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Menier's Disease - Bone Density Study

Not Applicable
Not yet recruiting
Conditions
Osteoporosis
Vitamin D Deficiency
Osteopenia
Vestibular Disorder
Meniere Disease
Registration Number
NCT05322538
Lead Sponsor
HaEmek Medical Center, Israel
Brief Summary

Meniere's disease is a progressive and debilitating inner ear disease characterised by vertigo and hearing loss. Several studies have linked Menierws disease with lower bone density and lower vitamin D levels. In the current prospective study definite Meniere's patients will be followed over a period of 2 year, during which repetitive measurements of bone density, vitamin D plasma levels, blood pressure as well as hearing and vestibular tests will be made. Results will be compared to healthy controls.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Definite Meniere's disease
Exclusion Criteria
  • hyperthyroidism
  • hyperparathyroidism
  • acromegaly
  • hypogonadism
  • diabetes melitus
  • chronic renal failure
  • alcoholism
  • cushing syndrome
  • rheumatoid arthritis
  • systemic lupus erythematosus
  • ankylosing spondylitis
  • inflammatory bowel disease
  • obstructive lung disease
  • sarcoidosis
  • amyloidosis
  • celiac disease.
  • chronic treatment with bisphosphonates
  • chronic treatment with glucocorticoids
  • chronic treatment with androgen deprivation therapy
  • chronic treatment with gonadotropin releasing hormone agonist chronic treatment with aromatase inhibitor chronic treatment with loop diuretics chronic treatment with proton pump inhibitors chronic treatment with anti-seizure drugs chronic treatment with warfarin chronic treatment with SSRI chronic treatment with alpha or beta-blockers

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Z-score and T-score of femur and lumbur spinetwo years follow-up

DEXA exam - bone density. higher score means better resuls. osteopenia is defined as \<-1 score , osteoporosis is defined as \<-2.5 score

Vitamin D plasma levelstwo years follow-up

Vitamin D plasma levels

Secondary Outcome Measures
NameTimeMethod
Hearing level (dB), SRT in dB , descrimination in (%) in the audiology examtwo years follow-up

audiology exam

ampitude, latency and peak to peak amplitude of the P13 and N23 waves in the cVEMP testtwo years follow-up

cervical vestibular evoked myogenic potential exam

positive ortostatic hypotensionTwo years follow-up

drop of 20mmHg systolic blood pressure or drop of 10mmHG diastolic blood pressure after 3 minutes of standing up. all other results - negetive

cold pressure - autonomous sympatetic nervous system function - normal vs, inadequetetwo years follow-up

a rise of less then 15mmHg after the test is considered inadequete function, more then 15hhHg - normal function

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