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Menstruation and its Association with Vertigo in Meniere's Disease: A Prospective Study


Affiliations
1 ENT Head & Neck Surgery, Govt. Medical College Srinagar, J&K, India
2 ENT Head & Neck Surgery, District Hospital Budgam, India
3 ENT Head & Neck Surgery, India
4 ENT Head & Neck Surgery, Institution: Govt. Medical College Srinagar, J&K, India
     

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Study design: Prospective case control study. Method: This study was conducted in the Department of Otorhinolaryngology, Head & Neck Surgery, S.M.H.S Hospital, an associated hospital of Government Medical College Srinagar, for a period of 22 months w.e.f January 2011 to October 2012. In this prospective study 40 patients presenting with the symptom complex of Meniere's disease were enrolled. Patients were divided into two groups. Group A included 26 female patients of the premenopausal age group and Group B included 14 female patients of the postmenopausal age group. The main outcome measure used was "the average no. of definitive episodes of vertigo per month averaged over a period of 12 months" was computed in two groups and compared. Results: • In Group A the average number of definitive episodes of vertigo averaged over a period of 12 months was 0.272 as against 0.143 in the Group B.(p< 0.05) • Of 23 patients in Group A, 17 patients (70%) reported exacerbation of Meniere's disease symptoms during premenstrual period. • Of 12 patients in Group B, 8 patients had premenopausal onset of Meniere's disease and out of these 8 patients, 5 patients (62.5%) reported improvement of Meniere's disease symptoms after menopause. Conclusion: Hormonal changes occurring during premenstrual period have a definitive impact on the symptomatic profile of Meniere's disease.

Keywords

Meniere, Vertigo, Premenstruation, Hormonal
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  • Lustig LR, Lalwani A : The history of Meniere’s disease.Otolaryngology Clinic of North America. 1997 Dec; 30(6): 917-45.

  • N. J. P. Beasley and N. S. Jones: Meniere’s disease: evolution of a definition.The Journal of Laryngology and Otology 1996; 110:1107-1113.

  • C. S. Hallpike:Meniere’s Disease.Postgraduate Medical Journal. 1955 July; 31(357): 330–340.

  • Committee on Hearing and Equilibrium guidelines for the diagnosis and evaluation of therapy in Meniere’s disease. American Academy of Otolaryngology-Head and Neck Foundation, Inc.Otolaryngology Head and Neck Surgery. 1995 Sep;113(3):181-5.

  • P. H. Van De Heyning, F. L. Wuyts, J. Claes, et al:Definition, Classification and Reporting of Meniere’s disease and its Symptoms.Deptt. of Otorhinolaryngology, University of Hospital of Antwerp, Belgium 1997, Vol. 117, Nos 526, Pages 5-9.

  • E Stapleton and R Mills:Clinical diagnosis of Meniere’s disease: how useful are the American Academy of Otolaryngology Head and Neck Surgery Committee on Hearing and Equilibrium guidelines.The Journal of Laryngology & Otology (2008), 122: 773-779.

  • Michael E. Glasscock III, MD, FACS, William E. Davis, MD, FACS.:Medical management of Meniere’s disease.Annals of Otolaryngology 90:1981;142-47.

  • Paparella MM, Mancini F:Vestibular Meniere’s disease.Otolaryngology Head and Neck Surgery. 1985 Apr; 93(2):148-51.

  • Mancini F, Catalani M, Carru M, et al:History of Meniere’s disease and its clinical presentation.Otolaryngologic Clinics of North America. 2002 Jun; 35(3):565-80.

  • House JW, Doherty JK, Fisher LM, et al:Meniere’s disease: prevalence of contralateral ear involvement.Otology and Neurotology. 2006 Apr; 27(3): 355-61.

  • Mizukoshi K, Ino h, Ishikawa, et al: Epidemiological survey of definite cases of Meniere’s disease: Meniere’s Disease Research Committee of Japan.Find all citations by this author (default). Orfilter your current search Advances in Otorhinolaryngology.1979;25:106-11.

  • Da Costa SS, de Sousa LC, Piza MR:Meniere’s disease: overview, epidemiology, and natural history.Otolaryngologic Clinics of North America. 2002 June; 35(3):455-95.

  • Morales Angulo C, Find all citations by this author (default). Castellanos R:Find all citations by this author (default). OrEpidemiology of Meniere’s disease inCantabria.Acta Otorrinolaringologica Espanola 2003; 54(9): 601-605).

  • Martin Gonzalez C, Gonzalez FM, Trinidad A, et al: Medical management of Meniere’s disease: a 10-year case series and review of literature.European Archives of Otorhinolaryngology.2010 Sep; 267(9):1371-6.

  • Lee CS, Paparella MM, Margolis RH, et al:Audiological profiles and Meniere’s disease.Ear Nose and Throat Jounal. 1995 Aug; 74(8):527-32.

  • Morales Angulo C, Find all citations by this author (default). Orfilter your current search Gomez Castellanos R, Find all citations by this author (default). Orfilter your current search Garcia Mantilla J:Find all citations by this author (default).Orfilter your current search Epidemiology of Meniere’s disease in Cantabria.Acta Otorrinolaringologica Espanola 2003; 54(9): 601-605.

  • Etsuo Yamamoto and Chikashi Mizukami:Development of the Vestibular Aqueduct in Meniere’s Disease.Acta Otolaryngologica 1993; Vol. 113, Nos 504: Pages 46-50.

  • Jackler RK, Luxford WM, Brackmann DE et al:Endolymphatic sac surgery in congenital malformations of the inner ear.Deptt. of Otolaryngology—Head and Neck Surgery, University of California, San Francisco.Laryngoscope. 1988 Jul; 98(7): 698-704.

  • Robert S. Kimura:Animal models of inner ear vascular disturbances.American Journal of Otolaryngology March 1986; Volume 7, Issue 2, 4 Pages 130-139.

  • K. L. Evans, D. L. Baldwin, D. Bainbridge et al:Immune status in patients with Meniere’s disease.European archives of otorhinolaryngology 1998; Volume 245, Number 5: 287-292.

  • K.C. Horner:Old theme and new reflections: Hearing impairment associated with endolymphatic hydrops.Hearing Research March 1991; Volume 52, Issue 1, Pages 147-156.

  • Wolfgang Arnold, Hans P. Niedermeyer:Herpes Simplex Virus Antibodies in the Perilymph of Patients With Meniere Disease.Archives of Otolaryngology Head and Neck Surgery. 1997; 123(1): 53-56. 23. Klockars T, Kentala E:Inheritance of Meniere’s disease in the Finnish population.Archives Otolaryngology Head Neck Surgery. 2007 Jan; 133(1): 73-7.

  • Arweiler-Harbeck D, Horsthemke B, Jahnke K, et al:Genetic aspects of familial Meniere’s disease.Otology and Neurotology. 2011 Jun; 32(4):695-700.

  • Frykholm, Carina; Larsen, Hans-Christian; Dahl, Niklas; et al:Familial Meniere’s Disease in Five Generations.Otology and Neurotology. 2006 August; 27(5): 681-6. 26. Michael M. Paparella:Pathogenesis and Pathophysiology of Meniere’s disease.Minnesota Ear, Head and Neck Clinic, Minneapolis, MN, 55454, USA:1991, Vol. 111, No. s485 , Pages 26-35.

  • Turkiye Klinikleri:Meniere’s disease and Tinnitus.Journal of E.N.T.-Special Topics 2010; 3(2):60-3.

  • Mari Havia, Erna Kentala:Progression of Symptoms of Dizziness in Meniere’s Disease.Archives of Otolaryngology Head and Neck Surgery. 2004; 130: 431-435..

  • Herraiz C, Tapia MC, Plaza G:Tinnitus and Meniere’s disease: characteristics and prognosis in a tinnitus clinic sample.European Archives of Otorhinolaryngology. 2006 Jun; 263(6): 504-9.

  • Mari Havia, Erna Kentala:Hearing Loss and Tinnitus in Meniere’s Disease.Arch Otolaryngol Head Neck Surg. 2004; 130: 431-435..

  • Tokumasu K, Fujino A, Naganuma H, et al:Initial symptoms and retrospective evaluation of prognosis in Meniere’s disease.Acta Otolaryngologica Supplementum. 1996;524:43-9.

  • Romero Sanchez I, Perez Garrigues H, Rodriguez Rivera V:Clinical characteristics of tinnitus in Meniere’s disease.Acta Otorrinolaringologica Espanola. 2010 Sep-Oct; 61(5): 327-31.

  • Havia M, Kentala E, Pyykko I:Hearing loss and tinnitus in Meniere’s disease.Auris Nasus Larynx. 2002 Apr; 29(2):115-9. 34. William H, Slattery III MD, Joes N Fayad:Medical treatment of Meniere’s disease.The Otolaryngologic Clinics of North America 1997; 30(6): 1027–1037.

  • Greenberg, Simon; Julian Nedzelski:Medical and Noninvasive Therapy for Meniere’s Disease.The Otolaryngologic Clinics of North America 2010; 43 (5): 1081–1090.

  • James C. Andrews, Gregory A. Ator, Vicente Honrubia:The Exacerbation of Symptoms in Meniere’s Disease During the Premenstrual Period.Archives Otolaryngologica Head and Neck Surgery. 1992; 118(1): 74-78.

  • Morse GG, House JW:Changes in Meniere’s disease responses as a function of the menstrual cycle.Nursing Research. 2001 Sep-Oct; 50(5): 286-292.

  • Andrews JC, Honrubia V:Premenstrual exacerbation of Meniere’s disease revisited.Otolaryngologic Clinics of North America. 2010 Oct; 43(5): 1029-40

  • H. Sajjadi, M. Paparella:Meniere’s disease.The Lancet 2008; Volu42.

  • Gacek RR, Gacek MR:Comparison of labyrinthectomy and vestibular neurectomy in the control of vertigo.Laryngoscope. 1996 Feb; 106(2 Pt 1): 225-30.

  • Langman AW, Lindeman RC:Surgical labyrinthectomy in the older patient.Otolaryngology Head and Neck Surgery. 1998 Jun; 118(6):739-42.

  • Levent sennaroglu, Farzin Mottaghian Dini, Gonca Sennaroglu, et al:Transtympanic dexamethasone application in Meniere’s disease: an alternative treatment for intractable vertigo.The Journal of Laryngology and Otology 1999; 113: 217-221.

  • Krzeska-Malinowska I, M, Kowalska M:The role of immunological factors in Meniere’s disease.Otolaryngolgia Polska. 2002; 56(5): 583-587.

  • Jackler RK, Luxford WM, Brackmann DE et al:Endolymphatic sac surgery in congenital malformations of the inner ear.Deptt. of Otolaryngology Head and Neck Surgery, University of California, San Francisco. Laryngoscope. 1988 Jul; 98(7): 698-704.

  • Thomsen J, Bonding P, Becker B, et al:The nonspecific effect of endolymphatic sac surgery in treatment of Meniere’s disease: a prospective, randomized controlled study comparing “classic” endolymphatic sac surgery with the insertion of a ventilating tube in the tympanic membrane.Acta Otolaryngologica. 1998 Nov; 118(6): 769-73.

  • Shojaku H, Watanabe Y, Mineta H, et al:Longterm effects of the Meniett device in Japanese patients with Meniere’s disease and delayed endolymphatic hydrops reported by the Middle Ear Pressure Treatment Research Group of Japan.Acta Otolaryngologica. 2011 Mar; 131(3): 277-83.


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  • Menstruation and its Association with Vertigo in Meniere's Disease: A Prospective Study

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Authors

Rahil Muzaffar
ENT Head & Neck Surgery, Govt. Medical College Srinagar, J&K, India
Owais Mattoo
ENT Head & Neck Surgery, Govt. Medical College Srinagar, J&K, India
Shafqat Islam
ENT Head & Neck Surgery, District Hospital Budgam, India
Imran Sheikh
ENT Head & Neck Surgery, India
Rauf Ahmad
ENT Head & Neck Surgery, Institution: Govt. Medical College Srinagar, J&K, India

Abstract


Study design: Prospective case control study. Method: This study was conducted in the Department of Otorhinolaryngology, Head & Neck Surgery, S.M.H.S Hospital, an associated hospital of Government Medical College Srinagar, for a period of 22 months w.e.f January 2011 to October 2012. In this prospective study 40 patients presenting with the symptom complex of Meniere's disease were enrolled. Patients were divided into two groups. Group A included 26 female patients of the premenopausal age group and Group B included 14 female patients of the postmenopausal age group. The main outcome measure used was "the average no. of definitive episodes of vertigo per month averaged over a period of 12 months" was computed in two groups and compared. Results: • In Group A the average number of definitive episodes of vertigo averaged over a period of 12 months was 0.272 as against 0.143 in the Group B.(p< 0.05) • Of 23 patients in Group A, 17 patients (70%) reported exacerbation of Meniere's disease symptoms during premenstrual period. • Of 12 patients in Group B, 8 patients had premenopausal onset of Meniere's disease and out of these 8 patients, 5 patients (62.5%) reported improvement of Meniere's disease symptoms after menopause. Conclusion: Hormonal changes occurring during premenstrual period have a definitive impact on the symptomatic profile of Meniere's disease.

Keywords


Meniere, Vertigo, Premenstruation, Hormonal

References