Long Term Medical Treatment and Vestibular Rehabilitation in A Patient with Complicated Active Bilateral Meniere’s Disease
Background: Bilateral Meniere’s disease presents with attacks of vertigo leading to severe imbalance and oscillopsia. Sometimes, treatment of bilateral Meniere’s disease is challenging. The following case report presents an appropriate and successful management for a complicated Bilateral Meniere...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Shiraz University of Medical Sciences
2019-03-01
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| Series: | Journal of Rehabilitation Sciences and Research |
| Subjects: | |
| Online Access: | http://jrsr.sums.ac.ir/article_44714.html |
| _version_ | 1818475317481701376 |
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| author | Sadegh Jafarzadeh Mohammad Reza Golrokhian Sani |
| author_facet | Sadegh Jafarzadeh Mohammad Reza Golrokhian Sani |
| author_sort | Sadegh Jafarzadeh |
| collection | DOAJ |
| description | Background: Bilateral Meniere’s disease presents with attacks of vertigo leading
to severe imbalance and oscillopsia. Sometimes, treatment of bilateral Meniere’s
disease is challenging. The following case report presents an appropriate and
successful management for a complicated Bilateral Meniere’s disease.
Presentation of Case: Patient was a 42 years male referred with severe attacks
of vertigo, severe to profound bilateral hearing loss and severe tinnitus as well
as imbalance. Vestibular assessment was done with electronystagmography,
head impulse test, cervical and ocular vestibular evoked myogenic potential
that showed bilateral and widespread vestibular abnormality in the semicircular
canals and otolith systems. Patient had different medical treatments before
referring to us and we started some medical and rehabilitation treatments based
on his unstable conditions and followed him up for over three years.
Discussion: Vestibular rehabilitation is an approach for the management of
many vestibular abnormalities such as Meniere’s disease. It could help to resolve
vertigo and imbalance in acute and chronic stage of Meniere’s disease.
Conclusion: Vestibular rehabilitation may be helpful in controlling the acute
symptoms and helps to improve imbalance and oscillopsia. |
| first_indexed | 2024-12-10T09:11:23Z |
| format | Article |
| id | doaj.art-2ef10bf463814314b1acc6f04baecfb3 |
| institution | Directory Open Access Journal |
| issn | 2345-6159 2345-6159 |
| language | English |
| last_indexed | 2024-12-10T09:11:23Z |
| publishDate | 2019-03-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Journal of Rehabilitation Sciences and Research |
| spelling | doaj.art-2ef10bf463814314b1acc6f04baecfb32022-12-22T01:54:59ZengShiraz University of Medical SciencesJournal of Rehabilitation Sciences and Research2345-61592345-61592019-03-010601475010.30476/JRSR.2019.44714Long Term Medical Treatment and Vestibular Rehabilitation in A Patient with Complicated Active Bilateral Meniere’s DiseaseSadegh Jafarzadeh0Mohammad Reza Golrokhian Sani1Department of Audiology, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, IranOtolaryngologist, Otologist & Neurotologist, Sina Hospital, Mashhad, IranBackground: Bilateral Meniere’s disease presents with attacks of vertigo leading to severe imbalance and oscillopsia. Sometimes, treatment of bilateral Meniere’s disease is challenging. The following case report presents an appropriate and successful management for a complicated Bilateral Meniere’s disease. Presentation of Case: Patient was a 42 years male referred with severe attacks of vertigo, severe to profound bilateral hearing loss and severe tinnitus as well as imbalance. Vestibular assessment was done with electronystagmography, head impulse test, cervical and ocular vestibular evoked myogenic potential that showed bilateral and widespread vestibular abnormality in the semicircular canals and otolith systems. Patient had different medical treatments before referring to us and we started some medical and rehabilitation treatments based on his unstable conditions and followed him up for over three years. Discussion: Vestibular rehabilitation is an approach for the management of many vestibular abnormalities such as Meniere’s disease. It could help to resolve vertigo and imbalance in acute and chronic stage of Meniere’s disease. Conclusion: Vestibular rehabilitation may be helpful in controlling the acute symptoms and helps to improve imbalance and oscillopsia.http://jrsr.sums.ac.ir/article_44714.htmlmeniere’s diseasevestibular rehabilitationvertigoimbalance |
| spellingShingle | Sadegh Jafarzadeh Mohammad Reza Golrokhian Sani Long Term Medical Treatment and Vestibular Rehabilitation in A Patient with Complicated Active Bilateral Meniere’s Disease Journal of Rehabilitation Sciences and Research meniere’s disease vestibular rehabilitation vertigo imbalance |
| title | Long Term Medical Treatment and Vestibular Rehabilitation in A Patient with Complicated Active Bilateral Meniere’s Disease |
| title_full | Long Term Medical Treatment and Vestibular Rehabilitation in A Patient with Complicated Active Bilateral Meniere’s Disease |
| title_fullStr | Long Term Medical Treatment and Vestibular Rehabilitation in A Patient with Complicated Active Bilateral Meniere’s Disease |
| title_full_unstemmed | Long Term Medical Treatment and Vestibular Rehabilitation in A Patient with Complicated Active Bilateral Meniere’s Disease |
| title_short | Long Term Medical Treatment and Vestibular Rehabilitation in A Patient with Complicated Active Bilateral Meniere’s Disease |
| title_sort | long term medical treatment and vestibular rehabilitation in a patient with complicated active bilateral meniere s disease |
| topic | meniere’s disease vestibular rehabilitation vertigo imbalance |
| url | http://jrsr.sums.ac.ir/article_44714.html |
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