Vertigo and fluctuating hearing-loss : Differential diagnosis: Ménière's disease, migraine, and psychogenic vertigo.
Summary of "Vertigo and fluctuating hearing-loss : Differential diagnosis: Ménière's disease, migraine, and psychogenic vertigo."
We present the case of a female patient suffering from recurrent vertigo and low-frequency hearing loss who was admitted for inpatient treatment with the diagnosis of Ménière's disease. After evaluation of all diagnostic examinations, including psychosomatic evaluation, a diagnosis of vestibular migraine with accompanying psychogenic vertigo could be confirmed and was treated accordingly. Neurotologic findings and the corresponding literature are reported.
Affiliation
Tinnitus-Klinik Dr. Hesse im Stadtkrankenhaus Bad Arolsen, Große Allee 50, 34454, Bad Arolsen, Deutschland, hschaaf@tinnitus-klinik.net.
Journal Details
This article was published in the following journal.
Name: HNO
ISSN: 1433-0458
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/21544600
- DOI: http://dx.doi.org/10.1007/s00106-011-2312-1
Medical and Biotech [MESH] Definitions
Meniere Disease
A disease of the inner ear (LABYRINTH) that is characterized by fluctuating SENSORINEURAL HEARING LOSS; TINNITUS; episodic VERTIGO; and aural fullness. It is the most common form of endolymphatic hydrops.
Hearing Loss, Central
Hearing loss due to disease of the AUDITORY PATHWAYS (in the CENTRAL NERVOUS SYSTEM) which originate in the COCHLEAR NUCLEI of the PONS and then ascend bilaterally to the MIDBRAIN, the THALAMUS, and then the AUDITORY CORTEX in the TEMPORAL LOBE. Bilateral lesions of the auditory pathways are usually required to cause central hearing loss. Cortical deafness refers to loss of hearing due to bilateral auditory cortex lesions. Unilateral BRAIN STEM lesions involving the cochlear nuclei may result in unilateral hearing loss.
Diagnostic Techniques, Otological
Methods and procedures for the diagnosis of diseases of the ear or of hearing disorders or demonstration of hearing acuity or loss.
Hearing Loss, Noise-induced
Hearing loss due to exposure to explosive loud noise or chronic exposure to sound level greater than 85 dB. The hearing loss is often in the frequency range 4000-6000 hertz.
Migraine With Aura
A subtype of migraine disorder, characterized by recurrent attacks of reversible neurological symptoms (aura) that precede or accompany the headache. Aura may include a combination of sensory disturbances, such as blurred VISION; HALLUCINATIONS; VERTIGO; NUMBNESS; and difficulty in concentrating and speaking. Aura is usually followed by features of the COMMON MIGRAINE, such as PHOTOPHOBIA; PHONOPHOBIA; and NAUSEA. (International Classification of Headache Disorders, 2nd ed. Cephalalgia 2004: suppl 1)
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