Taguchi Daizo, Kakigi Akinobu, Takeda Taizo, Sawada Shoichi, Nakatani Hiroaki
Division of Otolaryngology, Head and Neck Surgery, Tottori University Faculty of Medicine, Tottori, Japan.
ORL J Otorhinolaryngol Relat Spec. 2010;71 Suppl 1:26-9. doi: 10.1159/000265117. Epub 2010 Feb 24.
To investigate the relationship between the plasma antidiuretic hormone (p-ADH) level, electrocochleogram (ECoG), and the glycerol test in patients with endolymphatic hydrops (ELH).
The subjects were 60 patients, including 51 with Ménière's disease (except for cochlear Ménière's disease), 7 with delayed ELH, and 2 with syphilitic ELH. The time period for measurements of the p-ADH level, ECoG and the glycerol test was within 4 weeks.
13 patients showed positive results for all tests. 58 patients showed positive results for at least one of three tests. Only 2 patients showed negative results for all tests.
The p-ADH level, ECoG and the glycerol test show different selectivity of ELH detection. It is useful to perform all three tests to diagnose ELH.
