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Antisecretory factor-inducing therapy improves the clinical outcome in patients with Ménière's disease
Per Hanner1, Helge Rask-Andersen, Stefan Lange
1Department of Audiology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Conclusion:
Intake of antisecretory factor (AF)-inducing SPC-flakes significantly reduced vertigo in patients suffering from Ménière's disease (MD). The positive effect may be due to a modulation of the transport of water and ions in the endolymphatic space.
Objective:
To evaluate the effects of a 3-month treatment period with SPC-flakes in patients suffering from MD.
Patients And Methods:
A prospective, double-blind, placebo-controlled study was performed. A total of 51 adult patients with MD were included in the study: 27 subjects treated with SPC-flakes and 24 subjects with control cereals. The patients received SPC-flakes or control cereals (1 g per kg body weight per 24 h in two servings) for 3 months. Otoneurological examinations were carried out before and after this period.
Results:
The severity of MD was classified according to the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) grading system. Fourteen of the 27 patients randomized to intake of the AF-inducing SPC-flakes reported decreased vertigo, compared with 2 of 24 in the control group (p < 0.001). No consistent change in the otoneurological examinations could be demonstrated in any of the groups of patients.
Insights
SPC-flakes significantly reduced vertigo in Ménière's disease (MD) patients. This treatment may improve vertigo by regulating fluid and ion transport in the inner ear.
Area of Science:
- Otolaryngology
- Neurology
- Gastroenterology
Background:
- Ménière's disease (MD) is a disorder of the inner ear.
- Vertigo is a primary symptom of MD.
- Current treatments for MD have limitations.
Purpose of the Study:
- To evaluate the efficacy of SPC-flakes in reducing vertigo in MD patients.
- To assess the safety and tolerability of SPC-flakes.
- To explore potential mechanisms of action.
Main Methods:
- Prospective, double-blind, placebo-controlled study.
- 51 adult patients with MD were randomized to receive SPC-flakes or control cereals for 3 months.
- Oto-neurological examinations were performed before and after treatment.
Main Results:
- 14/27 patients receiving SPC-flakes reported decreased vertigo, versus 2/24 in the control group (p < 0.001).
- No significant changes were observed in oto-neurological examinations.
- SPC-flakes were well-tolerated.
Conclusions:
- Intake of antisecretory factor (AF)-inducing SPC-flakes significantly reduced vertigo in Ménière's disease patients.
- The therapeutic effect may involve modulation of water and ion transport in the endolymphatic space.
- SPC-flakes represent a promising new treatment option for Ménière's disease.
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