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Updated: May 31, 2026
08:43
A Unified Methodological Framework for Vestibular Schwannoma Research
Published on: June 20, 2017
[Peripheral vestibular syndrome intricated pathogenic issues. A case report].
Loreta Ungureanu1, S Cozma, Luminiţa Rădulescu
1Clinica de Otorinolaringologie, Spitalul Clinic de Recuperare Iaşi.
Summary
Intense noise exposure can worsen Ménière's syndrome and other peripheral vestibular disorders. This case highlights the link between noise trauma, benign paroxysmal positional vertigo, and autoimmune inner ear disease.
Area of Science:
- Otolaryngology
- Neurology
- Immunology
Background:
- Ménière's syndrome may result from various inner ear injuries.
- Autoimmune disease is a significant factor, but intense noise can also trigger or worsen the condition.
Observation:
- A 41-year-old musician with ankylosing spondylitis and Ménière's syndrome presented with complex, polymorphic symptoms.
- The patient exhibited an association between benign paroxysmal positional vertigo (BPPV), Ménière's syndrome, and high-frequency hearing loss, suggesting an autoimmune basis.
Findings:
- The final diagnosis included acute noise trauma, Ménière's syndrome, left horizontal semicircular canal BPPV, and bilateral sensorineural hearing loss.
- The patient experienced significant symptom relief with corticosteroids, vasodilators, vitamins, and Vannucchi's maneuver.
Implications:
- While a direct causal link between acoustic trauma and endolymphatic pressure isn't established, evidence suggests noise exposure can aggravate peripheral vestibular syndromes.
- This case underscores the multifactorial nature of vestibular disorders and the importance of considering noise exposure in patients with Ménière's syndrome.
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