Balance-Clinic, Nueschelerstrasse, Zurich, Switzerland.
Zurich University, Faculty of Medicine, Rämistrasse, Zurich, Switzerland.
J Vestib Res. 2021;31(4):311-314. doi: 10.3233/VES-200716.
This paper provides a new hypothetical explanation for the etiopathology and pathophysiology of Menière's Disease (MD), which to date remain unexplained, or incompletely understood. The suggested hypothesis will explain the close connection of MD and Migraine, the coexistence of endolymphatic hydrops (ELH) and Menière attacks and the signs of inflammation detected in the inner ears of MD patients. Although as yet unproven, the explanations provided appear highly plausible and could pave the way for the generation of the first animal model of MD - an invaluable asset for developing new treatment strategies. Furthermore, if proven correct, this hypothesis could redefine and also reset the actual name of Menière's Syndrome to Menière's Disease.
本文针对梅尼埃病(MD)的病因和病理生理学提供了一个新的假设性解释,目前这些内容仍未得到解释或不完全被理解。该假设将解释 MD 与偏头痛之间的密切联系、内淋巴积水(ELH)与梅尼埃病发作的共存以及在 MD 患者的内耳中检测到的炎症迹象。虽然尚未得到证实,但提供的解释似乎非常合理,并为生成首个 MD 动物模型铺平道路——这对于开发新的治疗策略是一项宝贵的资产。此外,如果被证明是正确的,这个假设可以重新定义并重置梅尼埃综合征的实际名称为梅尼埃病。