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In Vivo Morphometric Analysis of Human Cranial Nerves Using Magnetic Resonance Imaging in Menière's Disease Ears and Normal Hearing Ears
Published on: February 21, 2018
Intractable benign paroxysmal positional vertigo in patients with Meniere's disease
E M Gross1, B D Ress, E S Viirre
1Division of Head and Neck Surgery, University of California-San Diego, USA.
The Laryngoscope
|April 14, 2000
Summary
Meniere's disease may increase the risk of developing intractable benign paroxysmal positional vertigo (BPPV). This study suggests potential mechanisms involving inner ear damage or labyrinthine obstruction.
Area of Science:
- Otolaryngology
- Neurology
- Vestibular Disorders
Background:
- Meniere's disease and benign paroxysmal positional vertigo (BPPV) are distinct vestibular disorders.
- Understanding their coexistence is crucial for effective patient management.
Observation:
- A retrospective chart review identified 9 patients with both definite Meniere's disease and BPPV.
- Meniere's disease symptoms consistently preceded BPPV onset in these patients.
- All cases involved intractable BPPV unresponsive to standard repositioning maneuvers.
Findings:
- Meniere's disease may predispose individuals to developing BPPV.
- BPPV typically affected the same ear as Meniere's disease, with one bilateral case.
- The average age of patients was not specified, but 7 out of 9 were female.
Implications:
- Inner ear hydropic changes or labyrinthine obstruction may underlie the co-occurrence of these conditions.
- Further research into the pathophysiology of combined Meniere's disease and BPPV is warranted.
- This finding may influence diagnostic and treatment strategies for patients with overlapping vestibular symptoms.
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