A Test for Predicting the Next Episode in Ménière’s Disease
It would be very adventageous in the treatment of patients with Ménière’s disease to be able to predict the onset of the next episode and possibly prevent it by careful management. However, despite extensive research, an exact marker to warn of an impending episode is still obscure [1, 2]. Alfero  reported the diagnostic significance of fullness in the ear, which could be evoked by the increase of endolymphatic pressure. However, according to Schmidt et al. , only half of Ménière’s patients mentioned this feeling of fullness, and, in any event, this sensation did not always precede the attack. Other symptoms, such as increased occipital pain and changes in hearing are unreliable as signals for an oncoming attack of vertigo.
KeywordsNormal Type Severe Hydrops Endolymphatic Hydrops Slow Phase Velocity Abnormal Type
Unable to display preview. Download preview PDF.
- 1.Watanabe I (1976) Ménière’s disease research committee of Japan. In: Morimoto M (ed) Proceedings of the 5th extraordinary meeting of the Barany Society in Kyoto, 1975. Int J Equilibrium Res [Suppl] (Kyoto), pp 281–283Google Scholar
- 2.Mizukoshi K, Ino H, Ishikawa K, Watanabe Y, Yamazaki H, Kato I, Okubo J, Watanabe I (1979) Epidemiological survey of definite cases of Ménière’s disease collected by the seventeen members of the Ménière’s disease research committee of Japan in 1975–1976. Adv Otorhinolaryngol 25: 106–111PubMedGoogle Scholar
- 3.Alfero VR (1958) Diagnostic significance of fullness in the ear. JAMA 166: 329Google Scholar
- 4.Schmidt PH, Brunsting RC, Antvelink JB (1979) Ménière’s disease: Etiology and natural history. Acta Otolaryngol (Stockh) 87: 410–412Google Scholar
- 7.Kimura RS (1967) Experimental blockage of the endolymphatic duct and sac, and its effect on the inner ear of the guinea pig. Ann Otol Rhinol Laryngol 76: 604–687Google Scholar