CC BY-NC-ND 4.0 · Laryngorhinootologie 2021; 100(S 02): S236
DOI: 10.1055/s-0041-1728492
Abstracts
Otology / Neurotology / Audiology

The diagnostic of Menière’s disease – a retrospective analysis regarding diagnostic criteria of the Bárány classification, electrocochleography and 3-Tesla-magnetic resonance imaging

SI Zabaneh
1   Klinik für Hals-, Nasen-, Ohrenheilkunde der Charité- Universitätsmedizin Berlin - Campus Mitte und Virchow Klinikum, Berlin
,
H Olze
1   Klinik für Hals-, Nasen-, Ohrenheilkunde der Charité- Universitätsmedizin Berlin - Campus Mitte und Virchow Klinikum, Berlin
,
K Stölzel
1   Klinik für Hals-, Nasen-, Ohrenheilkunde der Charité- Universitätsmedizin Berlin - Campus Mitte und Virchow Klinikum, Berlin
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    Introduction In 2015, the Bárány Society published the new diagnostic criteria for probable and definite Menière’s disease (MD). This classification is based on clinical criteria and pure tone audiometry. At our clinic, we routinely use the electrocochleography (ECochG) as an additional diagnostic tool. In some cases there is the possibility for obtaining 3-Tesla-magnetic resonance imaging. We aimed to evaluate how the diagnosis of MD by the Bárány classification is confirmed by ECochG and 3-Tesla-MRI.

    Methods We analyzed the data over 46 months. The ECochG was defined pathologic with an SP/AP ratio ≥ 0.35. The 3-Tesla-MRI of the neurocranium was performed by 3D-fluid-attenuated-inversion-recovery MRI with contrast medium.

    Results 72 patients were identified of whom 50 were defined as definite MD and 22 probable MD. In the group of definite MD, 84 %  showed a pathologic ECochG, in probable MD the rate was 91 % . Six patients with definite MD additionally undergone 3-Tesla-MRI with a correlation of 100 %  to pathologic ECochG.

    Conclusion ECochG can be used as an additional reliable tool in the diagnostic of both definite and probable MD. A definite MD was proven morphologically in all patients obtaining an MRI. For economic reasons this is no diagnostic tool in clinical routine.

    Poster-PDF A-1716.pdf


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    Conflict of interest

    Der Erstautor gibt keinen Interessenskonflikt an.

    Address for correspondence

    Zabaneh Samira Ira
    Klinik für Hals-, Nasen-, Ohrenheilkunde der Charité- Universitätsmedizin Berlin - Campus Mitte und Virchow Klinikum
    Charitéplatz 1
    10117 Berlin

    Publication History

    Article published online:
    13 May 2021

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