Abstract
Vertigo patients exhibiting features of vestibular migraine (VM) and Menière’s disease (MD) present a difficult diagnostic challenge to the clinician, and the two entities are likely to overlap. The aim of the present study was to investigate the occurrence of endolymphatic hydrops in patients with VM and auditory symptoms. This was an observatory diagnostic study. At an academic interdisciplinary dizziness centre, nineteen consecutive patients with definite or probable VM and auditory symptoms were examined by locally enhanced inner ear MR imaging. MR images were evaluated for the presence of endolymphatic hydrops. Of the 19 included patients, four patients (21 %) demonstrated evidence of cochlear and vestibular endolymphatic hydrops on locally enhanced inner ear MR imaging (three with “definite VM”, one with “probable VM”). Locally enhanced inner ear MR imaging may be useful in the diagnostic evaluation of patients with VM and auditory symptoms, as some of these patients have signs of endolymphatic hydrops. Whether these patients suffer from MD only and are misdiagnosed as VM or suffer from both, VM and MD or whether endolymphatic hydrops is a consequence of inner ear damage due to VM are clinically relevant questions that can be evaluated by application of this technique.
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Acknowledgments
This study was supported by the Federal German Ministry of Education and Research (grant no. 01EO0901). The corresponding author had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
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None of the authors has a conflict of interest to declare. None of the authors has any financial conflict of interest to declare.
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This study was supported by the Federal German Ministry of Education and Research (grant No. 01EO0901).
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Gürkov, R., Kantner, C., Strupp, M. et al. Endolymphatic hydrops in patients with vestibular migraine and auditory symptoms. Eur Arch Otorhinolaryngol 271, 2661–2667 (2014). https://doi.org/10.1007/s00405-013-2751-2
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DOI: https://doi.org/10.1007/s00405-013-2751-2