Ménière's disease (MD) is a complex, multifactorial disorder of the inner ear that is the most common cause of the syndrome of episodic vertigo combined with fluctuating hearing loss. In spite of a century of investigation, the etiology and pathophysiology of MD remain controversial and incompletely understood. Among the factors that have contributed to these controversies are the absence of (1...

Despite the growing popularity of self-help groups for people with chronic illness, there has been surprisingly little research into how these may support adjustment to illness. This study investigated the role that social comparison, occurring within a self-help group, may play in adjustment to chronic illness. A model of adjustment based on control process theory and response shift theory was...

AIM To verify whether vestibular evoked myogenic potentials can present abnormalities in the affected ear and in the asymptomatic ear in patients with diagnosis of unilateral Ménière's disease. STUDY DESIGN Transversal cohort. MATERIAL AND METHOD The vestibular evoked myogenic potentials of 20 patients with unilateral Ménière's disease were analyzed. The selection of individuals was based o...

Meniere's disease (MD) represents a diagnostic challenge. It's symptoms of episodic vertigo, hearing loss, tinnitus, and a sense of aural fullness share overlap with multiple other conditions. It remains a diagnosis of exclusion, with imaging only used to rule out other pathologies, notably acoustic neuroma. Technological advance has brought increased resolution to the inner ear. In the future ...

This study assesses several electrocochleographic (ECoG) duration and amplitude measures in a clinically defined Meniere's group and compares the results with those from a normal hearing control group and a hearing loss group (cochlear). The summating potential (SP)/action potential (AP) amplitude ratio was the most efficient diagnostic measure, with 62% of the Meniere's group demonstrating abn...

It is likely that as new approaches are introduced in the treatment of any condition which hitherto has seemed intractable the value of the older methods may be forgotten. Thi8 is especially true when the new approaches are introduced by members of another specialty. Such in this country appears to be the fate of vestibular neurotomy in the treatment of Miniere's disease, particularly in those ...

The histopathological changes in the temporal bones of two deceased donors individuals with concomitant Ménierè's disease have been studied. In one temporal bone we have found a blockage of the endolymphatic duct by abnormal bone. The histopathological modifications and the different therapeutic options are discussed. Clinical guidelines are proposed.

OBJECTIVE To evaluate the effectiveness of transtympanic gentamicin treatment in Meniere's disease. MATERIAL AND METHOD The present study is a prospective study of 8 patients in Ramathibodi Hospital who had transtympanic gentamicin treatment of Meniere's disease by fixed dose regimen of 12 injections during a period of 4 days. The committee on hearing and equilibrium guidelines for reporting ...

BACKGROUND Existing scales of self-perceived disablement in patients with vestibular impairment either are too broad to detect the subtle deficits in this population or omit some important daily life tasks. OBJECTIVES To develop a scale to assess self-perceived disablement in patients with vestibular impairment and to describe the development and initial testing of this new assessment tool. ...

UNLABELLED The effects of Epley's maneuver in benign paroxysmal positional vertigo (BPPV) associated with Menière's disease are controversial. AIMS To evaluate the progression of positional vertigo and nystagmus after one or more of Epley's maneuvers in BPPV associated with Menière's disease, and the recurrence of BPPV. METHOD a retrospective study of 62 patients with BPPV associated with M...