Menieres

[Rosbin]

What are the sudden drop attacks call, that Menieres patient suffer?
Please help.
Thanks

[Guy]

I am not aware that people with Meniere's disease are prone to drop attacks!
If this is happening then I would qestion the accuracy of the diagnosis.

[Guy]

Me again!
It seems there is a diversity of opinion over that one would describe as a "drop attack".
In my experience it is very rare for a true Meniere's patient to find themselves on the floor without warning (which is what I call a drop attack). In my book, any warning prior to falling is not a drop attack but it is clear that others define it differently.
A good site to visit is http://www.menieresinfo.com/symptoms.html
I suspect that you are referring to a Tumarkin crisis.
Happy reading!

[Rosbin]

Dear Guy
Thank you so much for the link. It was very useful and interesting to read.
Rosbin

[mullo]

Thanks for the great link. Explains Menieres in detail!!!

[fredrick @]

thanks Guy for the link re: Menieres disease but does anyone know of any interesting articles/papers/books about Menieres. Its just that I am writing an assignment about it at the moment. Its just a general overview of everything to do with Menieres. Thank you

[Gemma K @]

Hello,

Just wondering have you submitted your MD assignment yet? If not post a message and i will forward some titles as we recently submitted an assignment of MD at uni.

[fredrick @]

Hiya

No I havent submitted my MD assignment yet...that would be great thanks

[Gemma K @]

Hello What is your assignment question?

Here are some articles that might be helpful??

Shakeel R Saeed (199 Diagnosis and treatment of MD This can be obtained from BMJ over internet its Vol316.

A Review of the Pathophysiology of MD this is taken from ENT news Vol13 (1) (2004)

Schuknecht (1984) The Pathophysiology of MD The American Journal of Otology Vol5 (6) i had to order this.

Also try Audiologists Desk Ref Vol1 by Jamse Hall and Gustav Mueller.

You can always search pubmed but you are limited in regards to the full text articles that you an get.

Good Luck

[fredrick @]

I wasnt given an exact question but they just want between 4-6 pages about everything to do with MD. I have already looked at pubmed and some other resources. Thanks for your help

[Guy]

Everyone seems to accept that MD patients should reduce / eliminate salt and avoid excessive fluids but it would be nice to see if there is a convincing evidence base for that.

Your tutors might be impressed / amused if you made reference to diplacousis ("double hearing" - hearing the same frequency as 2 differing pitches in opposite ears), which is a common symptom in hydrops. Related to pressure-induced changes in travelling wave velocity and therefore pitch/place mapping on basilar membrane. Obvious really!
In fact I believe that documenting diplacousis was proposed as a diagnostic test of MD. Unfortunately the current breed of audiometers does not allow you to investigate diplacousis properly.
Good luck!

[fredrick @]

Thanks Guy that's really interesting I will look into that!

[kelumsanjeewa90]

MD and Salt restriction

I think this is something

(ref-Clinical advances and issues in vestibular medicine by Dr.Mohamed Hamid hamidma@ClevelandHearingBalance.com)

"In several animal studies, Auditory evoked brainstem response (ABR) and histopathology of stria were improved or stabilized in treated animals by comparison to untreated controls. Aldosterone in particular has been shown to have most positive effects on reversing stria pathology. This finding explains for the first time in our literature why a low salt diet has been helpful to most, but not all, patients with Meniere's disease. A low salt diet increases systemic aldosterone via the reninangiotensin cascade, which leads to increased aldosterone concentration; hence its positive effects on the inner ear homeostasis"