P100 Case Studies

The following shows the results of a pilot study for the P100-For Ménière´s Disease.
This study was supervised by Prof. Burkhard Franz.

Case1

Mrs. M.L., a 58 year old lady presented with an 18 months history of intermittend attacks of vertigo, nausea and fluctuating hearing.
The hearing was gradually deteriorating.

A main concern was a constant blockage in the left ear, and the urge to unblock it.
She has been on methothrexate for rheumatoid arthritis.

The neurootological assessment confirmed Ménière’s disease in the left ear with a typical low frequency hearing loss of moderate degree.

An MRI scan was clear.

She was treated with perscription drugs for a period of 3 months without effect.

As she showed a mild Eustachian tube disorder in the preliminary assessment a ventilation tube was inserted into the left ear.

Her balance improved immediately but the annoying pressure symptoms remained.
She was given the P100.
It effectively got rid of all her Ménière’s symptoms.
She uses the P100-For Ménière´s Disease regularly, at least three times a day, or intermittently if pressure builds up in the ear. She has her P100 on her all the time.

Case 2

Mrs. D.K., a 51 year old lady presented with a 9 year history of Ménière’s disease.

She had regular attacks of vertigo and nausea, and her hearing was gradually deteriorating in the right ear. She has been on Chlotride, Stemetil and Serc with no effect.
Her previous surgeon died and she was seeking another opinion regarding her condition.

The diagnosis of Ménière’s disease was now confirmed in both ears, but she also demonstrated bilaterally very mild Eustachian tube dysfunctions.

Ventilation tubes were inserted.
Her symptoms improved, and her attacks of vertigo were less frequent.
Medication was now reduced to Serc only.

 

The introduction of the P100-For Ménière´s Disase, however, controlled her symptoms completely.
She had no attacks of vertigo since using the P100 which she uses up to eight times a day.

Case 3

Mrs. E.L., a 61 year old lady presented with a 40 year history of diagnosed Ménière’s disease.
The attacks have been rare, but recently increased in frequency, and this was associated with a marked deterioration of the hearing in the right ear.

Serc did not help much.

The diagnosis of Ménière’s disease was confirmed, but also a mild Eustachian tube dysfunction in both ears.
Ventilation tubes were inserted.

Her symptoms improved, but were still not satisfactory.

With the P100-For Ménière´s Disase she felt so much better that she stopped using it for a while.

She went back on the P100 and symptoms were controlled.

Case 4

Mrs. M.F., a 51 year old lady presented with a 20 year history of diagnosed Ménière’s disease.

During these years she only had five attacks of vertigo associated with nausea and tinnitus.

The hearing however, was gradually deteriorating in the left ear and recently attacks of vertigo have become quite frequent.

The diagnosis of Ménière’s disease was confirmed with a typical mild to moderate low frequency sensory neural hearing loss in the left ear.

Specific Eustachian tube function tests revealed a mild Eustachian tube dysfunction in the left ear despite a type A tympanogram.

Her response to Serc was limited and ventilation tubes were inserted and she was given the P100-For Ménière´s Disease.
This settled her symptoms temporarily.

She had one attack while on Serc, using the P100-For Ménière´s Disease as well as Zinc as an antioxidant.
This attack of vertigo was confirmed by a neurologist as a migraine variant.

Case 5

Mrs. P.C., a 73 year old lady presented with a long history of diagnosed Ménière’s disease.

She had a sac decompression in the right ear aliquo loco, but this had not settled her symptoms.

The diagnosis of Ménière’s disease in the right ear was confirmed.

There was a moderate to severe sensory neural hearing loss equally spread along the speech frequencies in the right ear.

Despite a type A tympanogram a mild Eustachian tube dysfunction could be demonstrated with the modified Holmquist test.

A ventilation tube was inserted.
It marginally improved her symptoms.

She was given the Meniett.

This improved her symptoms.

However it was inconvenient to carry around.

The introduction of the P100-For Ménière´s Disease controlled her symptoms equally.
She is back playing bowls with her friends.
The P100 has changed her life.

She carries it with her all the time.

Case 6

Mrs. J. McN., a 50 year old lady presented for seeking a second opinion regarding her recently diagnosed Ménière’s disease.
She did not respond to Serc or Nicotinic acid.

Her hearing was gradually deteriorating in both ears.

The neurootological assessment confirmed early stages of Ménière’s disease now affecting both ears.

Despite bilateral type A tympanograms there was evidence of a mild Eustachian tube dysfunction in both ears. Ventilation tubes were inserted.

Symptoms improved a little.

She used the P100-For Ménière´s Disease successfully.
It controlled her balance and pressure symptoms.

Case 7

Mr. D.H., a 73 year old gentleman presented with a pulsating noise in the left ear.

The noise increased with intermittent attacks of vertigo.

The hearing was gradually deteriorating.

The diagnosis of Ménière’ disease was confirmed in the right ear.

He responded to the insertion of a middle ear ventilation tube.

Symptoms returned once the ventilation tube was rejected.

He responded to the insertion of a ventilation tube only over a period of 9 years.

However, recently the middle ear ventilation tube became less effective.
He was given the Meniette for a trial.He felt it to be too cumbersome.

He was given the P100-For Ménière´s Disease and it controlled his symptoms.

Case 8

Mr. K.R., an 86 year old gentleman presented with a gradual deterioration of the hearing in the left ear and frequent episodes of lightheadedness and nausea.

The neurootological pattern was consistent with Ménière’s disease affecting the left ear.

There was a moderate to severe sensory neural hearing loss in the left ear almost equally affecting the speech frequencies.

He also demonstrated a mild Eustachian tube dysfunction in the left ear despite a type A tympanogram.

A ventilation tube was inserted.

This has partially improved his symptoms.

The P100-For Ménière´s Disease controlled his symptoms.
He does not want to be without it.

Case 9

Mrs. P.F., a 67 year old lady presented with a long history of intermittend vertigo and a gradual deterioration of the hearing.

The attacks of vertigo have been infrequent in the past, but recently have increased dramatically.

The neurootological pattern was consistent with Ménière’s disease affecting the left ear.

There was also a mild Eustachian tube dysfunction despite a type A tympanogram.
There was a week response to Serc.

A ventilation tube was inserted, and she was given the P100-For Ménière´s Disease.
She responded well and has been without symptoms for the last two months.

Case 10

Mrs. A.S., a 39 year old lady presented with a four year history of diagnosed Ménière’s disease.

Her hearing was deteriorating in the right ear.

She was seeking another opinion as she did not respond to conventional treatment.

The assessment confirmed Ménière’s disease in the right ear, and a mild Eustachian tube dysfunction despite a type A tympanogram.

She had a moderate to severe sensory neural hearing loss in the right ear.

Her response to the insertion of a ventilation tube improved marginally her symptoms.
She responded very well to the P100-For Ménière´s Disease.

Case 11

Mrs. L.C., a 44 year old lady presented with a forerunner of Ménière’s disease eight years ago.

She represented recently with frequent attacks of vertigo and deterioration of her hearing in the left ear.

She did not respond to Serc.

The neurootological assessment confirmed Ménière’s disease in the left ear.

The insertion of a middle ear ventilation tube improved her symptoms only marginally.

Increasing the dosage of Serc did not help.

The P100-For Ménière´s Disease has improved her symptoms, but she is still experiencing intermittend blockage in the left ear, there were no more attacks of vertigo.

Case 12

Mr. D.S., a 46 year old gentleman presented with a ten months history of almost daily attacks of vertigo, nausea and pressure in the left ear.

His hearing was deteriorating quickly.

He was a diabetic and did not respond to Serc.

The neurootological assessment confirmed Ménière’s disease in the left ear.

He also had a mild Eustachian tube dysfunction in both ears despite bilateral type A tympanograms.

He had a moderate sensory neural hearing loss in the right ear almost equally affecting the speech frequencies.
The insertion of bilateral ventilation tubes did not help.

He was desperate to be prescribed the Meniett device.

Instead the P100-For Ménière´s Disease was given for a trial.
His response was excellent.
He used the P100 at least six times a day.

As soon as he feels pressure building up in his left ear, the P100-For Ménière´s Disease gets rid of it immediately.

He does not want to return the device.

Case 13

Mrs. H.L., a 65 year old lady presented with a forerunner of Ménière’s disease six years ago.

At that time she responded to the insertion of a middle ear ventilation tube.

She represented recently with a pulsating noise in the right ear, deteriorating hearing, nausea and intermittend attacks of vertigo.

The neurootological assessment confirmed Ménière’s disease in the right ear.
There was a mild mainly low frequency sensory neural hearing loss in the right ear.

Specific Eustachian tube function tests revealed a mild Eustachian tube dysfunction in the right ear.

Her response to Serc was limited.

The reinsertion of a ventilation tube improved symptoms a little more.

She responded well to the P100-For Ménière´s Disease.
There were no more balance problems, the nausea was controlled and the pulsating noise in the right ear diminished.