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[Endolymph homeostasis and Menière's disease: fundamentals, pathological changes, aminoglycosides]. / Endolymph-Homöostase und M. Menière : Grundlagen, pathologische Veränderungen, Aminoglykoside.
Gleich, O; Strutz, J; Schmid, K.
Afiliación
  • Gleich O; HNO-Klinik, Universität Regensburg, Regensburg, Germany. otto.gleich@klinik.uni-regensburg.de
HNO ; 56(12): 1243-52, 2008 Dec.
Article en De | MEDLINE | ID: mdl-19020845
Although low dose intratympanal gentamicin has empirically been very effective in treating Menière's disease, the mechanisms of elimination or amelioration of vertigo are still insufficiently understood. Most animal studies investigating the effect of aminoglycosides used high doses that damage or kill hair cells and many other cell types of the inner ear. Additional studies are needed to investigate the effects of low dose gentamicin to elucidate the mechanisms affecting vertigo. In this article it will be explained how disturbances of endolymph homeostasis lead to endolymphatic hydrops and finally to leakage of K(+) from the endolymph into the perilymphatic space. This can lead to a non-physiological activation of vestibular nerve fibres thus causing vertigo.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Endolinfa / Enfermedad de Meniere / Modelos Biológicos Tipo de estudio: Prognostic_studies Límite: Animals / Humans Idioma: De Revista: HNO Año: 2008 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Endolinfa / Enfermedad de Meniere / Modelos Biológicos Tipo de estudio: Prognostic_studies Límite: Animals / Humans Idioma: De Revista: HNO Año: 2008 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Alemania