Comparison of inner ear deficits in Meniere's variants and their significance
1Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan.
Background:
The declining order of abnormality rates in inner ear test battery of patients with Meniere's disease (MD) is consistent with the decreasing sequence of prevalence of hydrops formation in temporal bone donors of MD.
Objective:
This study investigated inner ear deficits in MD patients with falls, without falls, and after sac operation to compare their inner ear deficits.
Methods:
Twenty MD patients with falls (Group A), 20 MD patients without falls (Group B), and 20 MD patients after sac operation (Group C) were enrolled. All patients underwent an inner ear test battery.
Results:
Group A (with falls) revealed a declining sequence of abnormality rates running from audiometry (92%), cervical vestibular-evoked myogenic potential (cVEMP) test (71%), caloric test (42%) to ocular VEMP (oVEMP) test (38%). In contrast, Group B (without falls) displayed a different declining sequence of abnormality rates running from audiometry, cVEMP test, and oVEMP test to caloric test. Similarly, Group C also displayed the same declining sequence of inner ear deficits to Group A, indicating that Groups A and C may share a similar mechanism.
Conclusions:
Comparing the declining sequence of inner ear deficits in two inner ear disorders may help determine whether both disorders share a similar mechanism.
Insights
Inner ear test results in Meniere's disease patients with falls align with those after sac surgery, suggesting a shared mechanism. Patients without falls showed distinct patterns in vestibular-evoked myogenic potential and caloric tests.
Area of Science:
- Otolaryngology
- Neuroscience
- Vestibular System Research
Background:
- Meniere's disease (MD) exhibits a declining order of inner ear test abnormalities.
- This pattern correlates with the prevalence of endolymphatic hydrops in MD temporal bone donors.
Purpose of the Study:
- To investigate and compare inner ear deficits in Meniere's disease patients experiencing falls, those without falls, and individuals post-sac operation.
Main Methods:
- Enrolled 60 Meniere's disease patients: 20 with falls (Group A), 20 without falls (Group B), and 20 post-sac operation (Group C).
- Administered a comprehensive inner ear test battery to all participants.
Main Results:
- Group A (falls) showed abnormality rates: audiometry (92%), cVEMP (71%), caloric (42%), oVEMP (38%).
- Group B (no falls) presented a different sequence: audiometry, cVEMP, oVEMP, caloric.
- Group C (post-sac operation) mirrored Group A's sequence, suggesting a shared underlying mechanism.
Conclusions:
- The declining sequence of inner ear deficits differs between Meniere's disease patients with and without falls.
- Similarities in deficit patterns between fall-prone MD patients and those post-sac operation suggest shared pathophysiological mechanisms.
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