text:
Journey to the End of the Night: Glasnost by Spidere, Ashley, Eccoglyph, Orange Magister, Neil WerewolfJune 25th, 2007 7:28 PM
Going into it, we each had a different plan. Eccoglyph was to be a master of disguise. The Orange Magister would come from an unexpected direction. Neil the Ethical Werewolf is fleet of foot. Ashley planned to relax and enjoy the trip across SF. Mine, ironically, was to become an information mole when I inevitably got caught by chasers. I won't spoil their writeups (especially Eccoglyph's), but I think none of us got exactly what we expected.
As a strategist, it made sense to arrive early. As a planner, it made sense to come prepared (with a GPS, a bus map, flashlight, dark clothing, and of course juice and warm clothes). As a tactician, it made sense to know the terrain. As a maker of alliances, it made sense to contact an ally.
And so, my first move after receiving the map was to call in to a beautiful and talented confederate on the east coast, to look up the GPS coordinates of each of the stops for me to input into my GPS. As it turned out, when a chaser is coming after you, it is very handy to know you must turn /right/ to enter the safe zone. I kept my GPS unit with me the entire way; while a map is really more handy to see the streets, the GPS gave a great after-the-fact trail of the path I took throughout the city.
And what a path it was. After the initial whistle was blown, the crowd was off. Rather than be a part of the chaser-bait, Ashley, Neil and I enjoyed an energy-providing repart before setting off for the stairs (it helps to have an SF native along).
As we were approaching the base, a man walked by, walking his dog. He slowed. Then stopped, and turned his head to stare at us. We froze. In a perfect movie moment, he slowly drew back his sleeve...revealing a red ribbon.
We bolted from the chaser, a burst of energy that would haunt us when we returned to the steps, as well as hours later. But eventually, we made it to the top, and even ran into the Magister. We snapped a few photos, then went down the back towards our next stop.
Just before we reached it, a man started running across the street...Neil took off running back, distracting the chaser, who took off in pursuit. Ashley and I took advantage of the lure and bolted for the safe zone. A little later, Neil had escaped, doubled back, and met us at checkpoint 2. Here, we joined up with the Magister, as well as two others (Ramon and Anna). We planned a fairly short but hopefully safe route to checkpoint 3, then started walking. At one point, we came across a couple more players. As we were walking, I saw one of the two players sleeves pull up...revealing a red and white ribbon. By this time, they were in the middle of our group, with Neil and Ramon ahead, the rest of us behind. "Neil--run!" I called; and we all scattered, fleeing from the chaser in our midst.
As it later turned out, Neil and Ramon were caught there; but only one of the two was actually a chaser--the other was wearing her blue ribbon, bait and disguise for players like us. When they realized this, Neil and Ramone began an undead mission of vengeance: to find the bait, and ensure that she too was chased and caught.
Anna and I fled in mostly the same direction (you can see onthe gps track how we doubled back and ran to the south). We ran into chaser number 4, and hid, then were chased again; I turned a corner and ducked away, she made it to a bus stop. Both of us safe for now, we also met up with Ashley and tentatively made our way to checkpoint 3. Along the way, every pedestrian seemed like a potential chaser. No one could be trusted. We moved to the opposite side of the road, we spaced ourselves, we gave every passerby a good distance.
At checkpoint 3, we ran into the Magister yet again, who rejoined our party. We also received a surprise--Eccoglyph had beaten us there! Our broken path evasion of chasers and delays to regroup seemed to be costing us, so we went to Sacramento to catch a 1 bus west. at the bus stop, we found two more players-turned-chasers. Having made it into the safe zone, we started chatting, and it turned out they had objects of power! They'd forgotten to use them when they got caught, but generously gave them to us in hopes that they might help.
And they would! For soon after checkpoint 4 (with Anna having departed), a chaser leapt up the ramp and tagged Ashley. "wait!" she cried--but he was already running after me (and before I could cover the half block to the safe zone, I too was tagged). Fortunately, the "get out of jail free card" allowed us 60 seconds of free time to escape, which we used to run east (away from the direction we needed to go), to a 38 stop. Seconds after reaching it, the chaser showed up again; we'd just made it. from here, it was a straight shot west. At a later stop, a horde of chasers got on the bus. This was trouble--even though the stops were safe, they could just wait us out...so we left a stop early, betting on speed to get us to the next checkpoint.
The arrival was fairly uneventful; there were several chasers just hanging out at the house, but apparently those on the bus had other plans. We rested up and chatted for a while. At this point, Ashley and I knew that Neil, Eccoglyph, and now the Magister had all been tagged. Our duty was to make it to the end. With only one checkpoint to go, we wanted to make sure that we survived. We had to avoid any more chasers. and so we decided to walk all the way back to Divisadero and go north, then come into the park on the 43 to the 29, straight into the safe zone. We figured that there was no way a chaser would be back that far. And in that, we were correct. It may have cost us an extra hour or more (check out the huge detour between 5 and 6), but we made it to 6 without being caught. And from there, a relatively quick walk up to Marina and to the end.
When we made it, it was almost 1 AM. We were late. We were tired. we were probably the very last ones to arrive. But we had made it. We had survived. Josh graciously gave over the stamina prize to Ashley, and we hung out, meeting some of the great people here on sf0. It was a fantastic adventure, and we had an amazing time.
Spidere's writeup is fantastic! I'll just add in my own personal experiences as I traveled seperately from my group.
Last year's descriptions revealed that chasers often had trouble identifying people in play, especially after dark when ribbons didn't stand out. So I figured if I could make myself blend into the landscape, maybe I could sneak by the chasers. I am an avid costumer, a "master of disguise" as Spidere puts it, and I rarely pass up an opportunity to make use of it. I decided people would avoid looking too closely at a homeless character – we do have a tendency to avoid certain realities. A key point to the costume was that it had to be easily removed, as I didn't want to be seen in costume signing into checkpoints. I fell even deeper into a paranoid state and expected people might get suspicious of the same character showing up near every checkpoint, so I put together multiple costumes. In the end, I had a homeless character, a goth girl, and I went to the meeting place as a platinum blonde. Wonder if a psychologist would say something about my affinity for creating alternate personas.
I met up with my friends, Spidere Warmouse, Ashley, Neil Werewolf, and the Orange Magister at the meeting place in my blonde wig, and a few of us went to grab some food at the Ferry Building. Not many choices on a Saturday and service was a bit slow, so I was heading back to the lawn when I saw the explosive scatter of black-clad figures on the lawn. Oops. Missed the start. I bolted back to the cafe, warned my friends and ducked into the ladies restroom. There were many people in the bathroom, so I decided emerging from the stall as a bearded vagrant wouldn't be wise. Granted, the beard was a cheap plastic wig on my face, but what would it matter upon first glance? So I put on my pajama pants, Russian ear flap hat, bedsheet, gloves, and threw my backpack into my laundry bag. I walked up to the sink and used the mirror to properly place the beard so the women could see I wasn't a man. They still gave me odd looks, but I think they were more confused than frightened, except for that one woman who walked in as I was trying to leave. However, when I went to meet up with my friends in the café and take some pictures, one of the café workers followed me outside asking if I needed anything – if I was hungry. He may have thought I was bothering his clientele or else he was just that nice. I told him I didn't need anything, but I was kind of shocked that he actually thought I looked genuine. I had a brief hope that maybe I could pull this off. I headed off to the first checkpoint.
#1) I am embarrassed to say that I had no idea how to approach Coit Tower, though I work fairly close to the area. I headed up Embarcadero, and was at first amused that people were giving me a wide berth. After awhile, it wasn't so funny… I actually felt extremely isolated, and whereas I had hung my head to keep people from seeing my face at first, I was finding it difficult to look people in the face. I ended up circling the hill a bit before finding the winding way up. I didn't see any chasers, probably because they were already at checkpoint #2. I passed the Magister on his way back down, and he gave me a knowing grin as he passed. Thankfully, my grin was hidden behind my horribly fake beard. Once at the tower, I hit my first snag. Where in the world would I change? There were tourists everywhere! My goth girl backup costume could change in restrooms but I didn't think my current character could, especially not the women's restroom. I wandered the tower and spotted the contacts – then turned around to find an isolated spot to change, kicking myself for not fully considering this situation. I quickly threw off the sheet, the pajama pants, the beard and hat, and tossed them all in my backpack. I then ran over to the contacts, who told me I was bringing up the rear, #70-something. Wow. Didn't seem like the costume was helping any. I headed back to a vacant area and quickly threw the costume back on. Grumbling, I headed at a quick hobble to checkpoint #2.
#2 – Checkpoint 2 was outside on a street – lovely. Where to change… I hobbled past the contact couple and turned into a small side street. Threw off the pajamas, sheet, etc., left the bag of stuff in the alley, already growing tired of the changing act, and headed to get my manifest signed. As I was getting it signed, the couple asked if I had just walked by in a sheet. I was amused that they had been paying attention, and I learned the woman had recognized that I was female from my sneakers. I love my Sketchers, and I didn't want to buy a pair of used sneakers that weren't broken in for such a ground-intensive event. Rats. They wished me luck and I went back into the alley, and changed into my outfit, again. The beard was really getting on my nerves now. I kept trying to adjust it by using store windows as mirrors.
#3 – The supermarket. Approaching the supermarket, I could tell things were different. There were chasers everywhere. Even in my costume, I didn't feel like walking right through them and drawing their attention. So I walked past the supermarket, and jaywalked across the road to enter the parking lot. Safe, I thought. Now… that darn changing problem, again! I went into the supermarket, hoping the employees would ignore me. I went into a corner of the market and changed quickly, then went off to find a woman with an umbrella. After walking the parking lot a bit and heading back in, a random shopper saw me searching and pointed me towards the back. "That way," he said, clearly having had some encounter during his shopping experience. I wish I had asked. Bu tthere was the woman with an umbrella and a shopping cart mostly filled with salt. Cute. Got my manifest signed, found out I was right in the thick of the players, and headed towards the entrance. There were my friends in the parking lot! I was surprised that I had caught up, and they shared with me stories of chasers and adventure. They also told me that Neil, who I had expected to outrun everyone in this game, had been caught by an act of treachery. Shoot – not the kind of person you want as a chaser. I also met this really nice guy named Rabbit. We looked out at the parking lot together, at the scores of chasers surrounding it, and felt rather powerless. I told him I had to go back in and get ready. He came with me as I changed into my costume. I didn't mind showing him my secret as I felt some bond of camaraderie, both of us facing incredible odds, on the same side. He also changed his outfit as much as he could. I didn't want to deal with my beard anymore, so I covered my face with the sheet, wished Rabbit the best of luck, and headed into the fire.
#4 – I had no trouble leaving checkpoint 3, but I didn't want to take a direct route to #4, now that I knew the chasers were all over. I walked on a parallel street, and turned the corner to head in towards the safe zone. I saw a guy in black at the corner of the safe zone, talking loudly into a cellphone and gesticulating wildly, in my direction, and towards the checkpoint. I turned around, heart beating loudly, and continued walking along the route. Frick. Maybe if I came in from the other direction? So I walked along, and I could hear someone walking quickly behind me, catching up. I stepped aside on the sidewalk to let him pass. He walked on past, and I continued behind him. He then turned around and addressed me directly – could I give him directions to Denny's? Oh hell, I thought. Is this guy a chaser? I felt a stab of panic, and tried to make my voice sound gruff, forgetting that I was no longer wearing my beard and he could probably tell I was a girl. I mumbled something about "No" and "Pumpkin seeds" (Ok, I panicked) and went past him shaking my head. He was pretty persistent for awhile before he backed off. I found out later that this was one of the organizers, Orion. I felt very nervous as I continued into the safe zone. I was shocked to have made it in, and ducked into a wall crevice, stripped off the sheet, left the bags, and walked towards the address. I was getting used to leaving my stuff on the street now. I was in the safezone but I was so paranoid that when a chaser followed me, I turned abruptly into an open door and ended up in some storage area for a restaurant. I headed up the stairs and waited for a couple of minutes, eyeing the boxes of fruit all around, trying to slow my heart and basking in the adrenaline rush. I headed back down and found the address – hey look, I thought. Denny's. That confirmed my suspicions of the interrogating chaser on my way over. I went in, found the guy in the orange shirt, and got my manifest signed. In turn, I signed a cast. :-) I met Sam there, who was still in the game, and we headed out together. As we exited, I saw Neil with a bunch of other chasers and I froze, then ducked behind a pillar. After getting over the initial panic, Sam and I walked away from the group and stopped when we reached my bags. I told him I needed to change as we wished each other luck and he headed off to #5. He did far better than I did. I was maybe a block away from the safe zone hobbling quickly away when I heard feet pounding on the pavement behind me. "Don't run," I thought to myself, "It might be someone running from a chaser… they'll run on past-" and then I felt two hands slap me on the back. Frick again. I turned around and found myself looking straight at Rabbit. No! Not that sweet guy from the supermarket! The first words out of my mouth were, "You got caught?!" So much for camaraderie. Guess I should have been more careful about hiding my identity. I was disappointed that I hadn't made it to the end, and disappointed that I didn't get to try out my goth outfit, but I was glad that I hadn't become so paranoid that I avoided meeting people. Ah well. I exchanged the blue ribbon for a red, and figured I'd head to checkpoint 6 and stop people at the end.
Not much more to the story now. I thought I could use my outfit to get close to people, but after about 15 minutes of walking through empty streets, I started to feel wigged out. I took off the sheet and continued. Finally I called the Magister and found out he had just gotten caught. Mixed feelings for me on that one – yay that now I had someone with whom to travel on the creepy streets, but I was sorry he hadn't made it to the end. I'll let the Magister tell you his story. We still had two friends in the game, though, Spidere and Ash, and they did end up making it, though they were the last ones to the endpoint. On our way to #6, the Magister and I ran into a man with a jealous, extremely affectionate golden retriever puppy.
We got to #6, met the contacts and took pictures with the owl:
We also ran into Neil on his mission of vengeance, the Magister caught a player, who wasn't quick enough like his female companion to jet to the bus stop. We got to the party pretty late, after the awards, and passed some players who were turning in early. I met Orion, who was thrilled to find out that he hadn't interrogated an actual homeless guy. Seems he had strong suspicions that I was a player, but was thankfully amused enough to let me go.
People crashed at the Magister's place in Berkeley, being thoroughly spent, and got some much-deserved rest. Spidere and I have already begun talking about how to organize a Journey in DC. Clearly the event is a hit when participants want it to spread. Ja!
19 vote(s)
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11 comment(s)
yay for yellowbear... the only player more obvious than yrs truly.
Way to go! I'm glad you didn't get tagged!
congrats on making it! it seemed impossible that someone would show up at 1 a.m. without being turned into a chaser.
oh yeah, and that homeless disguise is incredible.
**still laughing about homeless disguise**
good job, you made it!
Great writeup!!
You finished at 1:00am??? You dressed as a homeless person??? That's insane. I'm totally impressed! You win the right to smoke crack.
how embarrassing. instead of writing "lowteck was here" i wrote "lowteck is here"
as a fellow checkpoint-person, i thought the "lowteck is here" was totally brilliant, purposeful, and fucking hilarious! like some sort of manifestation of yourself onto the piece of paper, making yourself eternally present via your permanent signature. seriously. that's what i thought you were going for.
oh well. i feel really silly now.
ASfasdfsdf at Eccolglyph. You totally had a more exciting night than we did, but still, shame on you for picking on clueless newbies! (I would be the unfortunate person that couldn't manage to get to the bus stop in time, quite frankly, I'd run out of run at that point) An excellent account from all parties.
Hey Robert,
I am sorry to have perpetuated the cycle of violence. But I am also sorry that I didn't catch you myself, so that probably negates the sincerity of the first apology. Though if you need someone to blame, I'd say go for the Orange Magister! He's the one who actually tagged you - I just pointed. :-)


text:
Poetry of the First World War
Üye Girişi yapın, temin süresi ve fiyatını size bildirelim.
Üye Girişi yapın, sizi bu ürün stoklarımıza girdiğinde bilgilendirelim.
Temin süremiz 28 - 42 iş günü
Yayıncı Collector's Library ( 09 / 2013 ) ISBN 9781909621008 | Ciltli | Cep boy | 10,01x15,19x2,01 cm. | İngilizce | 288 Sayfa | Türler Şiir
The First World War was the first industrialised war in Europe, and produced horrors undreamt of by the young men who gaily volunteered for a war that was supposed to be over by Christmas. From the patriotic enthusiasm of Rupert Brooke through the disillusionment of Charles Hamilton Sorley to the bitter denunciations of Sassoon, Owen and Rosenberg, the war produced and astonishing outpouring of powerful poetry. The major poets are all represented here, as well as many whose voices are less well known. This anthology is illustrated with contemporary motifs.

subset: commoncrawl


text:
I just joined up the other day but only had time to do the challenge today cause RL has been bleh and busy. And it's still around drabble size - sorry about that, I may expand on it later.
~let me know what you all think!!~
I mostly write Buffy & Spike, by the way:)
La Petit Mort Buffy POV S6 Rated R for mature content and adult themes;-)
The darkness closes in on her like a death cloak.
It climbs up her spine and tingles all the way down to her fingertips. As her body arches up to meet his, her nails dig into his shoulder and draw blood. Hiss.
She can hear him echo in pleasure and pain.
And then she's spinning, free falling out of control. She feels hands touching her, and she can't tell who they belong to. She feels butterfly kisses on her collarbone, and they are frozen.
Then, darkness. Nothing. But pleasure and escape.
She can hear the thumping heart beats in surround sound, and she knows that it is her heart that is running a marathon because his is dead.
As she slowly comes to, he whispers softly in her ear.
"Bienvenue, mon cher. Did you enjoy la petit mort, the little death?"
Oh, god, his voice is enough to make her want to. . .
"Fancy another go, luv?"
"If this is what death feels like, then let's die a little more."


text:
Home/What's New
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Diagnosis of Meniere's Disease
Copyright © 1997-2017 Meniere's Disease Information Center. All
rights are reserved.
All copying, including (but not limited to) websites, bulletin boards,
forums, and blogs, is prohibited.
Click here for more copyright
CAUTION: It is not possible to self-diagnose
Meniere's Disease. Meniere's Disease is *not* defined by its
symptoms. There are many disorders that have the same symptoms
as Meniere's Disease. A differential diagnosis with diagnostic
tests is required. For a diagnosis, you *must* see a licensed
and qualified medical professional.
Table of Contents
Diagnosis of Exclusion
Not Possible
to Diagnose on the Basis of Symptoms
Not Possible
to Say Whether One's Symptoms "Sound Like" Meniere's Disease
Not Possible
to "Suspect" That One Has Meniere's Disease
Many Definitions of
Diagnosis of Meniere's Disease
Diagnostic Tests
Conditions That Mimic
Meniere's Disease
A differential diagnosis of exclusion.
The etiology (cause) of Meniere's
Disease is unknown. (See our Cause
It is not possible to diagnose
Meniere's Disease based upon one's symptoms.
It is not possible to say whether
one's symptoms "sound like" Meniere's Disease.
It is not possible to "suspect"
that one has Meniere's Disease.
The symptoms of Meniere's Disease are
also the symptoms of many other diseases and conditions.
These other diseases and conditions
are sometimes said to be "mimics" (see below) of Meniere's Disease.
(Although Meniere's Disease could equally be said to be a "mimic" of
the other diseases and conditions.)
There is no specific diagnostic test
that can definitively identify Meniere's Disease.
Therefore, a "differential diagnosis"
must be conducted to differentiate among the possibilities and
diagnose the patient. This is a matter of ascertaining the
symptoms and then, one by one, testing for and thereby confirming or
eliminating (excluding) all possible diseases and conditions that may
result in those symptoms. Since there is no specific diagnostic test
that can definitively identify Meniere's Disease, when all other
possible diseases and conditions have been excluded, the symptoms are
diagnosed as "Meniere's Disease."
One protocol for a differential diagnosis of the
symptoms that may or may not be Meniere's Disease. Keep in mind
that there are many such protocols.
The results of a survey asking doctors how they
diagnose and how they treat Meniere's Disease have been published:
Trends in the Diagnosis and the Management of
Meniere's Disease: Results of a Survey, by
H.H. Kim, R.J. Wiet, and R.A. Battista.
Otolaryngol Head
Neck Surg. 2005 May;132(5):722-6.
here to view the abstract at PubMed.
The default diagnosis.
When no other diagnosis can be determined, the
patient is said to have "Meniere's Disease." This is tantamount
to saying "we know what your symptoms are, but we don't know what is
causing them." In this sense, "Meniere's Disease" is the
"default diagnosis" when no other diagnosis seems to apply.
There are many definitions of
Meniere's Disease.
"Classic" Meniere's Disease (four
Here is
our lay and inexpert definition:
"Classic" (typical) Meniere's Disease is the term given to the
condition having the following four symptoms, after thorough testing
has determined no other cause:
fluctuating hearing loss.
fluctuating rotational vertigo (a form of dizziness).
fluctuating tinnitus (a sound heard when there is no sound).
fluctuating aural fullness (a sense of air pressure in the middle ear,
as if descending in an airplane; however, it is *not* actual air
pressure in the middle ear; Meniere's Disease does not affect the
middle ear).
This is the most commonly-used
authoritative definition of "classic" (four symptoms) Meniere's Disease in the U.S.:
American Academy
of Otolaryngology-Head and Neck Surgery's 1995 Guidelines for the
Diagnosis and Evaluation of Therapy in Meniere's Disease.
GREAT resource, courtesy of
P.J. Haybach's
Read about P.J.'s book,
Meniere's Disease -- What You Need to Know.
There are other definitions of
Meniere's Disease, and each doctor may use a different definition.
Each doctor may have his or her own
Our lay and
inexpert speculation.
Perhaps there are ten
(or more or fewer) currently unknown diseases that each have the same
symptoms as what we now call "Meniere's Disease," and we each have one
(or perhaps two or three) of the ten (or more or fewer) of the
currently unknown diseases. *IF* this is true, then ten patients could
be diagnosed with "Meniere's Disease," yet each one could have a
different disease, and each one could respond differently to various
"Atypical" Meniere's Disease (three
For a discussion of "atypical"
Meniere's Disease, click here.
Diagnostic tests.
Remember, there is no specific test
for Meniere's Disease. Therefore, the purpose of diagnostic
testing is to determine whether there is any other "testable" disease
that is causing the symptoms. If all testing for other diseases
and conditions that can cause the same symptoms fails, the patient is
said to have "Meniere's Disease."
Lab Tests Online:
source of information on clinical laboratory testing.
Audiogram (basic hearing test).
The purpose of the audiogram is to measure hearing to determine
whether there is any hearing loss, and the frequencies at which the
hearing loss occurs. To knowledgeable professionals, this apparently
"simple" test can be an important tool for diagnosis as well as a
measurement technique. Remember, that in Meniere's Disease, hearing
loss fluctuates; therefore, comparison of one set of test results to
another can be deceptive unless properly interpreted.
Differential Diagnosis of Sensorineural Hearing Loss, Dr. M.M. Carr, University of Toronto. Meniere's
Disease causes sensorineural hearing loss rather than conductive
hearing loss. Sensorineural hearing loss is a loss of hearing
due to impaired transmission across the auditory branch of the 8th
cranial nerve. Conductive hearing loss is caused by a problem
with bone conduction, such as impairment involving the ossicles -- the
three tiny bones that conduct sound from the tympanic membrane (ear
drum) to the oval window in the middle ear. When one has
sensorineural hearing loss, there can be many diagnoses, including
Meniere's Disease. The idea is to "differentiate" from among the
possible diagnoses to arrive at the correct, or best, diagnosis for
the particular patient.
Auditory brainstem response (ABR).
(Also known as: evoked auditory potentials, brainstem auditory evoked
response (BAER), brainstem auditory evoked potentials (BAEP), and
evoked response audiometry.)
Electrocochleogram (ECoG) (EE-cog or ee-COE-gee).
Comment. Despite the description of a
wire penetrating the eardrum (tympanic membrane) in the Bandolier
article, many, perhaps most, ECoG's are not performed this way. In
many ECoG's, a sensor is placed in the outer ear canal and there is no
topical or other anesthesia, pain, or penetration of the ear drum.
Electronystagmography (ENG) (caloric stimulation test). Vertigo is induced by warm
or cold water or air introduced into the outer ear; the patient's eye
movements (called "nystagmus") are then observed to the extent that
they occur.
Dr. Timothy C. Hain.
Videonystagmography (VNG).
VNG is similar to ENG (above), except that eye movements are studied
with cameras that are incorporated into goggles; a video recording is
made of the eye movements.
Dr. Timothy C. Hain.
National Dizzy
and Balance Center (NDBC) page on videonystagmography.
Los Angeles Ear, Nose and Throat Associates page on
Rotational test. Vestibular
testing conducted in a chair that rotates.
Dr. Timothy C. Hain.
Dr. Troost.
Perilymph fistula (PLF) test. Test to determine whether there
is a hole in a membrane between the middle ear and the inner ear.
Dr. Timothy C. Hain.
Platform posturography. The
patient stands on a platform that moves, and the patient's balance
reaction is observed.
Dr. Timothy C. Hain.
Midwest Ear Institute (Indiana).
Blood tests, especially for
syphilis and cholesterol. Syphilis can mimic Meniere's Disease.
Physicians often test for syphilis in the face of Meniere's symptoms;
do not be insulted or take this "personal." High cholesterol can
impair hearing and mimic Meniere's Disease.
VDRL and
FTA-ABS are tests for
Computerized tomography (CT)
(or computer assisted tomography (CAT)) scan of the head. The purpose
of the CT scan is to determine whether there are abnormal masses in
the head and brain.
Magnetic resonance imaging (MRI)
scan of the head with "contrast" (gadolinium). One purpose of the MRI
scan is to determine whether there are any tiny tumors (acoustic
neuromas (AN)) on the vestibulocochlear (eighth cranial) nerve
or other observable masses -- possible reasons for the patient's
symptoms. Most or all AN's are benign and can be surgically removed;
however, there may be lasting consequences. MRI provides more detail
than does CT. Acoustic neuromas are also known as vestibular
schwannomas, acoustic neurinomas, and acoustic neurilemomas. An
MRI scan can detect other conditions that may mimic Meniere's Disease
symptoms, such as multiple sclerosis.
High resolution computerized
tomography (HRCT). This test may be performed to find or rule out
Vestibular evoked myogenic
potentials (VEMP). VEMP is a type of auditory testing,
usually performed by an audiologist, that some believe to be of value
in the diagnosis of Meniere's Disease. VEMP as a
diagnostic tool as applied to Meniere's Disease is somewhat
controversial and there are authorities pro and con. We believe
that VEMP has not gained wide acceptance among experts as applied to
Meniere's Disease.
Dr. Timothy Hain's
explanation. He reports that in his large practice, VEMP has
not been found to have "any use," but notes that other practices have
reported a different experience.
Click here to search PubMed for Meniere's Disease and VEMP.
Click here to search Google for Meniere's and VEMP.
Mimics --
conditions that mimic Meniere's
Many other diseases and conditions
can produce symptoms identical to or similar to the symptoms of
Meniere's Disease. Meniere's Disease patients speak of these
other diseases and conditions as "mimics" of Meniere's Disease,
although it would be equally correct to say that Meniere's Disease is
a "mimic" of these other diseases and conditions.
Autoimmune Inner Ear Disease (AIED).
Autoimmune Inner Ear Disease, by Douglas
D. Backous, M.D.
Biological and Clinical Aspects of Autoimmune Inner Ear
Disease, by A. J. Griffith.
Autoimmune Inner Ear Disease, by Timothy C. Hain, M.D.
Basic information on autoimmune diseases at NIH.
Click here to search PubMed for Meniere's
Disease and Autoimmune Inner Ear Disease (AIED) .
Perilymph fistula (PLF). A small hole in one of the two
membranes ("oval window" (top) or "round window" (bottom)) that
separate the middle ear from the inner ear.
Dr. Timothy C. Hain.
Vestibular Disorders Association (VEDA).
Atlantic Coast Ear Specialists, Inc.
Superior canal dehiscence syndrome
(SCDS) or semicular canal dehiscence (SCD) or superior semicircular
canal dehiscence (SSCD). In this condition, bone between the
inner ear and the brain is either missing or insufficient, producing
symptoms similar to perilymph fistula (PLF) (above). Since the
symptoms of PLF are similar to the symptoms of Meniere's Disease, the
symptoms of SCDS are, therefore, similar to the symptoms of Meniere's
Dr. Timothy C. Hain.
This condition can mimic Meniere's
Disease (click here).
More information (click here).
Acoustic neuroma (AN). A benign tumor,
usually (but not always) very small, on the eighth cranial (auditory and
vestibular) nerve; usually treatable by surgical removal or by radiation
therapy, but some permanent loss of hearing and other consequences may result.
ANs can be visualized on MRI and CT scans; MRI
provides more detail than does CT. Acoustic neuromas are also
known as vestibular schwannomas, acoustic neurinomas, and acoustic
Johns Hopkins University Medical Center.
Acoustic Neuroma Association (ANA).
National Institutes of Health (NIH)
Dr. Timothy C. Hain
Non-idiopathic endolymphatic
hydrops, (as opposed to "idiopathic endolymphatic hydrops," the
prevailing (but not definitive theory) of the cause of Meniere's
Disease symptoms). Endolymphatic hydrops caused by some known
condition. Can be secondary endolymphatic hydrops (SEH), delayed
endolymphatic hydrops (DEH), or traumatic endolymphatic hydrops (TEH).
See more on our cause page.
Vestibular Disorders Association (VEDA).
Benign paroxysmal positional
vertigo (BPPV). Vertigo caused by dislodged calcium carbonate
crystals (canaliths) in the inner ear. This condition is almost always
very easily cured by head positioning maneuver sthat move the
dislodged crystals back to where they belong. The maneuvers are
called "Epley Maneuvers," and are named for
Dr. John Epley
in Portland, Ore., who developed them. Dr. Epley found it
difficult to get his maneuvers accepted in the medical community, yet
today they are just about the only and are certainly the most
successful treatment (yes, Epley maneuvers actually cure most
people). His story is chronicled
Dr. Epley's Maneuver Page.
Johns Hopkins University.
Dr. Timothy C. Hain
Vestibular Disorders Association (VEDA).
Mayo Clinic, Rochester, Minn.
Atlantic Coast Ear Specialists, Inc.
Petrous apex cholesterol granuloma
(PACG) (not to be confused with primary angle closure glaucoma, also
abbreviated PACG). A type of lesion that can be visualized with
Petrous Apex Cholesterol Granuloma Presenting as Endolymphatic
Hydrops: A Case Report.
See the full text of the article (.pdf
Spontaneous intracranial hypotension. See
this entry in PubMed.
Endolymphatic sac tumor. See
this entry in PubMed.
DFNA9 genetic disorder.
From gene to disease; a progressive cochlear-vestibular dysfunction
with onset in middle-age (DFNA9).
Hereditary otovestibular dysfunction and Meniere's disease in a large
Belgian family is caused by a missense mutation in the COCH gene.
Hereditary cochleovestibular dysfunction due to a COCH gene mutation
(DFNA9): a follow-up study of a family.
Click here to search PubMed for Meniere's Disease and DFNA9.
Eales' Disease (idiopathic retinal vasculitis).
Association of retinal vasculitis (Eales' disease) and Meniere-like
vestibulocochlear symptoms.
Cogan's Syndrome (CS).
Cogan's Syndrome is described as Meniere's-like fluctuating hearing
loss combined with impaired caloric response, and may or may not be
accompanied by inflammation of the eye.
Ear, Nose, and Throat Journal, December, 1999, via
Dr. Timothy C. Hain.
Multiple sclerosis (MS).
Occasionally, MS can cause symptoms similar to Meniere's Disease.
Massachusetts Eye and Ear Infirmary
Johns Hopkins University
Associates of Otolaryngology
Merck Medicus/B. Todd Troost, M.D.
Dr. Timothy Hain
About MS
National Institutes of Health (NIH) (U.S.)
National Multiple Sclerosis Society.
Otosclerosis. Calcium deposits on inner ear bones.
Baylor College of Medicine.
Mal de debarquement (MDD).
Landsickness following a sea cruise.
Dr. Timothy C. Hain
Disorders Association (VEDA).
Mal de Debarquement: A support page for people with MDD.
Labyrinthitis, vestibular neuritis, and neuronitis. Infections of
the inner ear.
Vestibular Neuritis and Labyrinthitis, by
Dr. Timothy C. Hain.
Vestibular Disorders Association (VEDA).
Lesions of the endolymphatic sac and duct.
Syphilis. It is common for a
doctor to test for syphilis when a patient has Meniere's-like
symptoms; do not be insulted or take it personally.
Baylor College of Medicine.
Lyme Disease.
Dr. Mark Levenson, Ear Surgery Information
Meniere's Syndrome, at the
Johns Hopkins University web site.
Click here to search PubMed for Meniere's Disease and
Lyme disease.
Microvascular compression syndrome (MCS) (also called "vascular
compression" and "neurovascular compression"). A blood
vessel pressing against the vestibulocochlear (8th cranial) nerve.
Some doctors consider this to be a "cause" of Meniere's Disease
symptoms, rather than a separate condition.
Microvascular compression syndrome, Dr. Timothy Hain.
Click here to search PubMed for Meniere's Disease and microvascular
compression or vascular compression or neurovascular compression.
Posterior fossa arachnoid cysts.
Abstract of medical journal article.
Arachnoid cyst of
cerebellar-pontine angle.
of medical journal article.
Vestibular migraine.
Abstract of medical journal article.
Migraine associated vertigo (MAV).
Dr. Timothy Hain.
Migraine, generally.
Minor LB.
Meniere's Disease and Migraine. Arch Otolaryngol Head Neck Surg.
2005 May;131(5):460. No abstract available. PMID: 15897429 [PubMed -
in process]
Boyev KP.
Meniere's disease or migraine? The clinical significance of
fluctuating hearing loss with vertigo. Arch Otolaryngol Head
Neck Surg. 2005 May;131(5):457-9. No abstract available. PMID:
15897428 [PubMed - in process]
Vestibular paroxysmia.
Abstract of medical journal article.
Transient ischemic (brainstem)
attacks (TIA).
Abtract of medical journal article.
Cavernous angiomas.
Abstract of medical journal article.
Arnold Chiari Malformation (ACM)/Chiari
I Malformation (CIM)
Abstract of medical journal article.
More mimics.
This list is not intended to be
all-inclusive. No doubt there are many more mimics.
Some patients seem to believe that the
following diseases and conditions are mimics of Meniere's
Disease. While they may produce one or two symptoms that somewhat resemble
Meniere's Disease, authoritative sources do not establish them as "mimics" of
Meniere's Disease, and they generally are not difficult to differentiate from
Meniere's Disease. (If you find authoritative sources that establish any
of them as "mimics,"
please email them to us.)
Ramsay Hunt Syndrome (RHS).
Click here to search PubMed for Meniere's Disease and Ramsay Hunt Syndrome.
Migraine (BTM) (formerly known as Basilar Artery Migraine (BAM)).
Click here to search PubMed for Meniere's Disease and Basilar-Type Migraine.
Von Hippel-Landau (VHL)
Click here to search PubMed for Meniere's Disease and Von Hippel-Landau Disease.
Temporal Mandibular Joint
(TMJ) Disorders.
Click here to search PubMed for Meniere's Disease and Temporal Mandibular Joint.
Guillain-Barre Syndrome (GBS).
Click here to search PubMed for Meniere's Disease and Guillain-Barre Syndrome.
Charcot-Marie-Tooth (CMT) Disease. (Named for the three
discovering physicians: Jean-Marie-Charcot, Pierre Marie, and Howard Henry
Click here to search PubMed for Meniere's Disease and Charcot-Marie-Tooth.
Copyright © 1997-2017
Meniere's Disease Information Center. All rights are reserved.
All copying, including (but not limited to) websites, bulletin boards,
forums, and blogs, is prohibited.
Click here for more copyright
Table of Contents
Table of Contents
Copyright © 1997-2017
Meniere's Disease Information Center. All rights are reserved.
All copying, including (but not limited to) websites, bulletin boards,
forums, and blogs, is prohibited.
Click here for more copyright


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Author | exchange4media News Service | Tuesday, Apr 28,2015 5:23 PM
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