Meniere’s disease can be a rather tricky diagnosis due to disagreement on the exact pathogenesis and the symptom overlap with other. Precise history taking and otoneurological examination confirmed the diagnosis of Lermoyez’s syndrome. A year-old male had been suffering from recurrent. Lermoyez syndrome is an infrequent disease of the auditory and vestibular system. It is likely to be caused by endolymphatic hydrops, and is.

Author: Shakabei Fenriran
Country: Costa Rica
Language: English (Spanish)
Genre: Travel
Published (Last): 2 February 2006
Pages: 36
PDF File Size: 19.3 Mb
ePub File Size: 19.13 Mb
ISBN: 251-1-36550-734-5
Downloads: 76741
Price: Free* [*Free Regsitration Required]
Uploader: Julrajas

Precise history taking and otoneurological examination confirmed the diagnosis of Lermoyez’s syndrome.

Vestibular function in Lermoyez syndrome at attack.

A year-old male had been suffering from recurrent episodes of tinnitus, hearing loss and dizziness. The course of the symptoms were of interest. First, low-grade tinnitus and hearing loss persisted for a year. At the pre-stage of vertigo, he noticed the severity of tinnitus and hearing impairment was lermoyfz to increase. Then, the attacks of dizziness appeared.


Meanwhile, both tinnitus and hearing impairment disappeared after the sudden onset of vertigo. These symptoms reccurred with increasing frequency and severity.

On the basis of our findings and a review of the literature, we conclude that the major cause of Lermoyez’ syndrome may be an abnormal flexibility of the ductus reuniens. The stages of onset might be as follows: This would cause tinnitus and hearing loss. The higher the pressure of the cochlear endolymph, syndrrome worse the cochlear symptoms.

[Three cases of Lermoyez’s syndrome and its pathophysiology].

Further increased pressure of the endolymphatic space would cause the ductus reuniens to open suddenly with a pop before rupture of Reissner’s membrane, as noted by Synxrome and MaCabe in Meniere’s disease. A sudden pressure increase in the saccule induces an abrupt change of the macula nerve action potential, lowering the threshold of nystagmus and dizziness and leading to an episode of vertigo.

Simultaneosly, the tinnitus disappears and hearing is restored. Further investigation is required. Already have an account? Journal home Journal issue About the journal.


June 05, accepted: Information related to the author. Previous article Next article. Register Already have an account?