耳鼻喉作业梅尼埃病 ppt课件
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耳鼻喉作业--梅尼埃病 ppt课件
7
Diagnostic criteria: Definite MD
“
• Two or more spontaneous episodes of vertigo, each lasting 20 minutes to 12 hours
• Audiometrically documented low--to medium-frequency sensorineural hearing loss in the affected ear on at least one occasion before, during or after one of the episodes of vertigo
• C. Not better accounted for by another vestibular diagnosis 2
”
Jose A. Lopez Escamez, et al. Diagnostic criteria for Menière’s disease. Acta otorrinolaringologica espanola. 2016 Jan-Feb;67(1):1-7.
Menière disease
Zhang Liqin Tang Siyuan Liao Mengting
2016-5-4
来自百度文库
耳鼻喉作业--梅尼埃病 ppt课件
1
Outline CONTENTS
1 Epidemiology 2 Pathology 3 Pathology 4 Examination 5 Diagnosis and differential diagnosis 6 Treatment
4
Pathology
Table 1 Endolymphatic hydrops in patients with symptoms associated with Menie`re’s disorder classified with the AAO-HNS as possible, probable and definite Menie`re’s disorder (205 ears with symptoms) and also in 45 contralateral ears without symptoms are included
8
Diagnostic criteria: Probable MD
“
• A. Two or more episodes of vertigo or dizziness, each lasting 20 minutes to 24 hours
• B. Fluctuating aural symptoms (hearing, tinnitus or fullness) in the reported ear1
”
“
• Fluctuating aural symptoms (hearing, tinnitus or fullness) in the affected ear
• Not better accounted for by another vestibular diagnosis
”
耳鼻喉作业--梅尼埃病 ppt课件
耳鼻喉作业--梅尼埃病 ppt课件
9
Differential diagnosis
“
• Autoimmune inner ear disease
• Cerebrovascular disease (stroke/TIA in the
vertebrobasiliar system/bleeding)
耳鼻喉作业--梅尼埃病 ppt课件
5
Manifestation
“ • Episodic vertigo
• Fluctuant hearing loss
• Tinnitus
• Aural fullness
”
耳鼻喉作业--梅尼埃病 ppt课件
6
Examination
“ • Otoscope
• Vestibular function test • Audiological test • Dehydrating test • MRI • CT
耳鼻喉作业--梅尼埃病 ppt课件
2
Epidemiology
“
• The prevalence is about 34-190/100,000. • Age of onset ranges from 30y-70y. • Small female predominance
”
Jose A. Lopez Escamez, et al. Diagnostic criteria for Menière’s disease. Acta otorrinolaringologica espanola. 2016 Jan-Feb;67(1):1-7.
R. Gurkov, et al. What is Meniere’s disease? A contemporary re-evaluation of
endolymphatic hydrops. J Neurol (2016) 263 (Suppl 1):S71–S81
耳鼻喉作业--梅尼埃病 ppt课件
耳鼻喉作业--梅尼埃病 ppt课件
3
Pathology
“ ” Endolymphatic hydrops (EH)
a The vestibular endolymph ratio in this patient is 0.35, corresponding to mild EH. b The vestibular endolymph ratio in this patient is 0.64, corresponding to significant EH
EH：endolymphatic hydrops
R. Gurkov, et al. What is Meniere’s disease? A contemporary re-evaluation of endolymphatic hydrops. J Neurol (2016) 263 (Suppl 1):S71–S81
耳鼻喉作业--梅尼埃病 ppt课件
7
Diagnostic criteria: Definite MD
“
• Two or more spontaneous episodes of vertigo, each lasting 20 minutes to 12 hours
• Audiometrically documented low--to medium-frequency sensorineural hearing loss in the affected ear on at least one occasion before, during or after one of the episodes of vertigo
• C. Not better accounted for by another vestibular diagnosis 2
”
Jose A. Lopez Escamez, et al. Diagnostic criteria for Menière’s disease. Acta otorrinolaringologica espanola. 2016 Jan-Feb;67(1):1-7.
Menière disease
Zhang Liqin Tang Siyuan Liao Mengting
2016-5-4
来自百度文库
耳鼻喉作业--梅尼埃病 ppt课件
1
Outline CONTENTS
1 Epidemiology 2 Pathology 3 Pathology 4 Examination 5 Diagnosis and differential diagnosis 6 Treatment
4
Pathology
Table 1 Endolymphatic hydrops in patients with symptoms associated with Menie`re’s disorder classified with the AAO-HNS as possible, probable and definite Menie`re’s disorder (205 ears with symptoms) and also in 45 contralateral ears without symptoms are included
8
Diagnostic criteria: Probable MD
“
• A. Two or more episodes of vertigo or dizziness, each lasting 20 minutes to 24 hours
• B. Fluctuating aural symptoms (hearing, tinnitus or fullness) in the reported ear1
”
“
• Fluctuating aural symptoms (hearing, tinnitus or fullness) in the affected ear
• Not better accounted for by another vestibular diagnosis
”
耳鼻喉作业--梅尼埃病 ppt课件
耳鼻喉作业--梅尼埃病 ppt课件
9
Differential diagnosis
“
• Autoimmune inner ear disease
• Cerebrovascular disease (stroke/TIA in the
vertebrobasiliar system/bleeding)
耳鼻喉作业--梅尼埃病 ppt课件
5
Manifestation
“ • Episodic vertigo
• Fluctuant hearing loss
• Tinnitus
• Aural fullness
”
耳鼻喉作业--梅尼埃病 ppt课件
6
Examination
“ • Otoscope
• Vestibular function test • Audiological test • Dehydrating test • MRI • CT
耳鼻喉作业--梅尼埃病 ppt课件
2
Epidemiology
“
• The prevalence is about 34-190/100,000. • Age of onset ranges from 30y-70y. • Small female predominance
”
Jose A. Lopez Escamez, et al. Diagnostic criteria for Menière’s disease. Acta otorrinolaringologica espanola. 2016 Jan-Feb;67(1):1-7.
R. Gurkov, et al. What is Meniere’s disease? A contemporary re-evaluation of
endolymphatic hydrops. J Neurol (2016) 263 (Suppl 1):S71–S81
耳鼻喉作业--梅尼埃病 ppt课件
耳鼻喉作业--梅尼埃病 ppt课件
3
Pathology
“ ” Endolymphatic hydrops (EH)
a The vestibular endolymph ratio in this patient is 0.35, corresponding to mild EH. b The vestibular endolymph ratio in this patient is 0.64, corresponding to significant EH
EH：endolymphatic hydrops
R. Gurkov, et al. What is Meniere’s disease? A contemporary re-evaluation of endolymphatic hydrops. J Neurol (2016) 263 (Suppl 1):S71–S81