Ried UE, Ried GE, Martínez C

Language: Spanish
References: 18
Page: 48-52
PDF size: 205.34 Kb.

ABSTRACT

Objective: To investigate if the cause of Meniere disease is peripheral-cochlear or if it has a central component.
Patients and methods: Retrospective study analyzing the responses of central afferent auditory system in 36 patients with vertigo and imbalance, fluctuating hypoacusis and tinnitus, who were clinically considered with the classic Meniere disease. They were studied with the usual otoneurological exams and central afferent auditory way was studied with the averaged auditory brain mapping. This study was done in all patients by sonorous stimulation of an ear and then afferent responses were recorded on the brain cortex till 15 miliseconds, by a computerized electroencephalograph of 22 channels; responses were averaged to eliminate non auditory brain activity, which permitted, by quick Fourier transform, to do a topographic map of the electrical responses of the brain stem and the brain zones processing audition. An ear was first examined and then the other. Brain map obtained in 36 patients with unilateral Meniere disease, repeated in the different phases of the auditory fluctuation, were compared to those obtained from healthy persons and without auditory diseases.
Results: In all patients with Meniere disease it was found afferent signal disorder in the contra lateral primary auditory brain cortex and the ipsilateral secondary auditory cortex.
Conclusions: This response of the auditory brain cortex, different from that found in persons without this disease, could be useful to find the causes of Meniere disease.

REFERENCES

1. Atkinson M. Ménière’s original papers: reprinted with an English translation together with commentaries and biographical sketch. Acta Otolaryngol 1961;(Suppl 162):1-78.

2. Paparella MM. Pathogenesis and pathophisiology of Ménière disease. Acta Otolaryngol (Stockh) 1991;485(Suppl): 26-35.

3. Wrisley DM, et al. Cervicogenic dizziness: a review of diagnosis and treatment. J Orthop Sports Phys Ther 2000;30(12):755-66.

4. Delucchi E. Comunicación personal, 1978. 5. Glenn JD. Medical management of migraine-related dizziness and vertigo. Laryngoscope 1998;Supplement.

5. Lance JW. Current concepts of migraine pathogenesis. Neurology 1993;43(Suppl):S11-5.

6. Woodhouse A, Drummond PD. Mechanism of increased sensitivity to noise and light in migraine headache. Cephalalgia 1993;13:417-21.

7. Podoshin, Ben David J, Pratt H, et al. Auditory brainstem evoked potential in patient with migraine. Headache 1987;27:27-29.

8. Penfield W. Vestibular sensation and the vestibular cortex. Ann Otol 1957;66:691-8.

9. Ishiyama A, Lopez I, Wackym PA. Subcelular innervation patterns of the calcitonin gene-related peptidergic efferent terminals in the chinchilla vestibular periphery. Otolaryngol Head Neck Surg 1994;111:385-95.

10. Schuerger RJ, Balaban CD. Immunohistochemical demonstration of regionally selective projections from locus coeruleus to the vestibular nuclei in rats. Exp Brain Res 1993;92:351-9.

11. Cutrer FM, Baloh RW. Headache 1992;32:300-4.

12. Glover V, Jarman J, Sandler M. Migraine and depression: biological aspects. J Psychiatr Res 1993;27:223-31.

13. Di Duro J. Vestibular migraine: objective diagnostic criteria. Neurol Sci 2003;24:80-81.

14. Ried UE, Ried GE, Peragallo GA, Adrian H. Síndrome de sordera por inhibición retrococlear eferente. Acta Otorrinolaring Esp 1993;44:253-5.

15. Harold KH, Richard WJ, Battista AR. Trends in the diagnosis and the management of Ménière disease: result of a survey. Otolaryngol Head Neck Surg 2005;132:722-6.

16. Riveros H, Cohen M, Badía P, Anabalón JL, Correa C. Utilidad de la prueba calórica mínima. Rev Otorrinolaringol Cir Cabeza Cuello 2005;65:193-6.

17. Délano P, Robles I, Robles L. Sistema eferente auditivo. Rev Otorrinolaringol Cir Cabeza Cuello 2005;65:55-62.

18. Ried UE, Ried GE, Martínez C. Nuevo método para el estudio clínico de la vía auditiva, en tronco cerebral y en corteza auditiva primaria y secundaria, utilizando el mapeo cerebral auditivo promediado en los primeros 15 ms después de aplicar sonido en un oído. Acta Otorrinolaring Esp 1999;50(5):349-53.