Endolymphatic hydrops perspectives 2012
Endolymphatic hydrops remains a significant cause of morbidity secondary to vertigo, hearing loss, and tinnitus. The purpose of this report is to summarize the most clinically relevant publications on endolymphatic hydrops over the past 2 years. Hydrops has historically been a diagnosis of exclusion...
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Veröffentlicht in: | Current opinion in otolaryngology & head and neck surgery 2012-10, Vol.20 (5), p.416-419 |
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creator | Pierce, Nathan E Antonelli, Patrick J |
description | Endolymphatic hydrops remains a significant cause of morbidity secondary to vertigo, hearing loss, and tinnitus. The purpose of this report is to summarize the most clinically relevant publications on endolymphatic hydrops over the past 2 years.
Hydrops has historically been a diagnosis of exclusion, but recent efforts has shown a role for MRI with intratympanic gadolinium. Cochrane reviews of intratympanic dexamethasone and gentamicin found inadequate level 1 evidence to support their use.
High-level evidence to guide therapy is lacking. MRI holds potential for definitive diagnosis. |
doi_str_mv | 10.1097/MOO.0b013e328357a6c8 |
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Hydrops has historically been a diagnosis of exclusion, but recent efforts has shown a role for MRI with intratympanic gadolinium. Cochrane reviews of intratympanic dexamethasone and gentamicin found inadequate level 1 evidence to support their use.
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Hydrops has historically been a diagnosis of exclusion, but recent efforts has shown a role for MRI with intratympanic gadolinium. Cochrane reviews of intratympanic dexamethasone and gentamicin found inadequate level 1 evidence to support their use.
High-level evidence to guide therapy is lacking. MRI holds potential for definitive diagnosis.</description><subject>Adrenal Cortex Hormones - therapeutic use</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Contrast Media</subject><subject>Endolymphatic Hydrops - complications</subject><subject>Endolymphatic Hydrops - diagnosis</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hearing Loss, Sensorineural - drug therapy</subject><subject>Hearing Loss, Sensorineural - etiology</subject><subject>Hearing Loss, Sensorineural - physiopathology</subject><subject>Humans</subject><subject>Image Enhancement - methods</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Meniere Disease - drug therapy</subject><subject>Meniere Disease - etiology</subject><subject>Meniere Disease - physiopathology</subject><subject>Risk Assessment</subject><subject>Tinnitus - drug therapy</subject><subject>Tinnitus - etiology</subject><subject>Tinnitus - physiopathology</subject><subject>Treatment Outcome</subject><subject>Vertigo - drug therapy</subject><subject>Vertigo - etiology</subject><subject>Vertigo - physiopathology</subject><issn>1068-9508</issn><issn>1531-6998</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkEtPwzAQhC0EoqXwDxDqDS4pu3bixxFV5SEV9QLnKLE3alDSBDtFyr_HqIUDp9nDzOzoY-waYYFg1P3rZrOAElCQ4FpkqpBWn7ApZgITaYw-jTdInZgM9IRdhPABAKmU4pxNODfAU5RTdrvaua4Z235bDLWdb0fnuz7Me_KhJzvUXxTmHJBfsrOqaAJdHXXG3h9Xb8vnZL15elk-rBMrQA2JRifT0jpHApVVBkmRLpUlJCehMlLEwcoZqCqntC51lsYlvMSKHGpjxIzdHXp7333uKQx5WwdLTVPsqNuHHEFoiVxHnbH0YLW-C8FTlfe-bgs_RlP-gyiPiPL_iGLs5vhhX7bk_kK_TMQ3vF9haQ</recordid><startdate>201210</startdate><enddate>201210</enddate><creator>Pierce, Nathan E</creator><creator>Antonelli, Patrick J</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201210</creationdate><title>Endolymphatic hydrops perspectives 2012</title><author>Pierce, Nathan E ; Antonelli, Patrick J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c307t-81d64bcdde317c791e7e8b7ce1ed60f9630137d90ffd788b8549022b1fed18993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adrenal Cortex Hormones - therapeutic use</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Contrast Media</topic><topic>Endolymphatic Hydrops - complications</topic><topic>Endolymphatic Hydrops - diagnosis</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hearing Loss, Sensorineural - drug therapy</topic><topic>Hearing Loss, Sensorineural - etiology</topic><topic>Hearing Loss, Sensorineural - physiopathology</topic><topic>Humans</topic><topic>Image Enhancement - methods</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Meniere Disease - drug therapy</topic><topic>Meniere Disease - etiology</topic><topic>Meniere Disease - physiopathology</topic><topic>Risk Assessment</topic><topic>Tinnitus - drug therapy</topic><topic>Tinnitus - etiology</topic><topic>Tinnitus - physiopathology</topic><topic>Treatment Outcome</topic><topic>Vertigo - drug therapy</topic><topic>Vertigo - etiology</topic><topic>Vertigo - physiopathology</topic><toplevel>online_resources</toplevel><creatorcontrib>Pierce, Nathan E</creatorcontrib><creatorcontrib>Antonelli, Patrick J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Current opinion in otolaryngology & head and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pierce, Nathan E</au><au>Antonelli, Patrick J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endolymphatic hydrops perspectives 2012</atitle><jtitle>Current opinion in otolaryngology & head and neck surgery</jtitle><addtitle>Curr Opin Otolaryngol Head Neck Surg</addtitle><date>2012-10</date><risdate>2012</risdate><volume>20</volume><issue>5</issue><spage>416</spage><epage>419</epage><pages>416-419</pages><issn>1068-9508</issn><eissn>1531-6998</eissn><abstract>Endolymphatic hydrops remains a significant cause of morbidity secondary to vertigo, hearing loss, and tinnitus. The purpose of this report is to summarize the most clinically relevant publications on endolymphatic hydrops over the past 2 years.
Hydrops has historically been a diagnosis of exclusion, but recent efforts has shown a role for MRI with intratympanic gadolinium. Cochrane reviews of intratympanic dexamethasone and gentamicin found inadequate level 1 evidence to support their use.
High-level evidence to guide therapy is lacking. MRI holds potential for definitive diagnosis.</abstract><cop>United States</cop><pmid>22902416</pmid><doi>10.1097/MOO.0b013e328357a6c8</doi><tpages>4</tpages></addata></record> |
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subjects | Adrenal Cortex Hormones - therapeutic use Anti-Bacterial Agents - therapeutic use Contrast Media Endolymphatic Hydrops - complications Endolymphatic Hydrops - diagnosis Female Follow-Up Studies Hearing Loss, Sensorineural - drug therapy Hearing Loss, Sensorineural - etiology Hearing Loss, Sensorineural - physiopathology Humans Image Enhancement - methods Magnetic Resonance Imaging - methods Male Meniere Disease - drug therapy Meniere Disease - etiology Meniere Disease - physiopathology Risk Assessment Tinnitus - drug therapy Tinnitus - etiology Tinnitus - physiopathology Treatment Outcome Vertigo - drug therapy Vertigo - etiology Vertigo - physiopathology |
title | Endolymphatic hydrops perspectives 2012 |
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