Ménière's disease (MD) patients may suffer episodes of sudden falls, named Tumarkin drop attacks (DAs). This fall occurs abruptly and without warning or loss of consciousness. DAs usually aggravate the clinical picture of MD and are challenging to manage. The present report describes a case treated by cochlear implantation (CI) due to concomitant deafness and offers some clinical considerations for this condition. A male patient aged 48 years with a 10-year history of definite bilateral MD had profound SNHL on the right and severe SNHL on the left side. He suffered from intermittent attacks of vertigo, ear fullness, and tinnitus and, in the last year, had developed DAs and experienced 14 episodes in the previous six months. The preoperative category of acoustic performance was 3. The Dizziness Handicap Inventory (DHI) questionnaire showed a total score of 46, which indicated a moderate degree of disability. A CI was planned for the right side. The patient did not report any further DAs episode for two years since then. The postoperative category of acoustic performance became 11, and the postoperative DHI questionnaire showed a decrease in the total score (from 46 to 19), which indicated a mild disability. Unilateral CI effectively alleviated the DAs associated with bilateral MD. Our report proposes a new modality for managing vertiginous symptoms in cases of MD with hearing loss without the need for more aggressive surgical interventions with the need for clinical trials to confirm our results.

The role of cochlear implantation in alleviating Tumarkin drop attacks of Meniere's disease; a case report / Filippi, Chiara; Covelli, Edoardo; Elfarargy Haitham, H; Monini, Simonetta; Barbara, Maurizio. - In: JOURNAL OF OTOLOGY. - ISSN 1672-2930. - 18:3(2023), pp. 168-172. [10.1016/j.joto.2023.06.002]

The role of cochlear implantation in alleviating Tumarkin drop attacks of Meniere's disease; a case report

Filippi Chiara
Primo
;
Covelli Edoardo
;
Monini Simonetta;Barbara Maurizio
Ultimo
2023

Abstract

Ménière's disease (MD) patients may suffer episodes of sudden falls, named Tumarkin drop attacks (DAs). This fall occurs abruptly and without warning or loss of consciousness. DAs usually aggravate the clinical picture of MD and are challenging to manage. The present report describes a case treated by cochlear implantation (CI) due to concomitant deafness and offers some clinical considerations for this condition. A male patient aged 48 years with a 10-year history of definite bilateral MD had profound SNHL on the right and severe SNHL on the left side. He suffered from intermittent attacks of vertigo, ear fullness, and tinnitus and, in the last year, had developed DAs and experienced 14 episodes in the previous six months. The preoperative category of acoustic performance was 3. The Dizziness Handicap Inventory (DHI) questionnaire showed a total score of 46, which indicated a moderate degree of disability. A CI was planned for the right side. The patient did not report any further DAs episode for two years since then. The postoperative category of acoustic performance became 11, and the postoperative DHI questionnaire showed a decrease in the total score (from 46 to 19), which indicated a mild disability. Unilateral CI effectively alleviated the DAs associated with bilateral MD. Our report proposes a new modality for managing vertiginous symptoms in cases of MD with hearing loss without the need for more aggressive surgical interventions with the need for clinical trials to confirm our results.
2023
Cochlear implant; hearing loss; Ménière's disease; Tumarkin drop attacks
01 Pubblicazione su rivista::01i Case report
The role of cochlear implantation in alleviating Tumarkin drop attacks of Meniere's disease; a case report / Filippi, Chiara; Covelli, Edoardo; Elfarargy Haitham, H; Monini, Simonetta; Barbara, Maurizio. - In: JOURNAL OF OTOLOGY. - ISSN 1672-2930. - 18:3(2023), pp. 168-172. [10.1016/j.joto.2023.06.002]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1691203
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