Misdiagnosis and mistherapy due to an error in judgment on Ménière syndrome and Lermoyez syndrome
Abstract:Ménière syndrome and Lermoyez syndrome are two differentdiseases. The latter could not be regarded as a clinical variation of the former. According to the literature, there are differences between these two disorders. For Ménière syndrome, the pathological basis is on labyrinth of inner ear, so vertigo, tinnitus and deafness could appear at the same time. Whereas the pathologic alterations of the latter exist in vestibular nuclei of brain stem and in temporal cortices. For this reason, vertigo usually occurs first and then is followed by tinnitus and dysaudia. This is called nuclear vertigo. Although dysaudia and paraequilibrium could happen simultaneously, there is a dissociation in most of the cases. If vertical nystagmus is found, it is more likely this is a case of nuclear vertigo.
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Publication Date:2001-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:3( 81-83 )
