Meniere's disease in the elderly

Vibert, Dominique; Caversaccio, Marco; Häusler, Rudolf (2010). Meniere's disease in the elderly. Otolaryngologic clinics of North America, 43(5), pp. 1041-6. Philadelphia, Pa.: Elsevier 10.1016/j.otc.2010.05.009

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Menière disease usually begins in adults from 20 to 60 years old, and occurs in more than 10% of patients older than 65. The treatment of Menière disease in the elderly represents a challenge because of polymedication. Antivertiginous drugs such as betahistine and cinnarizin give good results with minor secondary effects. In contrast, major vestibular suppressor drugs such as thiethylperazin must be avoided as long-term treatment because of their side effects. Definitive vestibular surgical deafferentations such as labyrinthectomy and selective vestibular neurectomy represent optional procedures but must be carefully evaluated from case to case. Ablative procedures remain the efficient treatment of drop attacks, which represent a high potential risk of severe injuries by older patients sometimes with important social consequences.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ear, Nose and Throat Disorders (ENT)

UniBE Contributor:

Caversaccio, Marco

ISSN:

0030-6665

Publisher:

Elsevier

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:10

Last Modified:

04 May 2014 23:05

Publisher DOI:

10.1016/j.otc.2010.05.009

PubMed ID:

20713243

Web of Science ID:

000281569700009

URI:

https://boris.unibe.ch/id/eprint/1503 (FactScience: 203210)

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