Evidence map›Paper›PMID 39238691›Full record

ArticleCureus2024

The ANTI-LAMBDA: A Non-statical Tonal Indicator Low-Frequency Air-Bone Gap of Ménière's Bouts and Disease Activity.

Francisco Alves de Sousa, João Tarrio, Joana Ida Dias, Ana Pinto, Luís Meireles, Ângela Reis Rego

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In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Francisco Alves de SousaOtolaryngology - Head and Neck Surgery, Unidade Local de Saúde de Santo António, Porto, PRT.
João TarrioNeuroradiology, Unidade Local de Saúde de Santo António, Porto, PRT.
Joana Ida DiasOtolaryngology - Head and Neck Surgery, Unidade Local de Saúde de Santo António, Porto, PRT.
Ana PintoOtolaryngology - Head and Neck Surgery, Unidade Local de Saúde de Santo António, Porto, PRT.
Luís MeirelesOtolaryngology - Head and Neck Surgery, Unidade Local de Saúde de Santo António, Porto, PRT.
Ângela Reis RegoOtolaryngology - Head and Neck Surgery, Instituto CUF Porto, Porto, PRT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere have been reports of patients with Ménière´s disease (MD) showing unexplained audiometric air-bone gaps at low frequencies. Little is known about the clinical significance of this finding. The objective of this study was to describe this phenomenon while relating it with clinical features, namely the incidence of attacks.

methodsUnilateral MD patients were selected and cerebral magnetic resonance imaging (cMRI) was assessed to exclude structural pathology. A retrospective longitudinal analysis regarding disease activity and audiometric details was performed. A coincidence index and regression predictive models were considered to assess the relationship between the air-bone gap and MD activity.

resultsA total of 70 MD patients were enrolled and 252 audiograms were assessed. Low-frequency air-bone gaps (LFABGs) were significantly associated with unstable MD (p < 0.001), demonstrating a sensitivity and specificity of 93.8% and 82.7%, respectively. The incidence of unstable disease with the presence of LFABG was 89.1 %. A higher LFABG magnitude correlated with increased disease activity (p < 0.001) and was particularly pronounced at 250 Hz and 500 Hz.

conclusionThe typical LFABG encountered was here called ANTI-LAMBDA (A Non-statical Tonal Indicator Low-Frequency Air-Bone Gap of Ménière's Bouts and Disease Activity). It relates to MD activity and is a potential new tool to assess MD stability/need for additional therapeutics.

Indexed as

air-bone gapanti-lambdaattacksaudiometrydisease stabilityhydropslow-frequency thresholdsménièrenovel markervertigo diagnosis

Identifiers

PMID39238691
PMCPMC11375395

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.