Endolymph homeostasis and Meniere's disease. Fundamentals, pathological changes, aminoglycosides

Gleich, Otto and Strutz, J. and Schmid, K. (2008) Endolymph homeostasis and Meniere's disease. Fundamentals, pathological changes, aminoglycosides. HNO, 56 (12). pp. 1243-1251. ISSN 0017-6192, 1433-0458

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Abstract

Although low dose intratympanal gentamicin has empirically been very effective in treating Meniere'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.

Item Type: Article
Uncontrolled Keywords: STRIA VASCULARIS; INNER-EAR; GUINEA-PIGS; LONG-TERM; FOLLOW-UP; GENTAMICIN; CELLS; THERAPY; MEMBRANE; Meniere's disease; Endolymph; Stria vascularis; K+ resorption and secretion; Gentamicin therapy
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Hals-Nasen-Ohren-Heilkunde
Depositing User: Dr. Gernot Deinzer
Date Deposited: 14 Oct 2020 10:13
Last Modified: 14 Oct 2020 10:13
URI: https://pred.uni-regensburg.de/id/eprint/29961

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