Preliminary exploration of the differential diagnostic value of otoacoustic emissions in early Meniere's disease and vestibular migraine
10.16066/j.1672-7002.2024.08.004
- VernacularTitle:耳声发射在早期梅尼埃病和前庭性偏头痛鉴别诊断中的价值初探
- Author:
Zhengtao SUN
1
;
Bo LIU
;
Yi ZHANG
Author Information
1. 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,北京市耳鼻咽喉科研究所,耳鼻咽喉头颈科学教育部重点实验室(首都医科大学),北京 100730
- Keywords:
Migraine Disorders;
Meniere Disease;
Diagnosis;
distortion product otoacoustic emissions;
vestibular migraine
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2024;31(8):497-500
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To analyze the distortion product otoacoustic emissions(DPOAE) characteristics in patients with Ménière disease(MD) and vestibular migraine(VM),and explore the diagnostic value of DPOAE in MD and VM. METHODS There were 35 unilateral MD patients[age (41.86±10.77)years;21 males,14 females]and 32 VM patients[age (39.97±8.99)years;7 males,25 females]who were diagnosed at Beijing Tongren Hospital were included. Pure-tone audiometry thresholds and DPOAE response amplitudes and signal-to-noise ratios(SNR) were analyzed. Further analysis was conducted on DPOAE results in patients with normal average hearing thresholds in both groups. RESULTS 1. DPOAE results of all included patients indicated that DPOAE response amplitudes and SNR in the MD group were lower than those in the VM group within the 0.7-8 kHz range(P<0.05);2. Comparative analysis of the two groups with normal average hearing thresholds revealed a lower DPOAE SNR at 1 kHz in the MD group compared to the VM group(Z=-2.495,P=0.013). CONCLUSION The MD group exhibited lower DPOAE response amplitudes and smaller SNR;a comparison of the two groups with normal mean hearing thresholds also showed a reduced SNR at 1 kHz in the MD group. These findings suggest that DPOAE assessment can be a valuable tool in evaluating cochlear function and aiding in the early differential diagnosis of MD and VM.
