![]() In vestibular Meniere's disease, the number of bilateral EH was higher in the vestibule (56.3%) than that in the cochlea (25.0%). Positive rate of v-EH in vestibular Meniere's disease (68.8%) was as high as that of MD (80%). Results: Even in unilateral MD, cochlear and vestibular endolymphatic hydrops (c-, v-EH) were demonstrated not only in the affected side but also in the healthy side in more than half of patients. All above tests and frequency/duration of vertigo spells were compared between vestibular Meniere's disease and MD. All patients underwent vestibular assessments including inner ear MRI 4 h after intravenous gadolinium injection, bithermal caloric testing, directional preponderance of vestibulo-ocular reflex in rotatory chair test, cervical- and ocular-vestibular evoked myogenic potential, stepping test, dizziness handicap inventory (DHI), and hospital anxiety and depression scale (HADS). Those who met the criteria for definite or probable vestibular migraine were excluded. Methods: Thirty patients with unilateral definite MD and 16 patients with vestibular Meniere's disease were included. ![]() Objective: To estimate the role of EH in vestibular Meniere's disease in comparison with definite Meniere's disease. ![]() ![]() Though named as Meniere's disease (MD), this entity may not be caused solely by endolymphatic hydrops (EH). It is an amicable decision and during overlap in Maryland we will continue to work together to provide for our horse athletes as we have always been privileged to do in the past.Background: Vestibular Meniere's disease (American Academy of Ophthalmology and Otolaryngology, 1972) also known as possible Meniere's disease (American Academy of Otolaryngology Head and Neck Surgery, 1995) or vestibular type of atypical Meniere's disease (V-AMD) (Japan Society for Equilibrium Research, 2017) is characterized by an episodic vertigo without hearing loss. Stewart is not leaving for Florida until December and does plan to return in Spring. We are still a phone call, text and consult away and want to help prepare and transition clients for this change as best possible starting with this formal announcement. Stewart will continue to expand her practice into Florida, basing in Ocala and returning to Maryland seasonally. Williams will shift to a solo 100% sports medicine practice balanced with time pursuing his passion for teaching, consulting, and more continuing education opportunities, while Dr. Over the last few years, Equine Sports Medicine of Maryland has gradually shifted away from general practice and toward a 100% Sports Medicine practice. However, after much contemplation and self-reflection we realize that the two of us are in different phases of our veterinary careers, leading us in alternate directions, both literally and metaphorically.Īs a result, after looking into various options, we have made the decision to follow these paths independently. Over the past several years the shift from Cooper Williams VMD to Equine Sports Medicine of Maryland has been a growth that reflected both of our interests, allowing our goals to align. This is a decision that affects all of our horse family and we recognize the ways this news may be received. We are reaching out with bittersweet news as we announce Dr.
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