Article: Obstructing lesions of the endolymphatic sac and duct mimicking Meniere's disease.

Abstract

In this retrospective case series and literature review, we demonstrate that temporal bone lesions that obstruct the endolymphatic sac or duct can cause symptoms of Meniere's disease. This finding is likely attributable to endolymphatic hydrops; initially, such cases typically masquerade as Meniere's disease. Between July 1995 and April 2002, a total of 379 patients were treated for an initial diagnosis of Meniere's disease at our institution. Among this group, 3 patients were found to have an obstructing lesion of the endolymphatic sac or duct that we felt was causally related to their Meniere's-like symptomatology. We reviewed these cases and noted ...

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