caa a22 4500 606182713 CHVBK 20210128100817.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s00405-013-2841-1 doi (NATIONALLICENCE)springer-10.1007/s00405-013-2841-1 Chronic cerebrospinal venous insufficiency in patients with Ménière's disease [Elektronische Daten] [R. Filipo, F. Ciciarello, G. Attanasio, P. Mancini, E. Covelli, L. Agati, F. Fedele, M. Viccaro] Abstract : To analyze the presence of chronic cerebrospinal venous insufficiency parameter and vascular abnormalities, in the internal jugular veins (IJVs) and/or vertebral veins in sitting and supine posture, in patients with Meniere's disease compared to healthy general population. A prospective study on 32 patients affected by definite Ménière was performed from February 2012 to January 2013. All subjects underwent an echo-color Doppler examination of the cerebrospinal venous flow. 21 of the 32 Menieric patients showed a statistically significant reflux in the intracranial veins versus healthy (65.6 vs 25%; P<0.001). A high prevalence of IJVs stenosis with hemodynamic changes (increased velocity or absence of flow) was observed (66.7 vs 33.3%; P<0.05). The other parameters considered did not show statistically significant differences among the two groups. The results obtained showed a vascular pattern of cerebrospinal venous system present in patients affected by definite Meniere. This vascular impairment significantly affects the vascular areas more directly involved in the venous drainage of the inner ear. Thus venous stasis may be considered a further pathogenetic mechanism for development of Meniere's disease. Springer-Verlag Berlin Heidelberg, 2013 Ménière's disease nationallicence CCSVI nationallicence Filipo R. Department of Sensory Organs, Umberto I Polyclinic of Rome, "Sapienza” University, viale dell'Università 31, 00161, Rome, Italy aut Ciciarello F. Department of Cardiovascular, Respiratory, Geriatric and Morphologic Sciences, Umberto I Polyclinic of Rome, "Sapienza” University, Rome, Italy aut Attanasio G. Department of Sensory Organs, Umberto I Polyclinic of Rome, "Sapienza” University, viale dell'Università 31, 00161, Rome, Italy aut Mancini P. Department of Sensory Organs, Umberto I Polyclinic of Rome, "Sapienza” University, viale dell'Università 31, 00161, Rome, Italy aut Covelli E. Department of Sensory Organs, Umberto I Polyclinic of Rome, "Sapienza” University, viale dell'Università 31, 00161, Rome, Italy aut Agati L. Department of Cardiovascular, Respiratory, Geriatric and Morphologic Sciences, Umberto I Polyclinic of Rome, "Sapienza” University, Rome, Italy aut Fedele F. Department of Cardiovascular, Respiratory, Geriatric and Morphologic Sciences, Umberto I Polyclinic of Rome, "Sapienza” University, Rome, Italy aut Viccaro M. Department of Sensory Organs, Umberto I Polyclinic of Rome, "Sapienza” University, viale dell'Università 31, 00161, Rome, Italy aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/1(2015-01-01), 77-82 0937-4477 272:1<77 2015 272 405 https://doi.org/10.1007/s00405-013-2841-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-013-2841-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Filipo R. Department of Sensory Organs, Umberto I Polyclinic of Rome, "Sapienza” University, viale dell'Università 31, 00161, Rome, Italy aut NATIONALLICENCE 700 1- Ciciarello F. Department of Cardiovascular, Respiratory, Geriatric and Morphologic Sciences, Umberto I Polyclinic of Rome, "Sapienza” University, Rome, Italy aut NATIONALLICENCE 700 1- Attanasio G. Department of Sensory Organs, Umberto I Polyclinic of Rome, "Sapienza” University, viale dell'Università 31, 00161, Rome, Italy aut NATIONALLICENCE 700 1- Mancini P. Department of Sensory Organs, Umberto I Polyclinic of Rome, "Sapienza” University, viale dell'Università 31, 00161, Rome, Italy aut NATIONALLICENCE 700 1- Covelli E. Department of Sensory Organs, Umberto I Polyclinic of Rome, "Sapienza” University, viale dell'Università 31, 00161, Rome, Italy aut NATIONALLICENCE 700 1- Agati L. Department of Cardiovascular, Respiratory, Geriatric and Morphologic Sciences, Umberto I Polyclinic of Rome, "Sapienza” University, Rome, Italy aut NATIONALLICENCE 700 1- Fedele F. Department of Cardiovascular, Respiratory, Geriatric and Morphologic Sciences, Umberto I Polyclinic of Rome, "Sapienza” University, Rome, Italy aut NATIONALLICENCE 700 1- Viccaro M. Department of Sensory Organs, Umberto I Polyclinic of Rome, "Sapienza” University, viale dell'Università 31, 00161, Rome, Italy aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/1(2015-01-01), 77-82 0937-4477 272:1<77 2015 272 405