Positional Nystagmus after Acute Vertiginous Attack in Meniere’s Disease
There have been no reports regarding nystagmus observed immediately after the end of an acute vertiginous attack in patients with Meniere’s disease. The aim of this study was to demonstrate positional direction-changing nystagmus in patients with Meniere’s disease, and to discuss the mechanism that...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-02-01
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| Series: | Audiology Research |
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| Online Access: | https://www.mdpi.com/2039-4349/11/1/7 |
| _version_ | 1797413731199614976 |
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| author | Haemin Noh Dong-Han Lee Jung Eun Shin Chang-Hee Kim |
| author_facet | Haemin Noh Dong-Han Lee Jung Eun Shin Chang-Hee Kim |
| author_sort | Haemin Noh |
| collection | DOAJ |
| description | There have been no reports regarding nystagmus observed immediately after the end of an acute vertiginous attack in patients with Meniere’s disease. The aim of this study was to demonstrate positional direction-changing nystagmus in patients with Meniere’s disease, and to discuss the mechanism that underlies this nystagmus. Video-nystagmography was recorded in two patients with definite Meniere’s disease, who showed positional direction-changing nystagmus during the period immediately after a vertigo attack. In one patient, video-nystagmographic recording was conducted 5 h after an episode of vertigo attack, and it showed very weak, persistent positional geotropic direction-changing nystagmus. In the other patient, video-nystagmographic recording was conducted 23 h after an episode of vertigo attack, and it showed very weak, persistent positional apogeotropic direction-changing nystagmus. Our patients exhibited very weak, persistent positional direction-changing nystagmus, which was geotropic in one and apogeotropic in the other. This type of positional nystagmus has been reported in other inner ear disorders and it cannot be clearly explained by typical benign paroxysmal positional vertigo. The change in chemical composition and/or electrolyte concentration of the inner ear fluid, although still unclear, may underlie the production of this characteristic nystagmus in these patients. |
| first_indexed | 2024-03-09T05:22:35Z |
| format | Article |
| id | doaj.art-cf13b9b0340441ecb5ad5cd0aa68f686 |
| institution | Directory Open Access Journal |
| issn | 2039-4349 |
| language | English |
| last_indexed | 2024-03-09T05:22:35Z |
| publishDate | 2021-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Audiology Research |
| spelling | doaj.art-cf13b9b0340441ecb5ad5cd0aa68f6862023-12-03T12:39:42ZengMDPI AGAudiology Research2039-43492021-02-01111556210.3390/audiolres11010007Positional Nystagmus after Acute Vertiginous Attack in Meniere’s DiseaseHaemin Noh0Dong-Han Lee1Jung Eun Shin2Chang-Hee Kim3Department of Otorhinolaryngology-Head and Neck Surgery, Research Institute of Medical Science, Konkuk University School of Medicine, Konkuk University Medical Center, Seoul 05029, KoreaDepartment of Otorhinolaryngology-Head and Neck Surgery, Research Institute of Medical Science, Konkuk University School of Medicine, Konkuk University Medical Center, Seoul 05029, KoreaDepartment of Otorhinolaryngology-Head and Neck Surgery, Research Institute of Medical Science, Konkuk University School of Medicine, Konkuk University Medical Center, Seoul 05029, KoreaDepartment of Otorhinolaryngology-Head and Neck Surgery, Research Institute of Medical Science, Konkuk University School of Medicine, Konkuk University Medical Center, Seoul 05029, KoreaThere have been no reports regarding nystagmus observed immediately after the end of an acute vertiginous attack in patients with Meniere’s disease. The aim of this study was to demonstrate positional direction-changing nystagmus in patients with Meniere’s disease, and to discuss the mechanism that underlies this nystagmus. Video-nystagmography was recorded in two patients with definite Meniere’s disease, who showed positional direction-changing nystagmus during the period immediately after a vertigo attack. In one patient, video-nystagmographic recording was conducted 5 h after an episode of vertigo attack, and it showed very weak, persistent positional geotropic direction-changing nystagmus. In the other patient, video-nystagmographic recording was conducted 23 h after an episode of vertigo attack, and it showed very weak, persistent positional apogeotropic direction-changing nystagmus. Our patients exhibited very weak, persistent positional direction-changing nystagmus, which was geotropic in one and apogeotropic in the other. This type of positional nystagmus has been reported in other inner ear disorders and it cannot be clearly explained by typical benign paroxysmal positional vertigo. The change in chemical composition and/or electrolyte concentration of the inner ear fluid, although still unclear, may underlie the production of this characteristic nystagmus in these patients.https://www.mdpi.com/2039-4349/11/1/7Meniere’s diseasenystagmusvertigo |
| spellingShingle | Haemin Noh Dong-Han Lee Jung Eun Shin Chang-Hee Kim Positional Nystagmus after Acute Vertiginous Attack in Meniere’s Disease Audiology Research Meniere’s disease nystagmus vertigo |
| title | Positional Nystagmus after Acute Vertiginous Attack in Meniere’s Disease |
| title_full | Positional Nystagmus after Acute Vertiginous Attack in Meniere’s Disease |
| title_fullStr | Positional Nystagmus after Acute Vertiginous Attack in Meniere’s Disease |
| title_full_unstemmed | Positional Nystagmus after Acute Vertiginous Attack in Meniere’s Disease |
| title_short | Positional Nystagmus after Acute Vertiginous Attack in Meniere’s Disease |
| title_sort | positional nystagmus after acute vertiginous attack in meniere s disease |
| topic | Meniere’s disease nystagmus vertigo |
| url | https://www.mdpi.com/2039-4349/11/1/7 |
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