Diagnostics of Meniere’s Disease by Objective Methods of Examination


Authors: S. Krempaská;  J. Kovaľ;  J. Mihaľková
Authors‘ workplace: Klinika otorinolaryngológie a chirurgie hlavy a krku UNLP, Košice primár prof. MUDr. J. Kovaľ, CSc.
Published in: Otorinolaryng. a Foniat. /Prague/, 65, 2016, No. 1, pp. 3-8.
Category: Original Papers

Overview

Meniere’s disease in a disease, which is characterized by three basic symptoms: vertigo hearing disorders and “humming” and/or feeling of pressure in the ear. The diagnostics of Meniere’s disease is increasingly based on symptomatology and clinical course of the disease rather than the results of objective tests. Although an objective test, which could diagnose Meniere’s disease univocally, is still missing and in order to confirm or exclude under the diagnosis all circumstances, attention is more and more paid to the possibility of using objective methods of examination. The authors examined, in the course of two years, 82 patients, where Meniere’s disease was supposed to occur. The patients were divided to three groups: the established Meniere’s disease (34 patients) probable Meniere’s disease (24 patients) and possible Meniere’s disease (24 patients).

The paper describes the results of examination is these patients – oto-acoustic emissions, stem evoked potentials, analysis of the results of evoked potentials by means of auditory masking, examination of vestibular evoked potentials, caloric tests, electrocochleography Meniere’s, and NMR examinations.

In our opinion, the examination of patients with Meniere’s disease by means of objective methods of examination is a standard diagnostic procedure. The evaluation of all results accents the precision of diagnosis establishment and contributes to diagnosis of early stage of the disease. The early discovery extends the possibilities of selecting a broader spectrum of therapy and postpones definitive changes in the sensory epithelium of inner ear.

KEYWORDS:
Meniere’s disease, vertigo, tinnitus, hypoacusis, objective examination methods, VEMP, OAE, BERA, CHAMP, ECoChg (electrocochleograpy), caloric test


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Audiology Paediatric ENT ENT (Otorhinolaryngology)
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