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Menière's disease in the elderly.

Michel Ballester1, Pierre Liard, Dominique Vibert

  • 1Department of Otorhinolaryngology, Head and Neck and Cranio-Maxillo-Facial Surgery, Inselspital University of Bern, Switzerland. ballester@caramail.com

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|January 5, 2002
PubMed
Summary

Meniere

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Area of Science:

  • Neuroscience
  • Otolaryngology
  • Geriatrics

Background:

  • Meniere's disease is a disorder of the inner ear.
  • The prevalence and presentation in elderly patients are not well understood.

Observation:

  • A retrospective study analyzed 66 patients aged 65 and older with Meniere's disease.
  • The disease presented as de novo onset or reactivation of longstanding Meniere's disease.
  • Drop attacks occurred more frequently than in younger populations and could mimic stroke.

Findings:

  • Meniere's disease is not uncommon in the elderly.
  • Both medical and surgical treatments were employed.
  • Surgical interventions achieved high success rates for vertigo spell resolution.

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Implications:

  • Clinicians should consider Meniere's disease in elderly patients presenting with vertigo, tinnitus, and hearing loss.
  • The potential for misdiagnosis with cerebrovascular events highlights the need for careful evaluation.
  • Treatment requires a cautious approach due to patient fragility.