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Chronic cerebrospinal venous insufficiency in menière syndrome: diagnosis and treatment

Bruno A. 1, Califano L. 2, Mastrangelo D. 1, De Vizia M. 1, Bernardo B. 1

1 Divisione di Chirurgia Vascolare Clinica GEPOS ‑ Telese, Benevento, Italy;
2 Dirigente Responsabile SSD Audiologia e Foniatria A. O. G. Rummo, Benevento, Italia

Aim: The authors have evaluated through ultrasound and phlebography the relationship between Menière’s Syndrome and CCSVI and effectiveness of angioplasty in the reduction of symptomatology.

Methods: Twenty-five patients with diagnosis of Menière’s Syndrome, not responder to usually therapy, underwent echo-color-Doppler sonography with Zamboni’s protocol for the diagnosis of CCSVI. Twenty-four were positive. In 5 case we performed venography and the diagnosis was confirmed. These patients were treated with PTA of IJV.

Results: Ultrasound diagnosis of CCSVI was performed in patients with Menière’s Syndrome. It was positive in 24 cases out of 25 (95% of cases). In healthy population CCSVI was noticed in 3% of cases. Five patients underwent venography, which confirmed the diagnosis and PTA was effective in all patients.

Conclusion: There is a significant prevalence of CCSVI in patients with Menière’s Syndrome and its treatment with PTA has given good results in all patients, with a consequent reduction of symptomatology.