Meniere’s disease in the pediatric age group-a review
DOI:
https://doi.org/10.18203/2349-3291.ijcp20221616Keywords:
MD, Pediatric age group, Vertigo, Sensorineural hearing loss, TinnitusAbstract
Meniere’s disease (MD) is an uncommon clinical entity in the pediatric age group. Patients of MD often present with typical Meniere’s triad of cochlear sensorineural hearing loss, tinnitus, and intermittent vertigo attacks lasting from minutes to hours. As children are often unable to communicate effectively about the symptoms, they do not initially meet the requirements for the diagnosis of MD. It is a chronic inner ear disease that severely affects the quality of life including schooling among children.MD of children often remains a diagnostic dilemma that challenges clinicians for its management. Proper history taking and diagnostic criteria are helpful for diagnosis with early treatment of MD and improve the quality of life. There are several therapeutic options available for MD, but no one is considered a highly effective modality for the cure of the MD. The primary purpose of the medical treatment of MD is to treat his or her symptoms rather than disease. Betahistine and diuretics are usually effective medical treatments for controlling vertigo in MD. There are several reports in favor of intratympanic use of aminoglycosides for the control of vertigo. Endolymphatic sac decompression is a surgical treatment option in the case of medically intractable MD. Vestibular neurectomy and labyrinthectomy are two important surgical techniques for the treatment of disabling vertigo of MD, but these surgical procedures are associated with relatively higher surgical morbidity. The objective of this review article is to discuss MD in the pediatric age group including its epidemiology, etiopathology, clinical manifestations, diagnosis, and current treatment options to relieve disabling symptoms of MD and so improving the quality of life of children.
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Wang C, Wu CH, Cheng PW, Young YH. Pediatric Meniere's disease. Int J Pediatr Otorhinolaryngol. 2018;105:16-9.
Swain SK, Achary S, Das SR. Vertigo in pediatric age: Often challenge to clinicians. Int J Cur Res Rev. 2020;12(18):136-41.
Swain SK, Paul RR. Herpes Zoster Oticus: A Morbid Clinical Entity. MAMC J Med Sci. 2021;7(2):99-103.
Mira E. Improving the quality of life in patients with vestibular disorders: the role of medical treatments and physical rehabilitation. Int J Clin Pract. 2008;62(1):109-14.
Russell G, Abu-Arafeh I. Paroxysmal vertigo in children: an epidemiological study. Int J Pediatr Otorhinolaryngol. 1999;49(1):105-7.
Paparella MM, da Costa SS, Fox R, Yoo TH. Meniere’s disease and other labyrinthine diseases. In: Paparella MM, Shumrick DA, Gluckmann J, Meyerhoff WL, eds. Otolaryngology (3rd edn). Philadelphia: WB Saunders, 1991:1689-714.
Kotimaki J, Sorri M, Aantaa E, Nuutinen J. Prevalence of Meniere’s disease in Finland. Laryngoscope. 1999;109:748-53.
Jahn K. Vertigo in children. Clinical presentation, course and treatment. Der Nervenarzt. 2009;80(8):900-8.
Riina N, Ilmari P, Kentala E. Vertigo and Imbalance in Children: A Retrospective Study in a Helsinki University Otorhinolaryngology Clinic. Arch Otolaryngol Head Neck Surg. 2005;131(11):996-1000.
Davitt M, Delvecchio MT, Aronoff SC. The differential diagnosis of vertigo in children: a systematic review of 2726 cases. Pediatric emergency care. 2020;36(8):368-71.
Choung YH, Park K, Kim CH, Kim HJ, Kim K. Rare cases of Ménière’s disease in children. J Laryngol Otol. 2006;120:343-52.
Manzari L, Burgess AM, Macdougall HG, Curthoys IS. Objective measures of vestibular function during an acute vertigo attack in a very young child. Eur Arch Oto-Rhino-Laryngol. 2012;269(12):2589-92.
Lee DH, Han J, Jang MJ, Suh MW, Lee JH, Oh SH et al. Association between Meniere’s disease and air pollution in South Korea. Scientific Rep. 2021;11(1):1-10.
Arweiler-Harbeck D, Horsthemke B, Jahnke K, Hennies HC. Genetic aspects of familial Meniere's disease. Otol Neurotol. 2011;32(4):695-700.
Paparella MM, Mancini F. Trauma and Meniere’s syndrome. Laryngoscope. 1983;93:1004-12.
Patel M, Agarwal K, Arshad Q, Hariri M, Rea P, Seemungal BM et al. Intratympanic methylprednisolone versus gentamicin in patients with unilateral Ménière's disease: a randomised, double-blind, comparative effectiveness trial. Lancet. 2016;388(10061):2753-62.
Swain SK, Shajahan N, Acharya S. A scoping review of vestibular paroxysmia: An acute disabling clinical entity. J Acute Dis. 2020;9(6):248-52.
Stahle J, Stahle C, Arenberg IK. Incidence of Ménière’s disease. Arch Otolaryngol. 1978;104:99-102.
Choung YH, Park K, Kim CH, Kim HJ, Kim K. Rare cases of Ménière’s disease in children. J Laryngol Otol. 2006;120:343-52.
Miyahara M, Hirayama M, Yuta A, Takeuchi K, Inoki T. Too young to talk of vertigo? Lancet. 2009;373:516.
Balzanelli C, Spataro D, Redaelli de Zinis LO. Vertigo in childhood: an overview. Hearing Balance Communication. 2021;19(4):258-63.
Swain SK, Munjal S, Pradhan S. Vestibular migraine. Apollo Med. 2021;18(3):179-83.
Swain SK. Vertigo following cochlear implantation: a review. Int J Res Med Sci. 2022;10(2):572-7.
Swain S, Behera IC, Sahu MC. Prevalence of Benign Paroxysmal Positional Vertigo: Our experiences at a tertiary care hospital of India. Egypt J Ear Nose Throat Alli Sci. 2018;19(3):87-92.
Lin HW, Djalilian HR. The role of migraine in hearing and balance symptoms. JAMA Otolaryngol Head Neck Surg. 2018;144(8):717-8.
Battista RA. Audiometric findings of patients with migraine-associated dizziness.Otol Neurotol. 2004;25(6):987-92.
Swain SK, Samal S, Sahu MC, Debta P. Biomarker for Evaluating Peripheral Vertigo-A Study at a Tertiary Care Teaching Hospital of Eastern India. Indian J Public Health Res Dev. 2018;9(12).2352-6.
Swain SK, Mohanty S, Sahu MC. Migraine-related vertigo in an elderly male. Apollo Med. 2018;15(2):112-5.
Dieterich M, Obermann M, Celebisoy N. Vestibular migraine: the most frequent entity of episodic vertigo. J Neurol. 2016;263(1):82-9.
Brantberg K, Duan M, Falahat B. Ménière's disease in children aged 4-7 years. Acta Otolaryngol. 2012;132:505-9.
Committee on Hearing and Equilibrium. Committee on Hearing and Equilibrium guidelines for the diagnosis and evaluation of therapy in Meniere’s disease. Otolaryngol Head Neck Surg. 1995;113:181-5.
Basura GJ, Adams ME, Monfared A, Schwartz SR, Antonelli PJ, Burkard R et al. Clinical practice guideline: Ménière’s disease. Otolaryngol Head Neck Surg. 2020;162(2):1-55.
Young YH. Potential applications of ocular and cervical vestibular-evoked myogenic potentials in Meniere's disease: a review. Laryngoscope. 2013;123:484-91.
Swain SK. Acute brain stem vertigo without neurological deficits. BLDE University J Health Sci. 2021;6(2):206-8.
De Luca P, Cassandro C, Ralli M, Gioacchini FM, Turchetta R, Orlando MP et al. Dietary Restriction for The Treatment of Meniere's Disease. Transl Med UniSa. 2020;22:5-9.
Brantberg K, Duan M, Falahat B. Ménière's disease in children aged 4-7 years, Acta Otolaryngol. 2012;132:505-9.
Oğuz E, Cebeci A, Geçici CR. The relationship between nutrition and Ménière's disease. Auris Nasus Larynx. 2021;48(5):803-8.
Reynard P, Karkas A, Gavid M, Lelonge Y, Bertholon P. Delayed endolymphatic hydrops. Special emphasis on nystagmus associated with episodes and contribution of chemical labyrinthectomy. Eur annl Otorhinolaryngol Head Neck Dis. 2018;135(5):321-6.
Sood AJ, Lambert PR, Nguyen SA, Meyer TA. Endolymphatic sac surgery for Ménière’s disease: a systematic review and meta-analysis. Otol Neurotol. 2014;35(6):1033-45.
Swain S, Behera IC, Sahu MC. Prevalence of Benign Paroxysmal Positional Vertigo: Our experiences at a tertiary care hospital of India. Egypt J Ear Nose Throat Alli Sci. 2018;19(3):87-92.
Hansen MR, Gantz BJ, Dunn C. Outcomes after cochlear implantation for patients with single-sided deafness, including those with recalcitrant Meniere’s disease. Otol Neurotol. 2013;34:1681-7.
Nevoux J, Barbara M, Dornhoffer J, Gibson W, Kitahara T, Darrouzet V. International consensus (ICON) on treatment of Me´nie`re’s disease. Eur Ann Otorhinolaryngol Head Neck Dis. 2018;135:29-32.
Devantier L, Djurhuus BD, Hougaard DD, Händel MN, Guldfred FL, Schmidt JH et al. Intratympanic steroid for Menière's disease: a systematic review. Otol Neurotol. 2019;40(6):806-12.
Abouzari M, Abiri A, Djalilian HR. Successful treatment of a child with definite Meniere's disease with the migraine regimen. Am J Otolaryngol. 2019;40(3):440-2.
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