Bilateral Meniere's disease according to its form of debut: synchronous and metachronous disease

ObjectiveBilateral Meniere's disease is classified according to the time of appearance of symptoms in each ear into synchronous and metachronous types. A descriptive longitudinal study, involving 59 bilateral Meniere's disease patients, was carried out to assess the two forms of bilateral...

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Detalles Bibliográficos
Autores: Perez-Carbonell, Tomas, Orts-Alborch, Miguel, Perez-Guillen, Vanesa, Pla-Gil, Ignacio, Tenias-Burillo, Jose Maria, Marco-Algarra, Jaime, Perez-Garrigues, Herminio
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:INCLIVA
Repositorio:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
OAI Identifier:oai:incliva.fundanetsuite.com:p16954
Acceso en línea:https://incliva.portalinvestigacion.com/publicaciones/16954
Access Level:acceso abierto
Palabra clave:Meniere Disease
Vestibular System
Vertigo
Endolymphatic Hydrops
Longitudinal Studies
Vestibular Diseases
Descripción
Sumario:ObjectiveBilateral Meniere's disease is classified according to the time of appearance of symptoms in each ear into synchronous and metachronous types. A descriptive longitudinal study, involving 59 bilateral Meniere's disease patients, was carried out to assess the two forms of bilateral Meniere's disease. MethodData on symptomatic chronology in each ear, auditory evolution and evolution of vertiginous crisis, among other aspects, were obtained, analysed and compared. Possible risk factors for Meniere's disease becoming bilateral were analysed after conducting nested case-control studies in a cohort. ResultsThe metachronous form was seen in 76.3 per cent of cases, and the time it took for the disease to become bilateral took a median time of seven years. The symptomatic triad was the most frequent symptomatic debut for the first ear in both forms. Synchronous debut presented a greater average hearing loss. Suffering from migraine and a symptomatic onset with a greater number of symptoms appear to be possible predictors of conversion to bilateral Meniere's disease. ConclusionBilateral Meniere's disease temporal models presented differences. The study of them helps to better understand, prevent and predict the behaviour of these patients.