Volker Maus, Finn Drescher, Lukas Goertz, Anushe Weber, Werner Weber, Sebastian Fischer
BACKGROUND AND PURPOSE: Intracranial dural arteriovenous fistulas (DAVFs) are abnormal shunts between dural arteries and dural venous sinus or cortical veins. We report our experience with endovascular therapy of primary complex DAVFs using modern embolic agents. METHODS: This is a retrospective analysis of patients with DAVFs treated between 2015 and 2019. Patient demographics and technical aspects including the use of embolic agent, access to the fistula, number of treatments, occlusion rates, and complications were addressed...
August 26, 2020: Cerebrovascular Diseases Extra
Jin Kyung An, Jeong Joo Woo, Hee Yong Kwak
A 74-year-old woman presented with a palpable lesion in her right breast. At the time of her visit, she was taking medications for diabetes, hypertension, tremors, tinnitus, and lumbago. She was also caring for her husband, who had dementia. Imaging studies revealed another lesion in addition to the palpable mass. A core biopsy of the palpable mass confirmed invasive ductal carcinoma. Surgery was recommended to remove both masses. However, the patient refused the operation due to her comorbidities and her husband's nursing needs...
August 26, 2020: Annals of geriatric medicine and research
Yongli Song, Yang Chen, Liting Wen, Jun Chen, Liu Qi, Jianhua Qiu, Dingjun Zha
Objective: To analyze the distribution of comorbid psychiatric disorders in patients with chronic otitis media associated tinnitus. Method: The data of patients with chronic otitis media associated tinnitus who accepted surgical treatments from July 2017 to September 2018 were retrospectively analyzed. All patients accepted pure tone audiometry and acoustic conductance examination and were requested to fill the tinnitus history questionnaire, THI, TEQ, SAS, SDS and PSQI scales before operation. When the SAS or/and SDS score ≥50 the patient was judged as having comorbid psychiatric disorders...
April 2020: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Yuanxing Chen, Qing Sun, Jian Li, Qinghua Zhang, Longzhu Zhao, Xizheng Shan, Huibing Wang
Objective: To investigate the long-term efficacy of semicircular canal occlusion in the treatment of refractory Meniere's disease. Method: Fifteen patients with Meniere's disease who underwent semicircular canal occlusion were reviewed. The preoperative and postoperative frequency of vertigo ,quality of life, hearing and tinnitus level were compared. All patients were followed for more than 24 months. Result: Postoperatively, vertigo was controlled effectively in all 15 cases, and the control rate was 100%, of which 11 cases were completely controlled(Grade A) and 4 cases were basically controlled(Grade B)...
April 2020: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Li Lei, Danni Wang, Xinping Hao, Xiaobo Ma, Yongxin Li, Shouqin Zhao, Jun Zheng, Demin Han
Objective: To evaluate the therapeutic outcome and complication of grommet insertion for cancer patients in head and neck suffering from otitis media with effusion following radiotherapy. Method: Retrospectively analyze the clinical data of grommet insertion in patients with head and neck cancer suffering from otitis media with effusion following radiotherapy. Result: Fifty-five ears in 33 cases of cancer patients in head and neck with otitis media with effusion following radiotherapy had been performed grommet insertion...
April 2020: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Fujun Duan, Xianrong Xu, Dan Zhang, Shaen Li, Zhanguo Jin, Yang Zhang
Objective: To analyze the clinical features of Vestibular migraine(VM) and provide evidence for its accurate diagnosis and medical identification of flight personnel. Method: A total of 490 samples of VM patients were collected. Among them, 88 samples were secondary to benign paroxysmal positional vertigo(BPPV), and 11 samples were co-occurring with Meniere's disease(MD). All patients received drugs, lifestyle management, vestibular rehabilitation and other comprehensive treatment, and analyzed the clinical features and effect within 6 months...
August 2020: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Biying Liang, Xiping Li
Objective: The objective is to investigate and compare the efficacy of intratympanic methylprednisolone or combination therapy as the salvage treatment for idiopathic sudden sensorineural hearing loss (ISSNHL). Method: Ninety patients with moderate-to-severe to profound SSNHL which were unresponsive to the conventional treatment were recruited. Among these 90 patients, 45 patients underwent intratympanic methylprednisolone therapy (IMT) alone and 45 patients underwent systemic dexamethasone+IMT(systemic steroids+IMT)...
June 2020: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Renata Falótico Taborda, Raquel Fornaziero Gomes, Clayton Henrique Rocha, Alessandra Giannella Samelli
INTRODUCTION: Noise in the school environment has been a major concern in many countries around the world. Students need a favorable signal-to-noise ratio in the classroom to ensure adequate speech intelligibility, which is directly dependent on the acoustics of the classroom and favorable noise levels in these environments. OBJECTIVE: To evaluate the effectiveness of physical, organizational, and educational interventions to achieve noise reduction in a school...
August 23, 2020: Folia Phoniatrica et Logopaedica
Pasquale Viola, Davide Pisani, Alfonso Scarpa, Claudia Cassandro, Carla Laria, Teodoro Aragona, Marco Ciriolo, Lucrezia Spadera, Massimo Ralli, Michele Cavaliere, Maurizio Iengo, Giuseppe Chiarella
PURPOSE: To evaluate the effects of increased endogenous Antisecretory Factor (AF) synthesis using specially processed cereals (SPC) in a sample of patients with defined unilateral Meniere's disease (MD), compared to the results of a treatment protocol of intravenous glycerol and dexamethasone. MATERIALS AND METHODS: Twenty-six patients with unilateral MD were divided in 2 groups and treated with SPC and with intravenous glycerol and dexamethasone for 24 months...
August 11, 2020: American Journal of Otolaryngology
Waleed Brinjikji, Giuseppe Lanzino, Harry J Cloft
Dural arteriovenous fistulas of the skull base commonly present with pulsatile tinnitus. In our experience, transvenous embolization of dural arteriovenous fistulas of the skull base represents a safe and effective treatment modality due to its precision in treatment of the site of convergence of all feeding arteries and the low risk of ischemic complications. We present a case of an adult patient who presented to our institution with pulsatile tinnitus several months following a motor vehicle accident. Cerebral angiography demonstrated a dural arteriovenous fistula at the junction of the posterior condylar vein and suboccipital venous plexus supplied by branches of the vertebral artery, occipital artery, and ascending pharyngeal artery...
August 17, 2020: Journal of Neurointerventional Surgery
Yoav Comay, Vladislav Zvenigorodsky, Vladimir Borodetsky, Michael Star, Joshua Ben-Zion, Ilan Shelef, Anat Horev
Pulsatile tinnitus constitutes up to 10% of all tinnitus cases. Cerebral venous stenosis is a known etiology of pulsatile tinnitus. Treatment of pulsatile tinnitus secondary to venous stenosis with venous stenting has been reported in the literature but is not performed routinely. We would like to report a case of chronic pulsatile tinnitus treated with venous stent in a patient who previously underwent jugular vein ligation.
August 20, 2020: Ear, Nose, & Throat Journal
Brian C Deutsch, Jay F Piccirillo
Ecological momentary assessment is a valuable research technique meant to capture real-time data and contextualize disease. While more common in neuropsychiatric research, this methodology is exceptionally fit for tinnitus. Tinnitus has been shown to be affected by many patient-level and environment-specific factors. From an individual's baseline anxiety to the level of ambient noise in their environment, the level of bother experienced by those with tinnitus can vary widely. Only assessing tinnitus within a clinical environment can distort the true impact of the disease...
August 18, 2020: Current Topics in Behavioral Neurosciences
Yun Liu, Jing Xie, Xinying Ge, Shusheng Gong
<b/> A 38-year-old woman had suffered from recurrent vertigo, deafness and tinnitus for 2 years. After treatment for Meniere's disease, her symptoms did not improve. The threshold of pure tone audiometry was 68dBHL SNHL. High resolution CT of the temporal bone showed that a mass is behind the posterior semicircular canal. MRI showed that mixed signals are in the center of the mass and long T1T2 signal around the mass. The mass was surgically resected. Pathology report showed: endolymphatic sac tumor.
May 2020: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Facundo Villamil, Mauro Ruella, Adriana Perez, P Millar Vernetti, Maria Emilia Paday Formenti, J N Acosta, M T Goicochea
OBJECTIVES: To analyze and compare differences between epidemiological and clinical aspects, as well as radiologic findings and treatment, in a series of adult patients with traumatic intracranial hypotension (TIH) and spontaneous intracranial hypotension (SIH) treated at our institution in order to identify predictors of recurrence. BACKGROUND: Cerebrospinal fluid hypotension headache (CSF-HH) is often caused by orthostasis and relieved by recumbency. Etiology can be either traumatic or spontaneous...
August 7, 2020: Clinical Neurology and Neurosurgery
Musab K Alaql, Akinwale A Akinfe, Mohammed K AlNour
Vogt-Koyanagi-Harada (VKH) disease is a T-cell-mediated autoimmune inflammatory disease characterized by granulomatous panuveitis with a variety of other systemic manifestations. A 29-year-old man referred with a two-week history of pain, redness, photophobia, and blurring of vision of the right eye. The patient reported a history of tinnitus and vertigo. Ocular examination revealed that the visual acuity was hand movement oculus dextrus (OD) and 1.0 oculus sinister (OS), slight periocular depigmentation in the right eye, iris bombe in the right eye, sunset glow sign similar to Dalen-Fuchs nodules of multifocal choroiditis in the right eye, reduced fovea reflex/subtle macular edema in the right eye, and normal anterior and posterior segment OS...
July 11, 2020: Curēus
Ho Yun Lee, Su Jin Kim, Jun Yong Choi
OBJECTIVES: We aimed to evaluate the clinical significance of the somatic modulation test in patients with tinnitus and analyze the treatment outcomes. MATERIALS AND METHODS: Medical records of patients who visited the tinnitus clinic at a local university hospital between October 2018 and April 2019 were retrospectively reviewed. RESULTS: The data of 81 patients were analyzed for this study, of which 61.7% (n=51) showed tinnitus modulation after one or more neck or jaw maneuvers...
August 2020: Journal of International Advanced Otology
María Cuesta, Pedro Cobo
OBJECTIVES: This study aimed to assess if a short tinnitus treatment, combining counseling with broadband noise filtered by the hearing loss curves, provided significant relief in tinnitus patients. MATERIALS AND METHODS: 25 tinnitus subjects of heterogeneous etiology were subjected to sound therapy, 1 hour per day, for 4 months. All of them underwent a unique initial counseling session aimed at undoing previous negative perceptions of tinnitus and highlighting the real expectations from tinnitus therapies...
August 2020: Journal of International Advanced Otology
Špela Kordiš, Domen Vozel, Manja Hribar, Nina Božanić Urbančič, Saba Battelino
OBJECTIVES: To investigate the efficacy of prompt concomitant corticosteroid treatment with single application of high-concentration intratympanic (IT) dexamethasone and tapered low-dose systemic methylprednisolone of an idiopathic sudden sensorineural hearing loss (ISSNHL). MATERIALS AND METHODS: Between September 2017 and September 2019, 86 adult patients met the criteria for the diagnosis of ISSNHL at baseline evaluation. The patients received immediate concomitant treatment with single high-concentration (24 mg/mL) IT dexamethasone and low-dose (48 mg) oral methylprednisolone for 1 week followed by tapered doses...
August 2020: Journal of International Advanced Otology
Haydar Murat Yener, Elif Sarı, Mehmet Aslan, Umur Yollu, Emine Deniz Gözen, Ender İnci
OBJECTIVES: To examine the efficacy of an intratympanic steroid injection in tinnitus cases unresponsive to medical treatment. MATERIALS AND METHODS: The study was carried out at the Ear, Nose, and Throat Department with 107 patients (46 male, 61 female) between the ages of 20 and 77 with a mean of 42.8 years who had idiopathic tinnitus. Patients were randomized by simple randomization to receive intratympanic dexamethasone or isotonic solution. The patients received six intratympanic injections, two per week for three weeks...
August 2020: Journal of International Advanced Otology
Jae Woo Joo, Yong Jun Jeong, Mun Soo Han, Young-Soo Chang, Yoon Chan Rah, June Choi
OBJECTIVES: The purpose of this study was to analyze auditory brainstem response (ABR) waveforms of patients with tinnitus with normal hearing, according to tinnitus duration, and demonstrate the possible pathophysiological mechanisms of tinnitus. MATERIALS AND METHODS: From January 2016 to December 2017, patients who presented to our hospital with tinnitus as their chief complaint were enrolled and reviewed retrospectively. Pure tone audiometry and ABR tests were performed...
August 2020: Journal of International Advanced Otology
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