Meniere's Disease and Vestibular Migraine: Updates and Review of the Literature.
This study showed no difference between the three groups. Since the introduction of the new International Headache Society and Barany Society criteria for VM, no studies have focused on comparing these three groups. We strongly encourage authors to focus on comparing MD and VM from MDVM in future studies to help adequately distinguish the diagnosis of both diseases. PMID: 28811849 [PubMed] (Source: Clin Med Res)
Source: Clin Med Res - August 18, 2017 Category: Research Authors: Tabet P, Saliba I Tags: J Clin Med Res Source Type: research
Tinnitus and temporomandibular joint disorder subtypes
Publication date: September 2017 Source:Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, Volume 124, Issue 3 Author(s): SUSEE PRIYANKA RAVURI (Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology)
Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology - August 18, 2017 Category: ENT & OMF Source Type: research
Tinnitus and temporomandibular joint disorder subtypes
The purpose of this study was to assess prevalence of tinnitus within a TMD population and to determine an association between the presence of tinnitus and type of TMD diagnoses. (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - August 17, 2017 Category: ENT & OMF Authors: SUSEE PRIYANKA RAVURI Source Type: research
P309 Tinnitus rTMS treatment guided by local synchronicity of the resting state fMRI – A case report
In tinnitus rTMS treatment, the inhibitory 1Hz stimulation is commonly delivered to left auditory cortex and/or left temporoparietal junction (TPJ). We aimed to improve rTMS-targeting with fMRI measurements. (Source: Clinical Neurophysiology)
Source: Clinical Neurophysiology - August 17, 2017 Category: Neuroscience Authors: Tuomo Starck, Tuija Kein änen, Vesa Kiviniemi, Mika Kallio, Usko Huuskonen Source Type: research
Rete mirabile associated with pial arteriovenous fistula: imaging features with literature review
We present the first described association of rete mirabile with pial arteriovenous fistula and discuss its clinical presentation and imaging features, with a review of the literature for bilateral carotid and vertebral rete mirabile. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - August 17, 2017 Category: Neurosurgery Authors: Mondel, P. K., Saraf, R., Limaye, U. S. Tags: Neuroimaging Source Type: research
When to Worry about Ringing in Your Ears
Have you ever heard a ringing in your ears and wondered what to do? Up to 50 million people report having tinnitus in the U.S. Yet it is typically a benign condition. What can cause it? And how... -- Read more on ScientificAmerican.com (Source: Scientific American)
Source: Scientific American - August 16, 2017 Category: Science Authors: House Call Doctor Sanaz Majd Tags: Health The Body Mind Source Type: research
Incidence of Discomfort During Pure-Tone Audiometry and Measurement of Uncomfortable Loudness Levels Among People Seeking Help for Tinnitus and/or Hyperacusis.
Conclusion: The starting presentation levels used for pure-tone audiometry and measurement of ULLs should be lower than those recommended by the BSA for people with tinnitus and hyperacusis. PMID: 28810267 [PubMed - as supplied by publisher] (Source: American Journal of Audiology)
Source: American Journal of Audiology - August 15, 2017 Category: Audiology Authors: Aazh H, Moore BCJ Tags: Am J Audiol Source Type: research
No auditory experience, no tinnitus: Lessons from subjects with congenital- and acquired single-sided deafness.
This study enrolled 20 subjects with congenital SSD and 44 subjects with acquired SSD and examined the presence and characteristics of tinnitus in the groups. None of the 20 subjects with congenital SSD perceived tinnitus on the affected side, whereas 30 of 44 subjects with acquired SSD experienced tinnitus on the affected side. Additionally, there were significant positive correlations between tinnitus characteristics and the audiometric characteristics of the SSD. In accordance with the findings of the recent animal study, tinnitus was absent in subjects with congenital SSD, but relatively frequent in subjects with acqui...
Source: Hearing Research - August 15, 2017 Category: Audiology Authors: Lee SY, Nam DW, Koo JW, De Ridder D, Vanneste S, Song JJ Tags: Hear Res Source Type: research
Long-Term Progression of Sensorineural Hearing Loss and Tinnitus after Combined Intensity-Modulated Radiation Therapy and Cisplatin-Based Chemotherapy for Nasopharyngeal Carcinoma: A Case Report
We report a case of 12-year follow-up from a patient with stage IIB NPC, treated in 2004 with intensity-modulated radiotherapy and cisplatin-based chemotherapy. Pure-tone audiograms were conducted before treatment and at two other points in the 12-year period after treatment. Analysis of the patient ’s audiograms reveals that the development of high-frequency SNHL started after treatment and reached a plateau accompanied by tinnitus approximately 32 months after treatment conclusion. After the plateau, high-frequency SNHL continued to develop slowly in the next 10 years, possibly a long-term effect from radiation-ind...
Source: Case Reports in Oncology - August 9, 2017 Category: Cancer & Oncology Source Type: research
Associations between cardiovascular disease and its risk factors with hearing loss —A cross‐sectional analysis
ObjectivesTo investigate the relationship between hearing loss and cardiovascular disease risk factors. DesignCross‐sectional study. MethodsParticipants were recruited between May 2010 and December 2015 and answered a health and risk factor questionnaire. Physical and biochemical assessments were performed. SettingA community‐based population. ParticipantsA total of 5107 participants born within the years 1946‐1964 enrolled in the Busselton Healthy Ageing Study. Main outcome measuresHearing was assessed behaviourally through the best ear pure‐tone average (500, 1000, 2000, 4000 Hz), low‐frequency average (25...
Source: Clinical Otolaryngology - August 9, 2017 Category: ENT & OMF Authors: H.E. Tan, N.S.R. Lan, M.W. Knuiman, M.L. Divitini, D.W. Swanepoel, M. Hunter, C.G. Brennan ‐Jones, J. Hung, R.H. Eikelboom, P.L. Santa Maria Tags: ORIGINAL ARTICLE Source Type: research
Situationally influenced tinnitus coping strategies: a mixed methods approach.
CONCLUSIONS: The main problematic tinnitus situations for this cohort were identified. Both active and passive coping styles were applied to approach these situations. The coping strategies used most frequently and utilised in the widest range of problematic situations were using sound enrichment and diverting attention. Implications for Rehabilitation The main problematic tinnitus situations for this group of participants were identified. Overall, a limited range of strategies were used to deal with individual problematic situations. The use of sound enrichment and diverting attention was applied in the widest range of pr...
Source: Disability and Rehabilitation - August 9, 2017 Category: Rehabilitation Authors: Beukes EW, Manchaiah V, Andersson G, Allen PM, Terlizzi PM, Baguley DM Tags: Disabil Rehabil Source Type: research
[Diagnostic criteria for Meni ère's disease according to the Classification Committee of the Bárány Society].
[Diagnostic criteria for Menière's disease according to the Classification Committee of the Bárány Society]. HNO. 2017 Aug 02;: Authors: Lopez-Escamez JA, Carey J, Chung WH, Goebel JA, Magnusson M, Mandalà M, Newman-Toker DE, Strupp M, Suzuki M, Trabalzini F, Bisdorff A Abstract This paper presents diagnostic criteria for Menière's disease jointly formulated by the Classification Committee of the Bárány Society, The Japan Society for Equilibrium Research, the European Academy of Otology and Neurotology (EAONO), the Equilibrium Committee of the American A...
Source: HNO - August 6, 2017 Category: ENT & OMF Tags: HNO Source Type: research
1-Hz rTMS in the treatment of tinnitus: A sham-controlled, randomized multicenter trial
Conclusion Real 1-Hz-rTMS over the left temporal cortex was well tolerated but not superior compared with sham rTMS in improving tinnitus severity. These findings are in contrast to results from studies with smaller sample sizes and put the efficacy of this rTMS protocol for treatment of chronic tinnitus into question. Trial Registration Controlled Trials: http://www.isrctn.com/ISRCTN89848288. (Source: Brain Stimulation)
Source: Brain Stimulation - August 5, 2017 Category: Neurology Source Type: research
1-Hz rTMS in the treatment of tinnitus: A sham-controlled, randomized multicenter trial
Chronic tinnitus is a frequent, difficult to treat disease with high morbidity. (Source: BRAIN STIMULATION: Basic, Translational, and Clinical Research in Neuromodulation)
Source: BRAIN STIMULATION: Basic, Translational, and Clinical Research in Neuromodulation - August 4, 2017 Category: Neurology Authors: Michael Landgrebe, G öran Hajak, Stefan Wolf, Frank Padberg, Philipp Klupp, Andreas J. Fallgatter, Thomas Polak, Jacqueline Höppner, Rene Haker, Joachim Cordes, Thomas Klenzner, Carlos Schönfeldt-Lecuona, Thomas Kammer, Erika Graf, Michael Koller, Tobi Source Type: research
Predictors of Preoperative Tinnitus in Unilateral Sporadic Vestibular Schwannoma
Georgios Naros, Joey Sandritter, Marina Liebsch, Alex Ofori, Ahmed R. Rizk, Giulia Del Moro, Florian Ebner, Marcos Tatagiba (Source: Frontiers in Neurology)
Source: Frontiers in Neurology - August 3, 2017 Category: Neurology Source Type: research
Prolonged low-level noise-induced plasticity in the peripheral and central auditory system of rats
Publication date: 17 September 2017 Source:Neuroscience, Volume 359 Author(s): Adam M. Sheppard, Guang-Di Chen, Senthilvelan Manohar, Dalian Ding, Bo-Hua Hu, Wei Sun, Jiwei Zhao, Richard Salvi Prolonged low-level noise exposure alters loudness perception in humans, presumably by decreasing the gain of the central auditory system. Here we test the central gain hypothesis by measuring the acute and chronic physiologic changes at the level of the cochlea and inferior colliculus (IC) after a 75-dB SPL, 10–20-kHz noise exposure for 5weeks. The compound action potential (CAP) and summating potential (SP) were used to asse...
Source: Neuroscience - August 2, 2017 Category: Neuroscience Source Type: research
Psychoacoustic classification of persistent tinnitus
Conclusion Classifying persistent tinnitus as pure tone or noise, present at high or low frequency and establishing its different characteristics allow us to know its peculiarities and the effects of this symptom in patients’ lives. (Source: Brazilian Journal of Otorhinolaryngology)
Source: Brazilian Journal of Otorhinolaryngology - August 2, 2017 Category: ENT & OMF Source Type: research
The Otology Questionnaire Amsterdam: a generic patient reported outcome measure about the severity and impact of ear complaints. A cross ‐sectional study on the development of this questionnaire
ConclusionThe OQUA is a generic, otologic PROM designed to evaluate the severity of ear complaints and their impact on patients lives.This article is protected by copyright. All rights reserved. (Source: Clinical Otolaryngology)
Source: Clinical Otolaryngology - August 1, 2017 Category: ENT & OMF Authors: E. M Bruinewoud, J T Kraak, L.M van Leeuwen, S.E Kramer, P Merkus Tags: Original Article Source Type: research
Chorioretinal Lesions and Symptoms of Elevated Intracranial Pressure
A man in his 40s presented with a 3-week history of intermittent facial tingling, pulsatile tinnitus, acute-onset worsening blurry vision, altered color perception, and paracentral scotomas in both eyes. Dilated fundus examination revealed mild optic disc edema and hyperemia along with large, pale-yellowish, placoid lesions within the macula of both eyes. What would you do next? (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - August 1, 2017 Category: Opthalmology Source Type: research
Customized Versus Noncustomized Sound Therapy for Treatment of Tinnitus: A Randomized Crossover Clinical Trial.
Abstract OBJECTIVES: To determine the effectiveness of a customized sound therapy and compare its effectiveness to that of masking with broadband noise. METHODS: Subjects were randomized to receive either customized sound therapy or broadband noise for 2 hours per day for 3 months and then switched to the other treatment after a washout period. The outcome variables were tinnitus loudness (scored 0-10), Tinnitus Handicap Inventory (THI), Beck Anxiety Inventory (BAI), minimum masking levels (MML), and residual inhibition (RI). RESULTS: Eighteen subjects completed the study. Mean age was 53 ± 11 yea...
Source: The Annals of Otology, Rhinology, and Laryngology - August 1, 2017 Category: ENT & OMF Authors: Mahboubi H, Haidar YM, Kiumehr S, Ziai K, Djalilian HR Tags: Ann Otol Rhinol Laryngol Source Type: research
Otolaryngic manifestations of Cushing disease.
Abstract Cushing disease is a relatively rare cause of Cushing syndrome secondary to a hyperfunctioning pituitary adenoma. In addition to signs and symptoms of hypercortisolism, Cushing disease may present with diverse otolaryngic manifestations, which may guide diagnosis and management. We performed a retrospective chart review of patients who were found to have Cushing disease and who underwent transnasal transsphenoidal surgery for pituitary adenomas between January 1, 2007, and July 1, 2014, at a tertiary academic medical center. There were 37 consecutive patients in this series with Cushing disease caused by ...
Source: Ear, Nose and Throat Journal - August 1, 2017 Category: ENT & OMF Authors: Kuan EC, Peng KA, Suh JD, Bergsneider M, Wang MB Tags: Ear Nose Throat J Source Type: research
Platelet-rich plasma myringoplasty: A new office procedure for the repair of small tympanic membrane perforations.
Abstract We conducted a prospective study to assess the effectiveness of a platelet-rich plasma hourglass graft in the repair of small tympanic membrane perforations as an office-based procedure. Our study population was made up of 25 patients-10 men and 15 women, aged 19 to 45 years (mean: 30.4 ± 7.2)-who each underwent repair of one eardrum. After administration of topical anesthesia, a single piece of platelet-rich plasma approximately double the size of the perforation was obtained from each patient's intravenous blood sample. After the margin of the perforation was freshened, the platelet-rich plasma w...
Source: Ear, Nose and Throat Journal - August 1, 2017 Category: ENT & OMF Authors: El-Anwar MW, Elnashar I, Foad YA Tags: Ear Nose Throat J Source Type: research
Clinical Reasoning: A 22-year-old man with diplopia
A 22-year-old previously healthy man presented to an ophthalmology clinic with binocular horizontal diplopia. He had recently traveled to the main island of Hawaii. About 2 weeks after returning home, he developed a severe headache with associated fever, emesis, photophobia, phonophobia, and neck stiffness. He also reported a sensation of pressure in his left eye and both ears but denied any pulsatile tinnitus or transient vision loss. Over the next 2 weeks, his headaches worsened, causing him to wake up frequently in the night. He then developed horizontal diplopia that was worse at a distance and was referred to the neur...
Source: Neurology - July 31, 2017 Category: Neurology Authors: Meyer, C., Wynn, D. P., Pulst, S. M., Chen, R., Digre, K. Tags: Parasitic infections, Optic nerve, Diplopia (double vision) RESIDENT AND FELLOW SECTION Source Type: research
Familial misophonia or Selective Sound Sensitivity Syndrome: evidence for autosomal dominant inheritance?
Conclusion The high incidence of misophonia in this particular familial distribution suggests that it might be more common than expected and raises the possibility of having a hereditary etiology. (Source: Brazilian Journal of Otorhinolaryngology)
Source: Brazilian Journal of Otorhinolaryngology - July 29, 2017 Category: ENT & OMF Source Type: research
Persistent orofacial pain in a paget's disease patient: case report
A 76-year-old black female patient was referred to the clinic because of a 12 years history of persistent throbbing facial pain along a tinnitus sensation in the right ear. Previous investigation of these symptoms led to a diagnosis of Paget's disease with a 50% hearing loss. A hearing aid cleared the tinnitus sensation and the hearing deficit, but the throbbing pain persisted. Patient presented a healthy oral mucosa and an uneventfully panoramic radiograph. However, a cranial deformity was noticed. (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - July 28, 2017 Category: ENT & OMF Authors: L ÍGIA GONZAGA FERNANDES, BEATRIZ CIONE ADRIANO DE JESUS, RODRIGO FERREIRA OLIVEIRA, ANDREA LUSVARGHI WITZEL, NORBERTO NOBUO SUGAYA, CAMILA DE BARROS GALLO Tags: CPP - Clinical Poster Presentation Source Type: research
Costen ’s syndrome is defined as a set of auditory and vestibular signals and symptoms in patients with temporomandibular joint disorders (TMD). It has a predilection for females in the fourth decade of life. Herein we present a case involving a black female patient, 74 years old, reporting intense heada ches, ear pain, ear fullness, tinnitus, and vertigo with nystagmus. She uses badly adapted upper and lower partial dentures. After diagnosis of her condition, occlusal splint was prescribed, systemic and, specially, masticatory and cervical physiotherapy, and global postural reorientation beyond the prosthetic rehabi...
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - July 28, 2017 Category: ENT & OMF Authors: LUANA MESQUITA DA SILVA, TIAGO NOVAES PINHEIRO, LIONEY NOBRE CABRAL Tags: CPP - Clinical Poster Presentation Source Type: research
Evidence of surgical treatments for intractable Meniere ’s disease
Meniere ’s disease is an inner ear disease, characterized by recurrent rotatory vertigo, sensorineural hearing loss and tinnitus. There are some with frequent vertigo attacks, progressive hearing loss and persistent annoying tinnitus even through the continuous standard medical treatments. These cases are thought to account for 10%–20% of all cases of Meniere’s disease. In this review article, we would like to demonstrate the evidences for surgical treatments according to the previous papers, and consider the next therapeutic strategies including surgical options according to the international g uidelines...
Source: Auris, Nasus, Larynx - July 28, 2017 Category: ENT & OMF Authors: Tadashi Kitahara Source Type: research
Polycythemia and chorea
To the Editor: Neurological manifestations of polycythemia occur frequently (50%-78%) and include headache, vertigo, stroke, visual symptoms, tinnitus, and paresthesia.1 Chorea, however, is a rare and infrequently (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - July 26, 2017 Category: General Medicine Tags: ISSUE 1 Source Type: research
Connectivity of precuneus to the default mode and dorsal attention networks: A possible invariant marker of long-term tinnitus
In this study, our goal was to identify resting state functional connectivity alterations that consistently appear across tinnitus subgroups. We examined two sources of variability in the subgroups: tinnitus severity and the length of time a person has had chronic tinnitus (referred to as tinnitus duration). Data for the current large-scale analysis of variance originated partly from our earlier investigations (Schmidt et al., 2013; Carpenter-Thompson et al., 2015) and partly from previously unpublished studies. Decreased correlations between seed regions in the default mode network and the precuneus were consistent across...
Source: NeuroImage: Clinical - July 23, 2017 Category: Radiology Source Type: research
E-013 Venous sinus stenting for idiopathic intracranial hypertension: a systematic analysis
Conclusions Our results add to the growing body of literature that proposes DVSS as a safe treatment option with high clinical success rate and low complications in patients with medically refractory IIH and evidence of venous stenosis. Disclosures H. Saber: None. P. Chamiraju: None. S. Narayanan: None. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - July 23, 2017 Category: Neurosurgery Authors: Saber, H., Chamiraju, P., Narayanan, S. Tags: Electronic Poster Abstracts Source Type: research
E-070 Acute visual decline treated with urgent venous sinus stenting as opposed to high volume csf diversion in patients with idiopathic intracranial hypotension
Conclusions: Transverse sinus stenting appears to be an effective treatment alternative and may obviate CSF diversion in patients with acute visual deterioration due to IIH. Disclosures: G. Deib: None. A. Moghekar: None. M. Luciano: None. A. El Mekabaty: None. E. Obusez: None. B. Barnett: None. F. Hui: None. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - July 23, 2017 Category: Neurosurgery Authors: Deib, G., Moghekar, A., Luciano, M., Mekabaty, A. E., Obusez, E., Barnett, B., Hui, F. Tags: Electronic Poster Abstracts Source Type: research
[Development and validation of the Stapesplasty Outcome Test 25 (SPOT-25)].
CONCLUSION: The SPOT-25 is the first validated disease-specific instrument for HRQOL measurement in otosclerosis patients. It should be used routinely for quality control. PMID: 28717959 [PubMed - as supplied by publisher] (Source: HNO)
Source: HNO - July 20, 2017 Category: ENT & OMF Tags: HNO Source Type: research
Population-Based Study on the Epidemiology of M énière's Disease
Conclusions: MD is uncommon in primary care in the UK with a preponderance among females.Audiol Neurotol 2017;22:74-82 (Source: Audiology and Neurotology)
Source: Audiology and Neurotology - July 19, 2017 Category: Audiology Source Type: research
Intratympanic Gentamicin for Intractable M énière's Disease – A Review and Analysis of Audiovestibular Impact
Conclusion Titration methods or multiple injections on a daily basis can be preferred if the patients have profound or non-serviceable hearing, since these methods have significant incidence of hearing loss. Treatment protocols with a frequency of injection not shorter than once a week, or those with injections on a monthly basis as “needed” provide the same level of vertigo control with better preservation of hearing. Caloric testing is not an ideal tool to analyze the correlation between vertigo control and the effect of gentamicin as compared with gain asymmetry of the vestibulo-ocular reflex. Vestibula...
Source: International Archives of Otorhinolaryngology - July 17, 2017 Category: ENT & OMF Authors: Yeti şer, Sertaç Tags: Update Article Source Type: research
Associations between cardiovascular disease and its risk factors with hearing loss – a cross‐sectional analysis
Abstract ObjectivesTo investigate the relationship between hearing loss and cardiovascular disease risk factors. DesignCross‐sectional study. MethodsParticipants were recruited between May 2010 and December 2015 and answered a health and risk factor questionnaire. Physical and biochemical assessments were performed. SettingA community based population. Participants5,107 participants born within the years 1946‐1964 enrolled in the Busselton Healthy Ageing Study. Main outcome measuresHearing was assessed behaviourally through the best ear pure‐tone average (500, 1000, 2000, 4000Hz), low‐frequency average (250, 500, 1...
Source: Clinical Otolaryngology - July 13, 2017 Category: ENT & OMF Authors: Hsern Ern Ivan Tan, Nick Si Rui Lan, Matthew William Knuiman, Mark Laurence Divitini, De Wet Swanepoel, Michael Hunter, Christopher Gerard Brennan ‐Jones, Joseph Hung, Robert Henry Eikelboom, Peter Luke Santa Maria Tags: Original Article Source Type: research
Noise exposure alters long-term neural firing rates and synchrony in primary auditory and rostral belt cortices following bimodal stimulation.
Abstract We previously demonstrated that bimodal stimulation (spinal trigeminal nucleus [Sp5] paired with best frequency tone) altered neural tone-evoked and spontaneous firing rates (SFRs) in primary auditory cortex (A1) 15 min after pairing in guinea pigs with and without noise-induced tinnitus. Neural responses were enhanced (+10 ms) or suppressed (0 ms) based on the bimodal pairing interval. Here we investigated whether bimodal stimulation leads to long-term (up to 2 h) changes in tone-evoked and SFRs and neural synchrony (correlate of tinnitus) and if the long-term bimodal effects are alte...
Source: Hearing Research - July 13, 2017 Category: Audiology Authors: Takacs JD, Forrest TJ, Basura GJ Tags: Hear Res Source Type: research
Drill-induced Cochlear Injury During Otologic Surgery: Intracochlear Pressure Evidence of Acoustic Trauma
Conclusion: Our results suggest that incidental drilling on the ossicular chain can generate PIC comparable to high-intensity acoustic stimulation. Drill speed, but not burr type, significantly affected the magnitude of PIC. Inadvertent drilling on the ossicular chain produces intense cochlear stimulation that could cause SNHL. (Source: Otology and Neurotology)
Source: Otology and Neurotology - July 11, 2017 Category: ENT & OMF Tags: Sensorineural Hearing Loss and Tinnitus Source Type: research
Diagnosing Large Vestibular Aqueduct: Radiological Review of High-Resolution CT Versus High-Resolution Volumetric MRI
Conclusion: Historically, HRCT has been the imaging modality of choice for diagnosing LVA. Although a higher concordance rate of HRT2-MRI was found compared with previous studies utilizing earlier MRI technology, HRCT still detected a larger number of patients with clinically significant hearing loss compared with MRI. Given the high concordance rate and efficacy of both modalities in diagnosing LVA, the ultimate decision of which modality to choose may depend on other patient-specific and clinical factors. (Source: Otology and Neurotology)
Source: Otology and Neurotology - July 11, 2017 Category: ENT & OMF Tags: Sensorineural Hearing Loss and Tinnitus Source Type: research
Wide-field fluorescein and indocyanine green angiography findings in the eyes with Vogt-Koyanagi-Harada disease
ConclusionsEyes with Vogt-Koyanagi-Harada disease had peripheral chorioretinal vascular leakage and choroidal vessel narrowing in the acute phase. Wide-field angiography is a useful tool to reveal peripheral chorioretinal findings and assess diameters and density of choroidal vessels. (Source: Journal of Ophthalmic Inflammation and Infection)
Source: Journal of Ophthalmic Inflammation and Infection - July 11, 2017 Category: Opthalmology Source Type: research
Computational fluid dynamics simulation of hemodynamic alterations in sigmoid sinus diverticulum and ipsilateral upstream sinus stenosis after stent implantation in patients with pulsatile tinnitus
To investigate the relationships between upstream venous sinus stenosis and pulsatile tinnitus (PT), and to assess the correlation with diverticulum growth and the effectiveness of stent implantation (Source: World Neurosurgery)
Source: World Neurosurgery - July 8, 2017 Category: Neurosurgery Authors: Yanjing Han, Qingqing Yang, Zeran Yang, Jun Xia, Tianhao Su, Long Jin, Aike Qiao, Jianan Yu Tags: Original article Source Type: research
Medial geniculate neurons show diverse effects in response to electrical stimulation of prefrontal cortex.
Abstract Phantom perceptions have been proposed to arise due to dysfunctional sensory gating at the level of the thalamus. Recently, it has been suggested that tinnitus, a phantom perception of sound, may arise from altered cortico-limbic circuitry and its connection with the auditory thalamus, the medial geniculate nucleus (MGN). Indeed, some elements of this cortico-limbic circuitry, such as the prefrontal cortex (PFC), as well as elements of the auditory pathway, have been shown to be altered in humans with tinnitus. However, the functional connectivity between PFC and MGN has not yet been explored. We therefor...
Source: Hearing Research - July 8, 2017 Category: Audiology Authors: Barry KM, Robertson D, Mulders WHAM Tags: Hear Res Source Type: research
Amygdala functional disconnection with the prefrontal-cingulate-temporal circuit in chronic tinnitus patients with depressive mood
Publication date: Available online 5 July 2017 Source:Progress in Neuro-Psychopharmacology and Biological Psychiatry Author(s): Yu-Chen Chen, Fan Bo, Wenqing Xia, Shenghua Liu, Peng Wang, Wen Su, Jin-Jing Xu, Zhenyu Xiong, Xindao Yin Chronic tinnitus is often accompanied with depressive symptom, which may arise from aberrant functional coupling between the amygdala and cerebral cortex. To explore this hypothesis, resting-state functional magnetic resonance imaging (fMRI) was used to investigate the disrupted amygdala-cortical functional connectivity (FC) in chronic tinnitus patients with depressive mood. Chronic tinnitus ...
Source: Progress in Neuro Psychopharmacology and Biological Psychiatry - July 6, 2017 Category: Psychiatry Source Type: research
EBV driven natural killer cell disease of the central nervous system presenting as subacute cognitive decline
Publication date: November 2017 Source:Human Pathology: Case Reports, Volume 10 Author(s): Francesca M. Brett, Richard Flavin, Daphne Chen, Teresa Loftus, Seamus Looby, Allan McCarthy, Cillian de Gascun, Elaine S. Jaffe, Nurul Nor, Mohsen Javadpour, Dominick McCabe Brain biopsy in patients presenting with subacute encephalopathy is never straightforward, and only undertaken when a ‘treatable condition’ is a realistic possibility. This 63year old right handed, immunocompetent Caucasian woman presented with an 8month history of rapidly progressive right-sided hearing impairment, a 4month history of intermittent ...
Source: Human Pathology: Case Reports - July 5, 2017 Category: Pathology Source Type: research
Development and field testing of a smartphone “App” for tinnitus management
. (Source: International Journal of Audiology)
Source: International Journal of Audiology - July 2, 2017 Category: Audiology Authors: James A. Henry Emily Thielman Tara Zaugg Christine Kaelin Christie Choma Bill Chang Shira Hahn Bret Fuller Source Type: research
Increasing awareness with recognition of pulsatile tinnitus for nurse practitioners in the primary care setting: A case study
ConclusionsPulsatile tinnitus usually has a vascular treatable cause. A comprehensive history and physical examination will alert the nurse practitioner (NP) when pulsatile tinnitus is present. Auscultation in specific areas of the head can detect audible or objective pulsatile tinnitus. Pulsatile tinnitus that is audible to the examiner is an urgent medical condition requiring immediate consultation and referral. Implications for practiceKnowledge of pulsatile tinnitus and awareness of this often treatable condition directs the NP to perform a detailed assessment when patients present with tinnitus, directs appropriate re...
Source: Journal of the American Academy of Nurse Practitioners - July 1, 2017 Category: Nursing Authors: Kelly Vecchiarelli, Arun Paul Amar, Donna Emanuele Tags: CASE STUDY Source Type: research
Monocular Vision Loss in a Human Immunodeficiency Virus −Positive Man
A man in his 40s presents with central vision loss in his right eye, bilateral lower leg swelling, a torso rash, reduced hearing abilities, and tinnitus. What would you do next? (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - July 1, 2017 Category: Opthalmology Source Type: research
Effectiveness of Otolith Repositioning Maneuvers and Vestibular Rehabilitation exercises in elderly people with benign paroxysmal positional vertigo: a systematic review
Conclusion There was a trend of improvement in BPPV symptomatology in elderly patients who underwent ORM. There is sparse evidence from methodologically robust clinical trials that examined the effects of ORM and VR exercises for treating BPPV in the elderly. Randomized controlled clinical trials with comprehensive assessment of symptoms, quality of life, function and long-term follow up are warranted. (Source: Brazilian Journal of Otorhinolaryngology)
Source: Brazilian Journal of Otorhinolaryngology - June 30, 2017 Category: ENT & OMF Source Type: research
Bilateral inner ear damage after electrical injury: A case report
We present the case of a 62-year-old male patient, an electrician by profession, who was hit by a high-voltage electrical current while working with cables in proximity to a wet floor. The patient suffered from immediate loss of consciousness and five days later he started complaining of slight hearing loss, persistent vertigo, instability and bilateral tinnitus. A thorough audiological and vestibular examination revealed an extensive bilateral vestibulocochlear dysfunction. (Source: Auris, Nasus, Larynx)
Source: Auris, Nasus, Larynx - June 29, 2017 Category: ENT & OMF Authors: George Psillas, Marios Stavrakas, Ioanna Petrou, Dimitrios Rachovitsas, Konstantinos Markou Tags: Case report Source Type: research