Title:
Cochleovestibular disorders in intracranial hypotension: clinical presentations and hypotheses on possible mechanisms
Authors:
E. Lemaire , H. Vuong , D. Rohmer , F. Veillon , A. Charpiot
Institutions:
Department of Otorhinolaryngology, CHU Hautepierre, avenue Molière, 67098 Strasbourg Cedex, France; Department of Radiology, CHU Hautepierre, avenue Molière, 67098 Strasbourg Cedex, France
Keywords:
Cochleovestibular disorders, intracranial hypotension, Meniere syndrome, epidural blood patch
Pages:
301 - 307
Abstract:
Cochleovestibular disorders in intracranial hypotension: clinical presentations and hypotheses on possible mechanisms. Background and purpose: The hearing loss is frequently described, especially in the case of Cerebro-spinal fluid (CSF) leakage which is secondary to a lumbar puncture. However, vestibular symptoms are rarely associated with intracranial Hypotension. Methods: This descriptive, retrospective, analytical, Monocentric study analyzed the Cochleovestibular disorders (CVD) in patients with IH. Results: We observed six patients with intracranial hypotension and Cochleovestibular disorders (CVD) mimicking a Meniere’s disease. It means with the classical triad associating, dizziness, hearing loss with a sense of aural fullness and tinnitus. Conclusions: The “Meniere’s like syndrome” and the evolution after IH treatment suggest that CVD is secondary to the CSFleakageandpossiblytothemodificationofthepressureintheIntralabyrinthinecompartments(relativehyperpressure of the Endolymphatic space of the inner ear). CVD could be a simple clinical sign of IH recurrence during the follow-up.
Issue:
Vol. 13, 2017, 4th trimester


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Cochleovestibular disorders in intracranial hypotension: clinical presentations and hypotheses on possible mechanisms