| Extreme sensitivity of hearing to decreases of ICP in Menière's disease. | |
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MedLine Citation:
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PMID: 19224119 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report the case of a Menière's disease patient affected by normal pressure hydrocephalus (NPH) who presented a cerebrospinal fluid (CSF) pressure-dependent hearing impairment after shunting. This side-effect was not only reversible and reproducible but occurred at a high opening pressure when the valve setting was lowered by only 0.7 mmHg (10 mmH(2)O). This observation suggests that hearing in Menière's disease might be very sensitive to small reductions of intracranial pressure (ICP) and that these patients should be informed of this potential risk, which can compromise the efficacy of the shunt. |
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Authors:
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Arthur R Kurzbuch; Armen Momjian; Keyvan Nicoucar; Shahan Momjian |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-02-18 |
Journal Detail:
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Title: Acta neurochirurgica Volume: 151 ISSN: 0942-0940 ISO Abbreviation: Acta Neurochir (Wien) Publication Date: 2009 Aug |
Date Detail:
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Created Date: 2009-07-24 Completed Date: 2009-10-26 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0151000 Medline TA: Acta Neurochir (Wien) Country: Austria |
Other Details:
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Languages: eng Pagination: 1005-8 Citation Subset: IM |
Affiliation:
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Department of Clinical Neurosciences, Service of Neurosurgery, Geneva University Hospitals and University of Geneva, 24 Rue Micheli-du-Crest, 1211 Geneva 14, Switzerland. Arthur.R.Kurzbuch@hcuge.ch |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cerebrospinal Fluid Pressure
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physiology Cerebrospinal Fluid Shunts / adverse effects* Cochlea / physiopathology Endolymph / physiology Female Humans Hydrocephalus, Normal Pressure / complications*, physiopathology, surgery* Hyperacusis / etiology, physiopathology* Intracranial Hypertension / complications, physiopathology Meniere Disease / complications*, physiopathology Middle Aged Postoperative Complications / etiology*, physiopathology Surgical Instruments / adverse effects |
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