ENTtoday
  • Home
  • COVID-19
  • Practice Focus
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Departments
    • Issue Archive
    • TRIO Best Practices
      • Allergy
      • Facial Plastic/Reconstructive
      • Head and Neck
      • Laryngology
      • Otology/Neurotology
      • Pediatric
      • Rhinology
      • Sleep Medicine
    • Career Development
    • Case of the Month
    • Everyday Ethics
    • Health Policy
    • Legal Matters
    • Letter From the Editor
    • Medical Education
    • Online Exclusives
    • Practice Management
    • Resident Focus
    • Rx: Wellness
    • Special Reports
    • Tech Talk
    • Viewpoint
    • What’s Your O.R. Playlist?
  • Literature Reviews
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Events
    • Featured Events
    • TRIO Meetings
  • Contact Us
    • About Us
    • Editorial Board
    • Triological Society
    • Advertising Staff
    • Subscribe
  • Advertise
    • Place an Ad
    • Classifieds
    • Rate Card
  • Search

New Tools Emerge to Diagnose Ménière’s Disease

by Thomas R. Collins • November 1, 2013

  • Tweet
  • Email
Print-Friendly Version

He suggested that the committee ask Dr. Gibson to submit a technical guideline on the technique so that it could be performed in a standardized way.

You Might Also Like

No related posts.

Explore This Issue
November 2013

Imaging

Tsutomu Nakashima, MD, PhD, professor of otorhinolaryngology at Nagoya University Graduate School of Medicine in Nagoya, Japan, shared his findings on the imaging of endolymphatic hydrops (EH). The approach involves the injection of gadolinium, either intratympanically or intravenously. With intratympanic injection, imaging can be done after a 24-hour waiting period. With intravenous, the waiting period is four hours.

In a study conducted by Dr. Nakashima’s group, 25 ears were evaluated in patients with acute low-tone sensorineural hearing loss. Cochlear EH was found in 23 ears (92 percent), and vestibular EH was found in 22 ears (Otol Neurotol. 2013;34:1241-1246).

Dr. Nakashima said that there are many cases of asymptomatic EH, and that the asymptomatic form that precedes Meniere’s disease can be found more frequently using MRI than other techniques.

Dr. Hornibrook made a few cautionary remarks, though. He said that there’s a hope that MRI images will be the gold standard eventually, but “the problem is that there is variable penetration of gadolinium into the inner ear.” And, the pictures themselves are still “coarse” images in a tiny organ.

In his clinic, Dr. Hornibrook said, they are testing with tone-burst ECochG and applying intratympanic gadolinium for a scan the next day. “I can tell you already that tone-burst ECochG can detect hydrops well before it is visible on the scan,” he said.

Acute Attack Management

In other remarks, Dr. Hornibrook summarized the work of Leonardo Manzari, MD, of the MSA ENT Academy Center in Cassino, Italy, who was scheduled as a speaker but could not attend. Dr. Manzari has studied what is occurring physically during Meniere’s disease attacks.

“One important question for understanding the mechanism of Meniere’s disease is what is the status of the vestibular end-organs during an acute attack?” he said in a written summary of his work.

Ocular vestibular-evoked myogenic potential (oVEMP) and cervical vestibular-evoked myogenic potential (cVEMP) were measured in patients both during an attack and during a non-attack period. During attacks, his lab found, dynamic utricular function is enhanced, but saccular function is not similarly affected. “These results are to signify that a Meniere’s disease attack affects different otolithic regions differentially,” Dr. Manzari said in the summary. “A mechanical process rather than an ionic change in endolymph may be responsible for the MD attack.”

Pages: 1 2 3 | Single Page

Filed Under: Features, Otology/Neurotology, Practice Focus Tagged With: AAO-HNS annual meeting, diagnosis, inner ear disorder, Meniere's disease, MRIIssue: November 2013

You Might Also Like:

The Triological SocietyENTtoday is a publication of The Triological Society.

The Laryngoscope
Ensure you have all the latest research at your fingertips; Subscribe to The Laryngoscope today!

Laryngoscope Investigative Otolaryngology
Open access journal in otolaryngology – head and neck surgery is currently accepting submissions.

Classifieds

View the classified ads »

TRIO Best Practices

View the TRIO Best Practices »

Top Articles for Residents

  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Why More MDs, Medical Residents Are Choosing to Pursue Additional Academic Degrees
  • What Physicians Need to Know about Investing Before Hiring a Financial Advisor
  • Tips to Help You Regain Your Sense of Self
  • Should USMLE Step 1 Change from Numeric Score to Pass/Fail?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Vertigo in the Elderly: What Does It Mean?
    • Some Studies Predict a Shortage of Otolaryngologists. Do the Numbers Support Them?
    • Neurogenic Cough Is Often a Diagnosis of Exclusion
    • Complications for When Physicians Change a Maiden Name
    • Vertigo in the Elderly: What Does It Mean?
    • New Developments in the Management of Eustachian Tube Dysfunction
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Eustachian Tuboplasty: A Potential New Option for Chronic Tube Dysfunction and Patulous Disease
    • Tympanoplasty Tips: Otology Experts Give Advice on the Procedure
    • How Treatment for Obstructive Sleep Apnea (OSA) Is Evolving to Give Patients a Better Night’s Sleep
    • Vestibular Schwannoma Position Relative to Internal Auditory Canal Helps Predict Postoperative Facial Function
    • Vocal Fold Lipoaugmentation Provides Long-Term Voice Improvements for Glottal Insufficiency
    • Upper Lateral Cartilage Mucosal Flap Enables the Successful Closure of Larger Septal Perforations

Polls

Do you think there will be a shortage of otolaryngologists in the next five to 10 years?

View Results

Loading ... Loading ...
  • Polls Archive
  • Home
  • Contact Us
  • Advertise
  • Privacy Policy
  • Terms of Use

Visit: The Triological Society • The Laryngoscope • Laryngoscope Investigative Otolaryngology

Wiley
© 2022 The Triological Society. All Rights Reserved.
ISSN 1559-4939

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.