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.

Insights

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.

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