Morales Angulo C, Gallo-Terán J
Servicio de ORL, Hospital Sierrallana, Torrelavega, Cantabria.
Acta Otorrinolaringol Esp. 2005 Dec;56(10):469-71. doi: 10.1016/s0001-6519(05)78650-7.
Drop attacks (DA) are a sudden fall that comes without warning and without loss of consciousness, with no associated neurological symptoms and normal neurological examination. A certain number of patients with Meniere's disease, develop Tumarkin's otolithic crisis or DA. The purpose of this study is to document the frequency and clinical features of DA in patients with Meniere's disease.
A cohort of 40 patients with "definitive" Meniere's Disease were followed up between six months and 12 years. The presence and characteristics of Tumarkin's otolithic crisis were recorded.
Thirteen (32.5%) patients developed DA during the outcome of their Meniere's disease. The interval between the onset of typical symptoms of Meniere's disease and the DA ranged from less than one year to 18 years. The number of DA varied from 1 to 14. The attacks typically occurred in a flurry during a period of 1 year or less. Six patients had only one DA. No patient requiered treatment for the DA.
Tumarkin's otolithic crisis in Meniere's disease are not uncommon. They can occur at any time during the course of the disease, generally in a flurry of less than one year. Most patients have a spontaneus remission of the DA.
跌倒发作（DA）是一种毫无征兆且无意识丧失的突然跌倒，无相关神经症状且神经学检查正常。一定数量的梅尼埃病患者会出现图马尔金耳石危象或跌倒发作。本研究的目的是记录梅尼埃病患者中跌倒发作的频率和临床特征。
对40例“确诊”梅尼埃病患者进行了为期6个月至12年的随访。记录了图马尔金耳石危象的存在情况和特征。
13例（32.5%）患者在梅尼埃病病程中出现了跌倒发作。梅尼埃病典型症状出现至跌倒发作的间隔时间从不到1年至18年不等。跌倒发作的次数从1次到14次不等。发作通常在1年或更短时间内集中出现。6例患者仅有1次跌倒发作。没有患者因跌倒发作需要治疗。
梅尼埃病中的图马尔金耳石危象并不罕见。它们可在疾病过程中的任何时间发生，通常在不到1年的时间内集中出现。大多数患者的跌倒发作会自发缓解。
