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Trabalzini Franco - One of the best experts on this subject based on the ideXlab platform.

  • European Position Statement on Diagnosis, and Treatment of Meniere's Disease
    'AVES Publishing Co.', 2018
    Co-Authors: Magnan Jacques, Özgirgin O Nuri, Trabalzini Franco, Lacour Michel, Escamez, Antonio Lopez, Magnusson Mans, Güneri, Enis Alpin, Guyot Jean-philippe, Nuti Daniele, Mandalà Marco
    Abstract:

    Meniere Disease keeps challenges in its diagnosis and treatment since was defined by Prosper Meniere at the beginning of 19th Century. Several classifications and definition were made until now and speculations still exist on its etiology. As the etiology remains speculative the treatment models remain in discussion also. The European Academy of Otology and Neurotology Vertigo Guidelines Study Group intended to work on the diagnosis and treatment of Meniere's disease and created the European Positional Statement Document also by resuming the consensus studies on it. The new techniques on diagnosis are emphasized as well as the treatment models for each stage of the disease are clarified by disregarding the dilemmas on its treatment. The conservative, noninvasive and invasive therapeutic models are highlighted

  • M. Menière : Diagnostische Kriterien des Internationalen Klassifikationskomitees der Bárány-Gesellschaft
    'Springer Science and Business Media LLC', 2017
    Co-Authors: Lopez-escamez, Jose A, Mandalà Marco, Carey J., Chung Won-ho, Goebel, Joel A., Magnusson M., Newman-toker, David E, Strupp Michael, Suzuki M., Trabalzini Franco
    Abstract:

    This paper presents diagnostic criteria for Menière’s disease jointly formulated by the Classification Committee of the Bárány Society, The Japan Society for Equilibrium Research, the European Academy of Otology and Neurotology (EAONO), the Equilibrium Committee of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) and the Korean Balance Society. The classification includes two categories: definite Menière’s disease and probable Menière’s disease. The diagnosis of definite Menière’s disease is based on clinical criteria and requires the observation of an episodic vertigo syndrome associated with low- to medium-frequency sensorineural hearing loss and fluctuating aural symptoms (hearing, tinnitus and/or fullness) in the affected ear. Duration of vertigo episodes is limited to a period between 20 min and 12 h. Probable Menière’s disease is a broader concept defined by episodic vestibular symptoms (vertigo or dizziness) associated with fluctuating aural symptoms occurring in a period from 20 min to 24 h

  • Criterios diagnósticos de enfermedad de Menière. Documento de consenso de la Bárány Society, la Japan Society for Equilibrium Research, la European Academy of Otology and Neurotology (EAONO), la American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) y la Korean Balance Society
    'Elsevier BV', 2016
    Co-Authors: Lopez-escamez, Jose A, Magnusson Mans, Mandalà Marco, Chung Won-ho, Goebel, Joel A., Newman-toker, David E, Strupp Michael, Carey John, Suzuki Mamoru, Trabalzini Franco
    Abstract:

    This paper presents diagnostic criteria for Menière's disease jointly formulated by the Classification Committee of the Bárány Society, The Japan Society for Equilibrium Research, the European Academy of Otology and Neurotology (EAONO), the Equilibrium Committee of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) and the Korean Balance Society. The classification includes 2 categories: definite Menière's disease and probable Menière's disease. The diagnosis of definite Menière's disease is based on clinical criteria and requires the observation of an episodic vertigo syndrome associated with low-to medium-frequency sensorineural hearing loss and fluctuating aural symptoms (hearing, tinnitus and/or fullness) in the affected ear. Duration of vertigo episodes is limited to a period between 20min and 12h. Probable Menière's disease is a broader concept defined by episodic vestibular symptoms (vertigo or dizziness) associated with fluctuating aural symptoms occurring in a period from 20min to 24h

Douglas A Chen - One of the best experts on this subject based on the ideXlab platform.

  • long term outcomes of cartilage buttressed t tube tympanoplasty for prolonged middle ear ventilation
    Laryngoscope, 2019
    Co-Authors: Steven Zuniga, Sean Larner, David M Souza, Andleeb Khan, Todd A Hillman, Douglas A Chen
    Abstract:

    Objectives/hypothesis To report on the safety and efficacy of cartilage-buttressed T-tube tympanoplasty for long-term middle ear ventilation, specifically by examining duration of tube survival, as well as adverse events associated with prolonged middle ear intubation, including persistent tympanic membrane perforation. Study design Retrospective case series of patients undergoing cartilage-buttressed T-tube tympanoplasty between January 2005 and December 2016 in a tertiary-care Neurotology private practice. Methods Patients who underwent cartilage T-tube tympanoplasty with complete pre- and postoperative audiometric data and a minimum follow-up duration of 12 months were analyzed. T-tube survival and adverse events including persistent tympanic membrane perforation were recorded and compared to published data for other long-term middle ear ventilation techniques. Results The study cohort included 72 cartilage-buttressed T-tube tympanoplasties in 68 patients. Median tube survival was 34 months (range, 2-131 months). Incidence of persistent tympanic membrane perforation (n = 1) was 1.4% CONCLUSIONS: Cartilage-buttressed T-tube tympanoplasty is a safe and effective means of accomplishing long-term middle ear ventilation with a considerably lower rate of persistent tympanic membrane perforation as compared to alternative methods of prolonged middle ear ventilation. Level of evidence 4 Laryngoscope, 129:203-208, 2019.

  • association of benign intracranial hypertension and spontaneous encephalocele with cerebrospinal fluid leak
    Otology & Neurotology, 2012
    Co-Authors: Laura Brainard, Douglas A Chen, Khaled Aziz, Todd A Hillman
    Abstract:

    ObjectiveTo determine the incidence of intracranial hypertension in patients with spontaneous encephalocele with cerebrospinal fluid (CSF) leak.Study DesignRetrospective case review.SettingTertiary care Neurotology practice.PatientsPatients presenting between 2008 and 2011 with spontaneous encephalo

  • acoustic neuroma in a private Neurotology practice trends in demographics and practice patterns
    Laryngoscope, 2007
    Co-Authors: Douglas A Chen
    Abstract:

    Objectives/Hypothesis: To determine whether changes in demographics and management of patients with acoustic neuromas occurred between the years 1990 and 2005. Study Design: Retrospective chart review. Methods: Charts of all 614 patients with a diagnosis of acoustic neuroma, excluding neurofibromatosis-2, from 1990 through 2005 were reviewed. Age at diagnosis, tumor size, hearing, and initial therapy (observation, stereotactic radiation, or surgical excision) were obtained. Patients were grouped by time period (1990–1994, 1995–2000, 2001–2005). Results: Mean age at diagnosis increased slightly from the middle period (53.4 yr) to the most recent (56.9 yr) (P ≤ .025). The proportion of patients 65 years or older increased from 21% to 29% to 32%, respectively, but the change was not significant. Average tumor size decreased from 1.7 cm initially to 1.4 cm most recently (P ≤ .039). There were no significant changes in hearing. Although surgical excision remains our most common treatment (58.5% in 2001–2005), it is becoming less frequent (>80% in earlier periods) (P ≤ .001). Observation with serial imaging was recommended in 37.3% in 2001 to 2005 as compared with 18.3% and 11.6% in the previous two time periods (P ≤ .001). These changes in initial treatment choices occurred for all age groups and primarily for small tumors. Use of radiation has increased only slightly, to 4.2% in the recent period. Conclusion: Patients with acoustic neuroma are presenting with increased age and smaller tumors compared with 16 years ago. However, these changes cannot totally account for the large change in treatment trends. Technology and demographics are influential in these changes, but other difficult to measure forces, such aspatient influence and patient use of the Internet, are also factors.

Robert W Baloh - One of the best experts on this subject based on the ideXlab platform.

  • the relevance of migraine in patients with meniere s disease
    Acta Oto-laryngologica, 2007
    Co-Authors: Y H Cha, Jae Brodsky, Gail Ishiyama, Chiara Sabatti, Robert W Baloh
    Abstract:

    Conclusion. Coexistent migraine affects relevant clinical features of patients with Meniere's disease (MD). Objective. Epidemiological studies have shown an association between migraine and MD. We sought to determine whether the coexistence of migraine affects any clinical features in patients with MD. Patients and methods. In this retrospective case-control study of University Neurotology Clinic patients, 50 patients meeting 1995 AAO-HNS criteria for definite MD were compared to 18 patients meeting the same criteria in addition to the 2004 IHS criteria for migraine (MMD). All had typical low frequency sensorineural hearing loss and episodes of rotational vertigo. Outcome measures included: sex, age of onset of episodic vertigo or fluctuating hearing loss, laterality of hearing loss, aural symptoms, caloric responses, severity of hearing loss, and family history of migraine, episodic vertigo or hearing loss. Results. Age of onset of episodic vertigo or fluctuating hearing loss was significantly lower in p...

  • migraine associated vertigo
    Acta Oto-laryngologica, 2005
    Co-Authors: Krister Brantberg, Natalie Trees, Robert W Baloh
    Abstract:

    Conclusions It is probably not wise to demand a temporal relationship between migraine symptoms and vertigo for the definition of migrainous vertigo. When recurrent vertigo attacks begin at an early age in a patient with normal hearing and migraine, there are few diagnoses other than migraine that need to be considered. Objective The clinical association between migraine and vestibular symptoms, such as dizziness, motion intolerance and spontaneous attacks of vertigo, is well documented. Recently, investigators have attempted to develop diagnostic criteria for this association. We hypothesized that there are multiple migraine-associated vestibular syndromes and studied a more homogenous subset of them (benign recurrent vertigo). Material and methods A structured interview was conducted over the telephone with 40 patients who presented to our Neurotology clinic with benign recurrent vertigo and met the International Headache Society criteria for migraine. The structured interview was also conducted with 40...

  • charles skinner hallpike and the beginnings of Neurotology
    Neurology, 2000
    Co-Authors: Robert W Baloh
    Abstract:

    Article abstract Although the symptom of vertigo had been well-recognized for several thousand years, it was not until the pioneering work of Prosper Meniere in the mid-19th century that it was appreciated that vertigo could originate from damage to the inner ear. Before that time, patients with vertigo (regardless of the cause) were said to have “cerebral congestion,” a condition resulting from excessive blood filling the brain. Bloodletting and leeches to relieve the congestion were the treatment of choice. The discovery of endolymphatic hydrops in temporal bone specimens from patients with Meniere’s disease by Hallpike and Cairns in 1938 marked the beginning of modern Neurotology. For the first time, vertigo was correlated with specific pathophysiology. Propelled by his temporal bone work, Charles Hallpike received an appointment at the National Hospital at Queen Square, where he developed an internationally renowned Neurotology clinic. His bithermal caloric test and positional tests are still routinely used in evaluation of the vertiginous patient.

  • migraine and benign positional vertigo
    Annals of Otology Rhinology and Laryngology, 2000
    Co-Authors: Akira Ishiyama, Kathleen M Jacobson, Robert W Baloh
    Abstract:

    Because inner ear symptoms are common in patients with migraine, we questioned whether benign positional vertigo (BPV) is more common in patients with migraine than in the general population. We reviewed the records of 247 patients seen in our Neurotology clinic over the past 5 years with a confirmed diagnosis of BPV. Each patient had the typical history of BPV, and in each case the characteristic torsional vertical positioning nystagmus was identified. All were interviewed regarding migraine symptoms by means of standard International Headache Society criteria. Migraine was 3 times more common in patients with BPV of unknown cause than in those with BPV secondary to trauma or surgical procedures. Most patients were cured with the particle repositioning maneuver, regardless of the cause. Presumably, patients with migraine suffer recurrent damage to the inner ear (due to vasospasm or some other mechanism) that predisposes them to recurrent bouts of BPV.

  • Neurotology of migraine
    Headache, 1997
    Co-Authors: Robert W Baloh
    Abstract:

    Neurotologic symptoms are common with migraine, yet relatively little is known about the pathophysiology of such symptoms. Motion sensitivity with bouts of motion sickness occurs in about two thirds of patients with migraine. Episodes of vertigo occur in about one fourth of patients and, in some, vertigo is the only symptom (so-called "migraine equivalent"). Phonophobia is the most common auditory symptom, but fluctuating hearing loss and acute permanent hearing loss occur in a small percentage. Migraine can mimic Meniere's disease and so-called "vestibular Meniere's disease" is usually associated with migraine. The recent discovery of a mutation in a brain calcium-channel gene in families with hemiplegic migraine and in families with episodic vertigo and ataxia suggests a possible mechanism for neurotologic symptoms in patients with more common varieties of migraine. A defective calcium channel, primarily expressed in the brain and inner ear, could lead to reversible hair cell depolarization and auditory and vestibular symptoms. This hypothesis is currently being investigated in other families with migraine headaches and neurotologic symptoms. Hopefully, such studies will lead to improved diagnosis and better treatments in the future.

Craig A Buchman - One of the best experts on this subject based on the ideXlab platform.

Lopez-escamez, Jose A - One of the best experts on this subject based on the ideXlab platform.

  • M. Menière : Diagnostische Kriterien des Internationalen Klassifikationskomitees der Bárány-Gesellschaft
    'Springer Science and Business Media LLC', 2017
    Co-Authors: Lopez-escamez, Jose A, Mandalà Marco, Carey J., Chung Won-ho, Goebel, Joel A., Magnusson M., Newman-toker, David E, Strupp Michael, Suzuki M., Trabalzini Franco
    Abstract:

    This paper presents diagnostic criteria for Menière’s disease jointly formulated by the Classification Committee of the Bárány Society, The Japan Society for Equilibrium Research, the European Academy of Otology and Neurotology (EAONO), the Equilibrium Committee of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) and the Korean Balance Society. The classification includes two categories: definite Menière’s disease and probable Menière’s disease. The diagnosis of definite Menière’s disease is based on clinical criteria and requires the observation of an episodic vertigo syndrome associated with low- to medium-frequency sensorineural hearing loss and fluctuating aural symptoms (hearing, tinnitus and/or fullness) in the affected ear. Duration of vertigo episodes is limited to a period between 20 min and 12 h. Probable Menière’s disease is a broader concept defined by episodic vestibular symptoms (vertigo or dizziness) associated with fluctuating aural symptoms occurring in a period from 20 min to 24 h

  • Criterios diagnósticos de enfermedad de Menière. Documento de consenso de la Bárány Society, la Japan Society for Equilibrium Research, la European Academy of Otology and Neurotology (EAONO), la American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) y la Korean Balance Society
    'Elsevier BV', 2016
    Co-Authors: Lopez-escamez, Jose A, Magnusson Mans, Mandalà Marco, Chung Won-ho, Goebel, Joel A., Newman-toker, David E, Strupp Michael, Carey John, Suzuki Mamoru, Trabalzini Franco
    Abstract:

    This paper presents diagnostic criteria for Menière's disease jointly formulated by the Classification Committee of the Bárány Society, The Japan Society for Equilibrium Research, the European Academy of Otology and Neurotology (EAONO), the Equilibrium Committee of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) and the Korean Balance Society. The classification includes 2 categories: definite Menière's disease and probable Menière's disease. The diagnosis of definite Menière's disease is based on clinical criteria and requires the observation of an episodic vertigo syndrome associated with low-to medium-frequency sensorineural hearing loss and fluctuating aural symptoms (hearing, tinnitus and/or fullness) in the affected ear. Duration of vertigo episodes is limited to a period between 20min and 12h. Probable Menière's disease is a broader concept defined by episodic vestibular symptoms (vertigo or dizziness) associated with fluctuating aural symptoms occurring in a period from 20min to 24h