Home > Journals > Italian Journal of Vascular and Endovascular Surgery > Past Issues > Italian Journal of Vascular and Endovascular Surgery 2018 June;25(2) > Italian Journal of Vascular and Endovascular Surgery 2018 June;25(2):59-67

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Publication history
Reprints
Permissions
Cite this article as

 

ORIGINAL ARTICLE  LATEST FRONTIERS OF HEMODYNAMICS, IMAGING AND TREATMENT OF OBSTRUCTIVE VENOUS DISEASE 

Italian Journal of Vascular and Endovascular Surgery 2018 June;25(2):59-67

DOI: 10.23736/S1824-4777.18.01343-8

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Chronic cerebrospinal venous insufficiency and Menière’s disease

Aldo BRUNO 1 , Sonia RONCHEY 2, Luigi CALIFANO 3, Giuseppe ATTANASIO 4, Antonio MINNI 4, Pier P. CAVAZZUTI 5, Vincenzo GIUGLIANO 6, Roberta DE VIZIA 6, Diego MASTRANGELO 1, Benedetto BERNARDO 1, Nicola MANGIALARDI 1

1 Division of Vascular Surgery, GEPOS Hospital Telese T., Benevento, Italy; 2 Unit of Vascular Surgery, San Filippo Neri Hospital, Rome, Italy; 3 Departmental Unit of Audiology and Phoniatrics, A.O.G. Rummo (G. Rummo Hospital Group), Benevento, Italy; 4 Department of Head and Neck, Umberto I Polyclinc, Rome, Italy; 5 ENT Department, Maggiore Hospital, Bologna, Italy; 6 Department of Neuro Radiology, GEPOS Hospital Telese T., Benevento, Italy


PDF


BACKGROUND: Menière’s disease is a chronic disease that affects the inner ear and is related to the presence of endolymphatic hydrops.
METHODS: Mean age of the patients was 53.1±15.3 years. All of them had a “definite” Menière’s disease, monolateral in 240 cases, bilateral in 72, according to A.A.O. 1995 criteria. All the patients were submitted to duplex ultrasound of the deep cerebral and neck veins according to the criteria of the International Society for Neurovascular Disease 2011, modified by the 2014 guidelines.
RESULTS: The most common ultrasound anomalies were visible intraluminal defects (criterion 3) in 90% of cases - presence of two-way flow in intracranial veins and sinuses (criterion 2) in 80%, the absence of flow both in VGIs and VVs and/ or absence of flow in one projection and two- way in the other (criterion 4) in 45% of cases, while criterion 5 (DCSA greater or unchanged at 90° and 0°) was found only in a small number of patients (3%).
CONCLUSIONS: In the light of our findings, one can begin to assert that the percutaneous transluminal angioplasty of the stenosis of jugular and azygos veins may be considered a further therapeutic option for patients suffering from Menière’s disease.


KEY WORDS: Menière’s disease - Angioplasty - Therapeutics

top of page