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Rare cases of Meniere's disease in children.

Authors
Choung, YH; Park, K; Kim, CH; Kim, HJ; Kim, K
Citation
The Journal of laryngology and otology, 120(4):343-352, 2006
Journal Title
The Journal of laryngology and otology
ISSN
0022-21511748-5460
Abstract
Classical Ménière's disease is rarely found in children and literature regarding it is scarce. In general, the frequency of Ménière's disease in children is only 0.4-7.0 per cent of that in adults. The progression pattern of Ménière's disease in children is not known well. Here, we report three cases of Ménière's disease in children less than 15 years old, treated over nine years. The three cases comprise 14- and 13-year-old boys and a nine-year-old girl. Two of the three patients initially complained only of recurrent bouts of vertigo, without any tinnitus, ear fullness or hearing impairment. In all three cases, the early pure tone audiograms showed only high tone frequency loss, regardless of subjective hearing loss, and the decrease in the hearing threshold was observed one to eight years after the dizziness attacks began. The hearing threshold was usually decreased to a level of mild or moderate hearing impairment. After diuretic treatment, vertigo was generally well controlled, and some cases showed improvement in hearing. Of the total number of patients with Ménière's disease who visited our department over nine years, 2.6 per cent (3/114) were children, and the overall incidence of Ménière's disease in children with vertigo was 2.0 per cent (3/147). In conclusion, Ménière's disease in children rarely develops and may have characteristics of high tone loss in initial audiograms.
MeSH terms
AdolescentAudiometry, Pure-ToneChildCombined Modality TherapyFemaleGinkgo bilobaHearing Loss/drug therapyHearing Loss/etiologyHumansHydrochlorothiazide/therapeutic useMaleMeniere Disease*/diagnosisMeniere Disease*/drug therapyPhytotherapyPlant Extracts/therapeutic useSodium Chloride Symporter Inhibitors/therapeutic useTrimetazidine/therapeutic useVasodilator Agents/therapeutic use
DOI
10.1017/S0022215106000569
PMID
16623983
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Otolaryngology
AJOU Authors
정, 연훈김, 철호김, 현준박, 기현
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