REPORT Drop Attacks e vertigine verticale dopo gentamicina transtimpanicadiagnosi e terapia I DALLAN L BRUSCHINI A NACCI AP CASANI Key words MeniereÕs disease Treatment Transtympanic g ID: 951443
Download Pdf The PPT/PDF document "Drop attacks and vertical vertigo after ..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
REPORT Drop attacks and vertical vertigo after trans-tympanic gentamicin: diagnosis and management Drop Attacks e vertigine verticale dopo gentamicina transtimpanica:diagnosi e terapia I. DALLAN, L. BRUSCHINI, A. NACCI, A.P. CASANI Key words MeniereÕs disease ¥ Treatment ¥ Transtympanic gentami- Parole chiave Malattia di MŽnire ¥ Terapia ¥ Gentamicina transtimpan- Drop attacks represent a significant problem during the I DrDAsDAsesentano una condizione clinicamolto fastidiosa che pu˜ presentarsi durante il corso della ma-e. Tipicamente il paziente riferisce di essere ca-duto improvvisamente senza perdita di conoscenza. La diagno-ticali possibile sia durante la m
alattia di MŽnire che do- MDMDcharacterized by fluctuating hearing loss, tinnitus,episodic vertigo and aural fullness. From a phys- DROP ATTACKS AFTER TRANSTYMPANIC GENTAMICIN . EHcan also alter the neural regulation ofMost patients can only undergo medical treatment. Inefficacy of trans-tympanic gentamicin for the controlVertical crises, due to vertical canal involvement, areto lateral canal involvement are predominant. The in-difference is possibly due to different diagnostic cri-teria. Otolithic crises, also defined as Tumarkin crisis,cause, in severe cases, ablative surgery is curative Case report suffering from definite right MD (class 4, PTA80) isbelow). After 3 injection
s, performed at intervals oftoms. Vertigo spells were typically associated withtone average (PTA, 4 frequencies 0.5-1-2-3 KHz) inthe right ear. When asked, the patient reported thatdifferent from the situation before trans-tympanictreatment. The patientÕs quality of life was very poortest was not performed. The sacculo-collic reflex wasplace a tympanostomy tube, in the right ear, and toplete destruction of the inner ear. The patient was al-so informed about the possibility of surgical trans-mastoid labyrintectomy, as an alternative. The gen-40 mg/ml40 mg/mlfered with 1 ml of sodi-um bicarbonate; in this way, we obtain a final con-centration of 26.7 mg/ml with pH 6.4. The patientwas instru
cted to put about 1 ml of solution in the ear,3 times a day. On days 1, 4, 7 etc., the patient returnedaudiometric test. We decided to stop the local appli-no more falls or vertigo attacks had occurred. The es-timated total dose of gentamicin was about 900-1000mg. After treatment, the patient complained of aLSCLSCVEMPs remainedVRVRAfter 2 months, the patient wasDGIDGIimproved from 7, before VR, to 19, after VR.At the present time (10 months after the end of treat- Drop attacks, first described by Tumarkin in 1936 asting the ground. Diagnosis of DAis not always veryout. The fear of falling, caused by DAs, is an impor-. Moreover, they tend tomechanical deformation of the otolith organ which.