Two cases of Meniere's disease with drop attacks

Fumiyuki Goto, Takanobu Kunihiro, Yasutomo Araki, Akira Saito, Kaoru Ogawa

Research output: Contribution to journalArticle

Abstract

Drop attacks are sudden falls without concurrent vertigo whose etiology may be unknown. Drop attacks are also associated with cardiac, cerebrovascular, psychogenic, and vestibular disorders, in addition to seizures. Vestibular-based drop attacks without loss of consciousness can occur in patients with Meniere's disease. We present 2 cases of drop attack in patients with Meniere's disease. Case 1, a 65-year-old man, experienced 4 such attacks and case 2, a 55-year-old woman, experienced 20 within 2 years of Meniere's disease onset. Case 1 enjoyed spontaneous remission. In case 2, selective serotonin reuptake inhibitor (SSRI) administration suppressed attack frequency. Anxiety may predispose individuals to drop attack. Etiologically, inadequate stimulation of otolith organs may induce a sudden vestibule spinal reflex that, in turn, causes sudden falls. To correctly diagnose drop attacks, the patient must exhibit sudden falls, and transient ischemic attack should be carefully ruled out.

Original languageEnglish
Pages (from-to)222-225
Number of pages4
JournalJournal of Otolaryngology of Japan
Volume108
Issue number3
DOIs
Publication statusPublished - 2005 Jan 1

Keywords

  • Anxiety
  • Drop attack
  • Meniere's disease

ASJC Scopus subject areas

  • Otorhinolaryngology

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