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Titolo:
Pulsatile tinnitus in patients with morbid obesity: The effectiveness of weight reduction surgery
Autore:
Michaelides, EM; Sismanis, A; Sugerman, HJ; Felton, WL;
Indirizzi:
Virginia Commonwealth Univ, Med Coll Virginia, Dept Otolaryngol Head & Neck Surg, Richmond, VA 23298 USA Virginia Commonwealth Univ Richmond VA USA 23298 , Richmond, VA 23298 USA Virginia Commonwealth Univ, Med Coll Virginia, Dept Surg, Richmond, VA 23298 USA Virginia Commonwealth Univ Richmond VA USA 23298 , Richmond, VA 23298 USA Virginia Commonwealth Univ, Med Coll Virginia, Div Neuroophthalmol, Richmond, VA 23298 USA Virginia Commonwealth Univ Richmond VA USA 23298 , Richmond, VA 23298 USA Michigan Ear Inst, Farmington Hills, MI USA Michigan Ear Inst Farmington Hills MI USA Inst, Farmington Hills, MI USA
Titolo Testata:
AMERICAN JOURNAL OF OTOLOGY
fascicolo: 5, volume: 21, anno: 2000,
pagine: 682 - 685
SICI:
0192-9763(200009)21:5<682:PTIPWM>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
IDIOPATHIC INTRACRANIAL HYPERTENSION; VENOUS HUM TINNITUS; PSEUDOTUMOR CEREBRI; DIAGNOSIS; PRESSURE;
Keywords:
pulsatile tinnitus; morbid obesity; weight reduction surgery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
18
Recensione:
Indirizzi per estratti:
Indirizzo: Sismanis, A Virginia Commonwealth Univ, Med Coll Virginia, Dept Otolaryngol Head & Neck Surg, POB 980146, Richmond, VA 23298 USA Virginia Commonwealth Univ POB 980146 Richmond VA USA 23298 SA
Citazione:
E.M. Michaelides et al., "Pulsatile tinnitus in patients with morbid obesity: The effectiveness of weight reduction surgery", AM J OTOL, 21(5), 2000, pp. 682-685

Abstract

Background: Morbid obesity is increasing in the United States population. Morbidly obese patients may have disabling pulsatile tinnitus (PT) secondary to pseudotumor cerebri syndrome and often seek treatment from otolaryngologists because of this symptom. Objective: To determine the effectiveness of weight reduction surgery (WRS) for relief of PT in patients with morbid obesity. Study Design: Retrospective study of morbidly obese patients with associated PT. Setting: Academic tertiary referral center. Patients: Sixteen women with morbid obesity and associated PT who underwent WRS. Results: Median age was 34 years (range 24-15 years). Average preoperativebody mass index was 45 kg/mL (range 33-70 kg/m(2)). Average weight loss was 45 +/- 17 kg (range 25-99 kg). Average postoperative weight was 75 +/- 13kg (range 57-105 kg). The average preoperative cerebrospinal fluid pressure was 344 +/- 103 mm H2O (range 220-520 mm H2O). Postoperative measurementsof cerebrospinal fluid, obtained on 4 patients, revealed an average decrease in pressure of 198 mm B2O (range 120-400 mm H2O). Thirteen patients experienced complete resolution of their PT (81%). Three patients continued to have PT despite significant weight reduction. Conclusions: Weight reduction surgery was effective in relieving PT in morbidly obese patients with associated pseudotumor cerebri syndrome and should be considered when conservative management has failed.

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Documento generato il 05/12/20 alle ore 14:10:52