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77th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

24.05. - 28.05.2006, Mannheim

Rezidivierende Vestibulokochleäre Funktionsstörung mit Spontanremission

Recurrent Vestibulocochlear Functional Deficiency with Spontaneaous Remission

Meeting Abstract

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  • corresponding author presenting/speaker Wenzeslaw Betow - Ambulatory, Bielefeld, Germany
  • Christian Betow - Daytime Clinic, Berlin, Germany

German Society of Otorhinolaryngology, Head and Neck Surgery. 77th Annual Meeting of the German Society of Otorhinolaryngology, Head and Neck Surgery. Mannheim, 24.-28.05.2006. Düsseldorf, Köln: German Medical Science; 2006. Doc06hno033

The electronic version of this article is the complete one and can be found online at:

Published: September 7, 2006

© 2006 Betow et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Fluctuating low tone hearing deficiency with tinnitus and dizziness are met frequently, but described more seldom. Audio- and tympanometrically, otitis media with effusion can be soon excluded. A 40 year old patient with recidivating sensorineural hearing loss, tinnitus and vertigo, lasting 3 weeks, and then normalizing spontaneously, is described . The hearing loss increased each time his maximal hearing loss reached 55 dB at 500dB. Whereras years ago, the term of menieriforme vertigo was frequent, Yamasoba [1] saw the evolution to M. to Meniere in 11% during 3 years only.Schaaf [2] noticed only 3,7% presented the full symptomatics of M. Meniere. Hain [3] generally made responsable autoimmune inner ear disease (AIED) for low frequency sensorineural hearing loss.He proposed several serologic tests, to proof an autoimmune pathogenesis. A classification of the disease under AIED is more probable than under M. Meniere, whereby the latter is grouped under the general termAIED too, since antibodies against inner ear proteins have been found. Other possible diagnosesare a contraction of the middle ear muscles or of the palatine muscles, which present similar symptoms. Multifrequency- tyampanometry and further serologic exams have to be carried out, in order to secure the diagnosis further.


Yamasoba T, Kuguchi S et al. (1994) Acute low-tone sensorneurial hearing loss without vertigo. Arch Otolaryngol Head Neck Surg 120
Schaaf H, Seling B et al. (2001) Sind rezidivierende Tieftonhörverluste- ohne Schwindel- die Vorstufe eines Morbus Meniere? HNO 7/2001
Hain TC (2005) Autoimmune Inner Ear Disease (AIED). Internet publication, www.dizziness-and-balance-com/disorders/autoimmune/aied/html