Abstract
Meniere’s disease (MD) may follow viral infection such as by neurotropic viruses known to invade the endolymphatic sac (ES) and provoke endolymphatic hydrops (EH). The objective of this study was to investigate whether neurotropic viruses may cause infection of the inner ear and provoke EH. Antiviral immunoglobulin (IgG) assay against herpes simplex 1 (HSV1), herpes simplex 2 (HSV2), adenovirus (ADV), varicella zoster virus (VZV) and cytomegalovirus (CMV) were performed in 109 patients with an advanced stage of MD and compared with those obtained from 26 patients operated on because of vestibular schwannoma (VS), who served as a control group, to evaluate whether there is an association between the IgG levels and the ECoGs summating potential/action potential ratio (SP/AP ratio) in the MD group. In MD patients, the IgG titre against VZV and ADV were significantly higher than in the control (schwannoma) group. However, no correlation was found between the IgG levels against ADV and VZV with the SP/AP ratio. Neurotropic viruses such VZV and ADV may play a role in the pathogenesis of MD, despite the absence of association between the levels of IgG titres and the SP/AP ratio
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Aalto SM, Linnavuori K, Peltola H, Vuori E, Weissbrich B, Schubert J, Hedman L, Hedman K (1998) Imunoreactivation of Epstein-Barr virus due to cytomegalovirus primary infection. J Med Virol 56:186–191
Altermatt HJ (1990) Human endolymphatic sac: evidence for a role in inner immune defense. ORL 52:143–148
Arbusow V, Theil D, Strupp M, Mascolo A, Brandt T (2001) HSV-1 not only in human vestibular ganglia but also in the vestibular labyrinth. Audiol Neurootol 6:259–262
Arenberg IK, Walker DW, Shambough E Jr (1991) The role of endolymphatic sac and viruses in the pathogenesis of endolymphatic hydrops: an ultrastructural analyses of endolymphatic sac biopsies. Surgery of the inner ear. Kugler, Amsterdam, pp 31–52
Arnold W, Niedermeyer HP (1997) Herpes simplex virus antibodies in the perilymph of patients with Meniere’s disease. Arch Otol HNS 123:53–66
Aso S, Watanabe Y, Mizukoshi K (1991) A clinical study of electrocochleography in Meniere’s disease. Acta Otolaryngol 111:44–52
Bergström T, Edström S, Tjellström A, Vahlne A (1992) Meniere’s disease and antibody reactivity to herpes simplex virus type 1 polypeptides. Am J Otol 13:295–300
Calenoff E, Zhao JC, Derlacki EL, Harrison WH, Selmeczi K, Dutra JC, Olson IR, Hanson DG (1995) Patients with Meniere’s disease possess IgE reacting with herpes family viruses. Arch Otolaryngol Head Neck Surg 121:861–864
Committee on hearing and equilibrium (1995) Guidelines for the diagnosis and evaluation of therapy in Meniere’s disease. American Academy of Otolaryngology and Head and Neck Foundation, Inc. Otolaryngol Head Neck Surg 113:181–185
Cotter CS, Singleton GT, Corman LC (1994) Immune-mediated inner ear disease and parvovirus B19. Laryngoscope 104:1235–1239
Davis LE, Johnson RT (1976) Experimental viral infection of the inner ear. Lab Invest 34:349–356
Derebery MJ (1997) The role of allergy in Meniere’s disease. Otolaryngol Clin North Am 30:1007–1016
Gussen R (1971) Meniere’s disease. New temporal bone findings in two cases. Laryngoscope 81:1695–1707
Hedman K, Lappalainen M, Söderlund M, Hedman L (1993) Avidity of IgG in serodiagnosis of infectious diseases. Rev Med Biol 4:123–129
Horner KC, Aurousseau C, Erre JP (1989) Long-term treatment with chlorthalidone reduces experimental hydrops but does not prevent the hearing loss. Acta Otolaryngologica (Stockh) 108:175–183
Hughes GB, Kinney SI, Barna BP, Calabrese LH (1983) Autoimmune reactivity in Meniere’s disease: a preliminary report. Laryngoscope 93:410–417
Kumagami M (1996) Detection of viral antigen in the endolymphatic sac. Eur Arch Otorhinolaryngol 253:264–267
Levine S, Margolis RH, Daly KA (1998) Use of electrocochleography in the diagnosis of Meniere’s Disease. Laryngoscope 108:993–1000
Linthicum FH, El-Rahman AGA (1980) Hydrops due to syphilitic endolymphatic duct obliteration. Laryngoscope 90:392–398
Markoulatos P, Fountoucidou P, Marinakis G, Krikelis V, Spyrou N, Vamkapoulos N, Monkany MLJ (1997) Clear detection and typing of herpes simplex types 1 and 2 by indirect ELISA assay: comparison with three different combined methods-capture ELISA, restriction enzymes, and polymerase chain reaction. J Clin Anal 11:146–153
Palva T, Hortling L, Ylikoski J (1978) Viral culture and electron microscopy of ganglion cells in Meniere’s disease. Acta Otolaryngol 86:269–275
Sata T, Kurata T, Takimoto T. Application of immunoperoxidase method for detection of viral antigens in paraffin sections. Pathol Clin Med (Tokyo) 6:287–294
Selmani Z, Pyykkö I, Ishizaki H, Ashammakhi N (2002) Use of electrocochleography in assessing endolymphatic hydrops in patients with Lyme disease and Meniere’s Disease. Acta Otolaryngol (Stockh) 122:173–178
Thiele GM, Okano M, Purlito DT (1989) Enzyme-linked immunosorbent assay (ELISA) for detecting antibodies in sera of patients with adenovirus infection. J Virol Methods 23:321–332
Welling BD, Daniels RL, Brainard J, Western LM, Prior TW (1994) Detection of viral DNA in endolymphatic sac tissue from Meniere’s disease patients. Am J Otol 5:639–643
Williams LL, Lowery HW, Shannon BT (1987) Evidence of persistent viral infection in Meniere’s disease. Arch Otolaryngol Head Neck Surg 113:397–400
Yazawa Y, Suzuki M, Hanamitsu M, Kimura H, Tooyama I (2003) Detection of viral DNA in the endolymphatic sac in Meniere’s disease by in situ hybridization. ORL J Otorhinolaryngol Relat Spec 65:162–168
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Selmani, Z., Marttila, T. & Pyykkö, I. Incidence of virus infection as a cause of Meniere’s disease or endolymphatic hydrops assessed by electrocochleography. Eur Arch Otorhinolaryngol 262, 331–334 (2005). https://doi.org/10.1007/s00405-004-0816-y
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DOI: https://doi.org/10.1007/s00405-004-0816-y