梅尼埃病
医学
磁共振成像
听力学
测听
脑干
梅尼埃病
疾病
听觉脑干反应
鉴别诊断
前庭系统
前庭诱发肌源性电位
外科
放射科
听力损失
内科学
病理
作者
Fabrizio Salvinelli,Maurizio Trivelli,F. Anthony Greco,Mauro Silvestrini,Eugenia García‐Fernández,Roberto Pallini
出处
期刊:PubMed
日期:2000-05-29
卷期号:3 (3): 129-33
被引量:6
摘要
Bilateral Meniere's disease (MD) is still controversial due to different criteria used to assess the involvement of the primarily affected ear and the contralateral one. We evaluated the percentage of bilateral forms in 49 patients with MD.49 patients with (MD) were studied. All were selected according to the following requirements: history, tonal audiometry, glycerol test, Auditory Brainstem Response (ABR), vestibular examination. Magnetic Resonance (MR) was performed in 14 patients.A raised hearing threshold in the contralateral ear was found in 23 patients, but only 7 (14.3%) fulfilled the requirements to be considered affected by bilateral MD. The delay of occurrence in the contralateral ear was 7 years (from 5 to 12 years). Submillimeter Magnetic Resonance is determinant for differential diagnosis with Meniere-like syndromes.A conservative approach in surgical treatment of unilateral Meniere's disease is recommended because of the possibility of evolution in a bilateral form, that can occur even after 10 years from the onset of the disease.
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