Diagnostic Value of Cochlear Hydrops Analysis Masking Procedure in Meniere's Disease in Comparison with Electrocochleography / 대한평형의학회지

BACKGROUND AND OBJECTIVES: Patients with Meniere's disease often present with a great variety of symptoms, especially at the onset of the disease. However, there is no single test that is definitive for making the diagnosis of Meniere's disease. Recently, a new diagnostic test, the cochlear hydrops analysis masking procedure (CHAMP) was introduced as a test for endolymphatic hydrops. The aim of this study is to evaluate the diagnostic value of CHAMP test in Meniere's disease in comparison with that of electrocochleography. MATERIALS AND METHODS: The CHAMP test and electrocochleography were simultaneously performed in 14 cases of definite Meniere's disease and 8 normal healthy volunteers (16 ears). Positive criteria were defined as being more than 0.35 in summating potential/action potential (SP/AP) ratio, 0.3 ms or less in latency delay and 0.95 or less in complex amplitude ratio. Measured parameters from each test were compared between the groups, and sensitivity and specificity of each test in diagnosing Meniere's disease were calculated. RESULTS: There was no significant difference in the SP/AP ratio of electrocochleography between the Meniere's disease and control groups. In CHAMP test, the latency delay was shorter and the complex amplitude ratio was smaller (p<0.001). While taking positive results from both test parameters, the sensitivity and specificity of CHAMP test were 85.7% and 87.5%, respectively. CONCLUSION: The CHAMP seems to be a clinically useful tool in diagnosing Meniere's disease and might be better than electrocochleography to detect endolymphatic hydrops.

An Analysis of Difference in Age and Gender of Stacked Auditory Brainstem Response and Cochlear Hydrops Analysis Masking Procedure in Korean Normal Adults / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: The stacked auditory brainstem response (SABR) was introduced to collect the low frequency information using the conventional ABR. The cochlear hydrops analysis masking procedure (CHAMP) was developed to discriminate an active Meniere's disease from others. This investigation was aimed to provide data through analyzing age and gender effects of SABR and CHAMP in Korean normal adults. SUBJECTS AND METHOD: Normal hearing Korean adults (34), aged 30 to 67 participated in this study. The number of subjects for different age groups of 30s, 40s, 50s and 60s were 10, 9, 8, and 7, respectively. SABRs were tested at 60 dB nHL stimuli level of constant noise and masking clicks of high pass noise ranging at 8, 4, 2, 1 and 0.5 kHz. CHAMP responses were simply obtained for further analysis of SABR measurements. SABR amplitude, SABR interaural difference (IAD), CHAMP latency delay, and CHAMP complex amplitude ratio were analyzed and compared. RESULTS: The mean SABR amplitude was 683 nV showing statistical difference for age but not for gender effects. The mean SABR IAD was 6.4% with no statistical significances for both age and gender effects. The mean CHAMP latency delay and complex amplitude ratio were 4.47 ms and 0.97 with statistical significance for the effects of age but not for gender. CONCLUSION: The results agreed with the foreign data in SABR and CHAMP except for the age effect of complex amplitude ratio. In order to improve clinical efficacy, investigations should be performed with more and diverse participants.

Diagnostic Value of Cochlear Hydrops Analysis Masking Procedure in Meniere's Disease / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: The diagnosis of Meniere's disease is based on audiological test and clinical symptoms. Cochlear Hydrops Analysis Masking Procedure (CHAMP) was introduced as a test for detecting changes in physical characteristics of basilar membrane by hydrops of endolympahtic system. The aim of this study is to evaluate the diagnostic value and usefulness of CHAMP tests for detection of endolymphatic hydrops. SUBJECTS AND METHOD: This study was performed on 11 cases of Meniere's disease and 10 cases of vestibular neuritis who visited ENT outpatient clinic and 25 cases of normal healthy volunteers. We defined the positive value as being less than 0.3 ms in latency delay (0.5 kHz HPN-click alone) and less than 0.95 nV in compound amplitude ratio (click alone 0.5 kHz HPN/ click alone) regardless of age or sex. RESULTS: There were significant latency delays in the Meniere's disease group compared with the vestibular neuritis and normal control group. The amplitude ratio gave significant differences between the Meniere's disease group and the normal group but there were no differences between the Meniere's disease group and the vestibular neuritis group. Without assuming the test failure, the sensitivity and specificity of latency delay was 81% and 100%, respectively, and the sensitivity and specificity of amplitude ratio was 100% and 84%, respectively. In 8 of 54 cases (14.8%), we couldn't get interpretable wave. CONCLUSION: CHAMP test is a clinically useful method that can detect endolymphatic hydrops and it can be used as an objective test for the diagonosis of Meniere's disease.