The role of cochlear implantation in alleviating Tumarkin drop attacks of Meniere's disease;a case report
Chiara Filippi1
Edoardo Covelli1
Haitham H.Elfarargy2
Simonetta Monini1
Maurizio Barbara1
1.Department of Neuroscience,Mental Health,and Sense Organs(NEMOS),Sant'Andrea University Hospital,Sapienza University,Rome,Italy2.Department of Neuroscience,Mental Health,and Sense Organs(NEMOS),Sant'Andrea University Hospital,Sapienza University,Rome,Italy;Otorhinolaryngology Department,Kafrelsheikh University,Kafrelsheikh,Egypt
摘要：Ménière's disease(MD)patients may suffer episodes of sudden falls,named Tumarkin drop attacks(DAs).This fall occurs abruptly and without warning or loss of consciousness.DAs usually aggravate the clinical picture of MD and are challenging to manage.The present report describes a case treated by cochlear implantation(CI)due to concomitant deafness and offers some clinical considerations for this condition.A male patient aged 48 years with a 10-year history of definite bilateral MD had profound SNHL on the right and severe SNHL on the left side.He suffered from intermittent attacks of vertigo,ear fullness,and tinnitus and,in the last year,had developed DAs and experienced 14 episodes in the previous six months.The preoperative category of acoustic performance was 3.The Dizziness Handicap Inventory(DHI)questionnaire showed a total score of 46,which indicated a moderate degree of disability.A CI was planned for the right side.The patient did not report any further DAs episode for two years since then.The postoperative category of acoustic performance became 11,and the postoperative DHI questionnaire showed a decrease in the total score(from 46 to 19),which indicated a mild disability.Unilateral CI effectively alleviated the DAs associated with bilateral MD.Our report proposes a new modality for managing vertiginous symptoms in cases of MD with hearing loss without the need for more aggressive surgical interventions with the need for clinical trials to confirm our results.
机标关键词：reportcaseroledropalleviatingattackscochleardisease
论文发表日期：2023-09-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：5( 168-172 )
英文信息