Tumarkin’s Otolithic Crisis: Role of the Corticothérapie in Support

Patients with the disease Meniere can present crises of Tumarkin consisting of the sudden drop to the ground without a prodrome prior to or loss of consciousness, lasting a few seconds. The diagnosis is clinical and based on the typical description of the patient. The treatment of the crisis of Tumarkin is still a subject of discussion. We report 3 cases of Tumarkin crisis in three patients followed in our department for Meniere’s disease, whose diagnosis of otolithic Tumarkin crisis was made by the description of each of sudden falls to the ground without prodrome or loss of consciousness beforehand, for a few seconds and comforted by vestibular explorations (VHIT and caloric tests) deficient at low frequencies and normal at high frequencies. All patients received an installation of a tympanic aerator with injection of corticosteroids. The follow-up after injection was carried out for at least 2 years, marked by the improvement of the balance, the disappearance of the symptoms of Menière’s disease with absence of recurrence of the Tumarkin crisis for the three. The injection transtympanic of corticosteroide promises to be a conservative treatment of first intention for the crisis of Tumarkin related to the disease of Méniére since the steroid has no toxicity to the inner ear.