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Ménière's disease and delayed endolymphatic hydrops in children
K Mizukoshi1, H Shojaku, S Aso
1Health Services Facility for the Aged Amenity Nobukiyo, Toyama, Japan.
Acta Oto-Laryngologica. Supplementum
|October 27, 2001
Summary
Pediatric Ménière
Area of Science:
- Otolaryngology
- Neurotology
- Pediatric Neurology
Background:
- Endolymphatic hydrops disorders, including Ménière's disease (MD) and delayed endolymphatic hydrops (DEH), are typically diagnosed in adults.
- Pediatric cases are rare, necessitating further characterization.
Purpose of the Study:
- To investigate the clinical characteristics of pediatric patients with endolymphatic hydrops.
- To identify specific features distinguishing pediatric MD and DEH.
Main Methods:
- Retrospective analysis of 7418 patients from 1979-1999.
- Selection of 5 pediatric MD and 3 pediatric DEH patients.
- Evaluation of clinical features, audiological tests, and electrophysiological findings.
Main Results:
- Pediatric MD constituted only 1.5% of all MD cases.
- Key findings in pediatric MD included fluctuating hearing loss, positive glycerol and furosemide tests, and a high SP/AP ratio.
- Two pediatric MD patients experienced prolonged vertigo and underwent surgery.
- Ipsilateral DEH was observed in 2/3 of pediatric DEH patients, with contralateral in 1/3.
Conclusions:
- Pediatric endolymphatic hydrops disorders present unique clinical characteristics.
- Early identification and characterization are crucial for appropriate management of pediatric MD and DEH.