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PubMed1970

Meniere's disease.

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Diagnosis, Differential↗
PubMed1980

Basilar impression. A differential diagnosis of Menier'es disease.

We examined the craniocervical region in 180 patients with nonspecific dizziness and unilateral sensorineural hearing loss in most of them. In 32 cases, we found malformations of the craniocervical region. The symptoms of the basilar impression are probably caused by compression of the vessels of the lower cerebellar region and the brainstem as well as by disturbances of the CSF circulation. The diagnosis of basilar impression is based on lateral x-ray films of the skull base, tomography of this region, and in some cases on computerized axial tomography. We emphasize the importance of basilar impression in the differential diagnosis of Meniere's disease.

Diagnosis, Differential↗
PubMed1983

Cochleostomy or endolymphatic sac surgery for advanced Meniere's disease.

The operation of cochleostomy is described. The surgical technique is vital for the true assessment of results. If the cochlear duct is punctured, the risk to hearing is unacceptably high. If only the osseous spiral lamina is punctured, the results are acceptable in the short term, though the rationale cannot be explained. In the management of difficult patients with more advanced Meniere's disease, some variant of cochleostomy should probably be included in the therapeutic options. The results of endolymphatic sac surgery are significantly better in a matched group of patients.

Cochlea↗