PDF(Pubmed)
Abstract：
(1) Background: Patients affected by Ménière\'s disease can experience Tumarkin\'s syndrome, which is characterized by postural instability, gait abnormalities, and, occasionally, an abrupt loss of balance known as vestibular drop attack or Tumarkin\'s crisis. In this study, semicircular canal plugging is proposed as the definitive treatment for this condition. The outcomes of this type of surgery are discussed. (2) Methods: A total of 9 patients with a confirmed diagnosis of Ménière disease suffering from Tumarkin crisis underwent posterior semicircular canal plugging. These patients were assessed with Video Head Impulse Tests, vestibular evoked myogenic potentials, and Pure Tone Audiometry preoperatively and postoperatively. (3) Results: VHIT showed a postoperative decrease in PSC gain median (Preop. 0.86 and postop. 0.52; p < 0.009). No statistically significant differences were described for the anterior semicircular canal and the lateral semicircular canal. No patient experienced new Tumarkin crisis after the surgical treatment. (4) Conclusions: Our ten years of experience with posterior semicircular canal plugging in Ménière disease patients with Tumarkin\'s syndrome has shown that this type of surgical procedure is successful in controlling Tumarkin\'s crisis, with high patient satisfaction and little worsening in hearing level.
摘要：
(1)背景:患有梅尼埃病的患者可以经历Tumarkin综合征,其特征是姿势不稳定，步态异常,and,偶尔,突然失去平衡，称为前庭跌落发作或Tumarkin危机。在这项研究中,建议将半规管堵塞作为这种情况的最终治疗方法。讨论了这种手术的结果。（2）方法：对9例确诊为Ménière病的Tumarkin危象患者进行后半规管封堵术。这些患者用视频头部冲动测试进行评估，前庭诱发的肌源性电位，术前和术后的纯音测听仪。（3）结果：VHIT显示术后PSC增益中位数降低（术前。0.86和POSTOP。0.52；p<0.009）。前半规管和外侧半规管无统计学差异。手术治疗后无患者出现新的Tumarkin危象。（4）结论：我们在Ménière病患者Tumarkin综合征的后半规管堵塞的十年经验表明，这种手术方法可以成功控制Tumarkin的危机。患者满意度高，听力水平几乎没有恶化。
