Vertigo and electronystagmography in uni- and bilateral Meniere's disease

DJM Mateijsen*, PWJ Hengel, H Kingma, MA Oreel, HP Wit, FWJ Albers

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

12 Citations (Scopus)


In this study we performed standardized measurements of spontaneous nystagmus (SN), caloric tests and velocity step tests on a well-defined group of 92 Meniere patients as part of a diagnostic protocol. The aim of the study was to look for results that could contribute to the diagnosis, but more specifically to a possible classification, of Meniere's disease. Relations with average hearing loss, shape of the audiogram, average hearing loss, duration and severity of perceived symptoms of disease and differences between uni-and bilateral Meniere's disease were studied. Directional preponderance (DP) in unilaterally affected patients and labyrinthine preponderance (LP) in both uni- and bilaterally affected patients were significantly more often directed towards the unaffected (uni) or least affected (bi) side (p = 0.007, p = 0.001, p = 0.002, respectively). DP was correlated with LP (uni: R = 0.615, p <0.001; bi: R = 0.438, p <0.01), which means that the DP can be seen as a latent SN, directed to the unaffected side. With the caloric test parameters LP and DP it was possible to find unilateral weakness. In unilateral disease a duration of disease

Original languageEnglish
Pages (from-to)341-348
Number of pages8
JournalOrl-Journal for oto-Rhino-Laryngology and its related specialties
Issue number6
Publication statusPublished - 2001


  • electronystagmography
  • vertigo
  • Meniere's disease
  • classification

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