ISSN 1612-3352

Editors in Chief

Prof. Dr. Claus F. Claussen, Neurootological Research Institute of the Research Society for Smell, Taste, Hearing and Equilibrium Disorders at Bad Kissingen (4-G-F). Bad Kissingen, Germany.
Dr. med. Julia M. Bergmann,
Dr. med. Guillermo O. Bertora,
Otoneuroophthalmological Neurophysiology,
Buenos Aires, Argentina.

Production Managers

Dr. med. Julia M. Bergmann,
Dr. med. Guillermo O. Bertora,
Otoneuroophthalmological Neurophysiology,
Buenos Aires, Argentina.


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Meniere’s syndrome- is it a vascular lesion of inner ear?

Abstract

Introduction: The classic Menière’s disease triad is: recurrent, episodic vertigo, hearing loss, not always fluctuating, and aural fullness or/and tinnitus. The etiology of the labyrinthine hydrops is not clear. Some authors suggest a connection between Meniére’ s syndrome, and vascular disorders. Single photon emission computer tomography scanning has been shown to be more sensitive than morphologic imaging techniques, like MR and CT in many conditions.
Methods: The detailed case history evaluation was performed by conversation and questionnaire. The cochleovestibular function of all the patients was examined by separate cochlear nerve and vestibular function tests.
Results: Most of the patients have vertiginous attacks, but the duration of the attacks were variable. Either the shape of the audiograms, or the vestibular findings showed expressly variableness. 92,1% of all SPECT examination was pathological.
Discussion: In most of our cases the classic triad of Menière’s syndrome are present, but in few cases one of them is absent. The audiogram’s shapes were expressly variable, only 5% were the typical unilateral low frequency-hearing loss. In the diagnosing of the decreased blood flow as a reason of Menière’s syndrome the single photon emission computer tomography (SPECT) is a very useful diagnostic method.

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