CHUN-NAN CHENYI-HO YOUNG2020-03-092020-03-0920060001-6489https://www.scopus.com/inward/record.uri?eid=2-s2.0-28844509718&doi=10.1080%2f00016480510012363&partnerID=40&md5=1783ffeb72c6c29e23aa06dae9cf1643https://scholars.lib.ntu.edu.tw/handle/123456789/474437Conclusions. Most patients with M?ni?re's disease (MD) reveal abnormal vestibular-evoked myogenic potentials (VEMPs) and the recruitment phenomenon, whereas most sudden deafness patients display normal VEMPs without the recruitment phenomenon. We therefore recommend using both the recruitment phenomenon and VEMP testing as a diagnostic algorithm to differentiate between MD and sudden deafness as the cause of acute hearing loss. Objective. To recommend a diagnostic algorithm to differentiate between MD and sudden deafness as the cause of acute hearing loss. Material and methods. Between January 2002 and December 2003, 14 consecutive patients with "probable" MD who also had acute sensorineural hearing loss were enrolled in the study, together with another 14 age- and sex-matched patients with idiopathic sudden deafness. Each patient underwent a battery of audiovestibular function tests, including pure-tone audiometry, a stapedial reflex test, distortion-product otoacoustic emissions (DPOAEs), electronystagmography and a VEMP test. All patients were followed for at least 12 months after presentation. Results. Significant differences were found between MD and sudden deafness in terms of the recruitment phenomenon (86% and 21% of cases, respectively) and abnormal VEMP responses (71% and 21% of cases, respectively). However, the diseases did not differ significantly in terms of abnormal DPOAEs or caloric test results. ? 2006 Taylor & Francis.M?ni?re's disease; Recruitment phenomenon; Sudden deafness; Vestibular-evoked myogenic potential[SDGs]SDG3anxiolytic agent; corticosteroid; Ginkgo biloba extract; isosorbide; plasma substitute; acoustic reflex; acute disease; adult; age; aged; algorithm; article; auditory system function; caloric vestibular test; clinical article; clinical trial; controlled clinical trial; controlled study; differential diagnosis; distortion product otoacoustic emission; electric battery; electronystagmography; evoked muscle response; female; human; idiopathic disease; male; Meniere disease; perception deafness; priority journal; probability; pure tone audiometry; recurrent disease; reflex recruitment; sex; sudden deafness; Adult; Aged; Algorithms; Audiometry, Pure-Tone; Diagnosis, Differential; Evoked Potentials, Auditory; Female; Follow-Up Studies; Hearing Loss, Sensorineural; Hearing Loss, Sudden; Humans; Male; Meniere Disease; Meniere's Disease; Middle Aged; Otoacoustic Emissions, Spontaneous; Vestibular Function Testsjournal article10.1080/00016480510012363163082512-s2.0-28844509718