Search results for "Endolymph"
showing 10 items of 13 documents
Intratympanic gentamicin treatment after endolymphatic sac surgery.
2005
Interval treatment with up to three intratympanic gentamicin injections once weekly effectively controlled vertigo while preserving hearing in patients with Ménière's disease and recurrent or resistant vertigo after saccotomy.Recurrent or resistant incapacitating vertigo may occur after endolymphatic sac surgery (saccotomy) in patients with Ménière's disease. In these patients, revision saccotomy, vestibular nerve section or labyrinthectomy are the established treatment options. We advocate a once-weekly application of intratympanic gentamicin (12 mg) as an effective alternative in this group of patients.Five patients (age range 39-65 years) with definite Ménière's disease according to the …
Comparison of Electrocochleography and Video Head Impulse Test findings in Vestibular Migraine and Ménière Disease: A Preliminary Study
2020
OBJECTIVES: To evaluate electrophysiological findings among patients with vestibular migraine (VM) and to compare them with those of patients suffering from definite Ménière disease (MD) without migraine. MATERIALS and METHODS: Twenty-one consecutive patients suffering from VM were enrolled; all subjects were selected according to the criteria proposed by the Bàràny Society for Neuro-otology. Each patient underwent a careful otological and neurotological examination. After completing a questionnaire regarding migraine and vertigo complaints, they were assessed by audiometric testing, video head impulse test (vHIT), and elec-trocochleography (EcochG). Data were compared with those of 21 pati…
Use of electron spectroscopic imaging to determine element composition of the melanin granules in the stria vascularis of the guinea pig.
1998
Electron spectroscopic imaging (ESI) was used to analyze the element content of melanin granules in the stria vascularis seen in ultrathin sections of Spurr-embedded cochleae of the guinea pig. To determine element composition, ESI images were taken at different ionization edges, and non-specific background signals were subtracted digitally by an image processing system. The presence of calcium and nitrogen in the melanin granules could be demonstrated clearly. The calcium identified in the melanin granules was then compared with the spatial distributions of calcium binding sites after the application of an antimonate precipitation method, which was used to localize loosely bound calcium. D…
Absorption And Transferring Of The Coghlear Fluids
1968
The perilymph is absorbed in the loose connective tissue of the modio-lum, the endolymph is absorbed in the planum limbi and the interstitial liquid of the organ of Corti in the inner spiral sulcus. The basin of the vein of the aqueduct of the cochlea in a fetal phase transfers almost only perilymph. When fully developed, many veins of the above-said basin are obliterated and the remaining ones transfer more blood than perilymph. From the interstitial spaces of the limbus the endolymph flows into the capillaries towards the inner auditory veins and the interstitial liquid of the organ of Corti flows towards the same veins by means of short lymphatic vessels.
Cause, pathogenesis, clinical manifestations and treatment of meniere's disease and endolymphatic hydrops
2019
Meniere's disease (MD) is characterized by the triad of fluctuating hearing loss, episodic vertigo and tinnitus, and by endolymphatic hydrops found on postmortem examinations. Since the description of endolymphatic hydrops by Hallpike and Cairns all the physiopathology of Meniere's symptoms have been based on assumption that the pathologic lesion was the cause of the symptoms. Paparella came out term and concept towards understanding of a disease was, "pathogenesis," which applies to all otological diseases, in general and in particular within this context of MD, which allows us to better understand this disease. After Schuknecht proposed the theory of membranous rupture causing the mixing …
Meniere's disease: Therapeutic options
2021
Meniere's disease (MD) is characterized by the triad of fluctuating hearing loss, episodic vertigo and tinnitus, and by endolymphatic hydrops found on postmortem examinations. Since the description of endolymphatic hydrops by Hallpike and Cairns, the physiopathology of Meniere's symptoms has been based on assumption that the pathologic lesion was the cause of the symptoms. Schuknecht proposed the theory of membranous rupture causing the mixing up of endolymph and perilymph leading to the occurrence of Meniere's symptoms. Lawrence confirmed this theory with research on experimental animals. In 1995 the AAO-HNS criteria defines "Possible MD (Grade D), Probable MD (Grade C), Definite MD (Grade…
Histochemical localization of calcium ATPase in the cochlea of the guinea pig
1992
The activity of Ca(2+)-ATPase in the inner ear of the guinea pig was studied ultracytochemically by the lead citrate reaction. The electron-dense reaction products as an expression of Ca(2+)-ATPase activity were localized in endolymphatic cells of Reissner's membrane, in outer and inner hair cells and in some supporting cells. The main finding was the difference in the localization of Ca(2+)-ATPase in outer and inner hair cells. In the latter cells the activity sites were mainly intracellular and in apical membrane specializations, whereas in the outer hair cells the enzyme was localized in the apical membrane specializations and the basolateral plasma membrane.
Development and Function of the Spiral Canlicular System
1965
The canalicular spiral system derives from the epithelium of the outer spiral sulcus and extends towards the prominence and the spiral ligament. The comparison between the development of the canalicular spiral system and that of other cochlear structures induces the author to con-firm what he suggested in 1949 about the secreting modality of the cochlear endolymph.
Preliminary study on ionic composition in endolymphatic sac of Hoplostethus mediterraneus
2004
On the Function of the Spiral Prominence
1967
The suppression of hematic circulation of the internal auditory artery of a guinea-pig causes the necrosis of all anatomic formations of the cochlear duct, with the exception of the organ of Corti of the vestibular segment. The author confirms his hypothesis about the origin of the cochlear endolymph and thinks that the prominence provides the vegetative life of the organ of Corti.