Abstract
Objective
This paper correlated the Meniere attack with meteorological parameters i.e. atmospheric pressure, temperature, relative humidity and rainfall, to investigate
which parameters that trigger the Meniere attack.
Methods
During the past three years, totally 283 (2015), 351 (2016) and 319 (2017) patients
with Meniere's disease (MD) were encountered at a clinic of the university hospital,
accounting for 13%, 17% and 16% incidence in relation to overall annual neurotological
cases, respectively. The onset of Meniere attack was then correlated with meteorological
parameters.
Results
The mean seasonal incidence of Meniere attack in relation to overall seasonal neurotological
cases in 2015-2017 were 14.8 ± 2.8% (spring), 17.5 ± 2.2% (summer), 16.0 ± 1.8 % (autumn)
and 12.8 ± 2.0% (winter), indicating that summer season had a higher incidence of
Meniere attacks than winter season. Onset of Meniere attacks correlated significantly
with the atmospheric pressure (r = -0.4484, p = 0.0061) and temperature (r = 0.4736, p = 0.0035), and the atmospheric pressure was highly negatively correlated with the temperature
(r = -0.9421, p < 0.0001). In contrast, no correlation was identified between the onset
of Meniere attacks and relative humidity or rainfall. The atmospheric pressure in
the same month with typhoon compared with that without typhoon revealed a median reduction
of 13.1 hectopascal.
Conclusion
Atmospheric pressure and temperature are correlated with the onset of Meniere attack.
Summer season has a higher incidence of Meniere attack than winter season, likely
because low atmospheric pressure in summer may aggravate endolymphatic hydrops, especially
when accompanied by typhoons in the northwest Pacific region.
Keywords
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Article info
Publication history
Published online: July 31, 2022
Accepted:
July 20,
2022
Received:
June 6,
2022
Identification
Copyright
© 2022 Japanese Society of Otorhinolaryngology-Head and Neck Surgery, Inc. Published by Elsevier B.V. All rights reserved.