear implantation prior to vestibular nerve section for ‘drop attacks’ in the only hearing ear

2015 ◽  
Vol 129 (S3) ◽  
pp. S58-S60 ◽  
Author(s):  
J Shi ◽  
T Kertesz
Keyword(s):  
Cochlear Implantation ◽  
Meniere’S Disease ◽  
Vestibular Nerve ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Nerve Section ◽  
Drop Attacks ◽  
Ménière's Disease

AbstractBackground:A dilemma occurs in the treatment of second-sided Ménière's disease in the only hearing ear, particularly in patients with severe symptoms such as ‘drop attacks’. This paper describes a patient treated with contralateral cochlear implantation prior to vestibular nerve section of the symptomatic ear.Case report:A 53-year-old man, with second-sided Ménière's disease and drop attacks in the only serviceable right ear, underwent successful left cochlear implantation 30 years after hearing loss, followed by right vestibular nerve section. The patient achieved control of Ménière's attacks and improved hearing. Although the patient experienced oscillopsia post-operatively, he was satisfied with his improved everyday functioning.Conclusion:Patients with severe second-sided Ménière's disease in the only hearing ear are a small but difficult treatment group. In those that are suitable for cochlear implantation in the non-serviceable ear, it is suggested that this be employed prior to surgical treatment of the Ménière's symptoms, even if the implanted ear has had no auditory stimulation for many years.

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