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ForwardPRESENTATION TITLE
Meniere's Disease Beyond Overpressure: Endolymphatic Sac Endotypes, Genetics, and Audiologic Implications
PRESENTER(S)
Dr. Andreas H. Eckhard, M.D.
AGENDA for .10:
11:50 - 12:00 pm Learners Arrive
12:00 - 12:25 pm Intro and definitions – 25 minutes THEORY
12:25 - 12:40 pm Clinical application – 15 minutes APPLICATION
12:40 - 12:50 pm Current solutions – 10 minutes APPLICATION
12:50 - 1:00 pm Questions and Answers – 10 minutes
1:00 pm Session Ends
DESCRIPTION:
This course reviewed human temporal bone pathology, imaging, and genetic evidence in Ménière's
disease. The presenter described findings inconsistent with the overpressure model of endolymphatic
hydrops, distinguished hypoplastic from degenerative endolymphatic sac endotypes, and related them
to audiometric and vestibular findings, cochlear implant candidacy and outcomes, and patient
counseling.
LEARNING OBJECTIVES
Upon conclusion of this activity, participants should be able to:
1. Describe the human temporal bone histopathologic findings that are inconsistent with the
overpressure model of endolymphatic hydrops in Ménière's disease.
2. Differentiate the hypoplastic and degenerative endolymphatic sac endotypes with respect to
imaging findings and clinical trajectory.
3. Identify the gene (PHEX) and the rare inherited disorder (X-linked hypophosphatemia) associated
with the hypoplastic endolymphatic sac subtype of Ménière's disease in some individuals.
PRESENTER BIO
Dr. Andreas Eckhard obtained his medical degree from the University of Tuebingen Medical School and the Hearing Research Center, Tuebingen in Germany. He trained as a postdoctoral fellow in the Otopathology Laboratory at Mass Eye and Ear before completing his clinical training in otolaryngology at the University Hospital Zurich in Switzerland. As a resident and junior consultant, he completed clinical work at the Interdisciplinary Centers for Vertigo and Balance Disorders in Munich, Germany, and Zurich, Switzerland, respectively.
In both his research and clinical work, Dr. Eckhard has pursued a strong focus on vestibular disorders. His research interests are the cellular and molecular pathomechanisms of inner-ear diseases, foremost Meniere’s disease, with special interest in the pathogenic roles of non-sensory supporting cells. His group seeks to develop and implement new diagnostic and therapeutic approaches for vestibular disorders, utilizing methods ranging from basic animal models to translational patient-based approaches, with a dedicated focus on integrating human otopathology research.
Dr. Eckhard’s clinical work is strongly informed by his research and revolves around diagnosing and managing patients with vestibular and combined vestibular and auditory symptoms.
VIEWING LOCATIONS
Via Teams, (see meeting invite)
ASHA CEU
AAA CEUs
Mayo Clinic is approved by the American Academy of Audiology to offer Academy CEUs for this activity. The program is worth a maximum of .10 CEUs. Academy approval of this continuing education activity is based on course content only and does not imply endorsement of course content, specific products, or clinical procedure, or adherence of the event to the Academy's Code of Ethics. Any views that are presented are those of the presenter/CE Provider and not necessarily of the American Academy of Audiology.
Completion Requirements
To receive CEUs for this activity, learners must complete all required participation and evaluation steps. During the session, learners will be asked to text a code that will be shared by the presenter or moderator. Submitting this code is required to verify attendance in the activity. Learners must visit this session page and provide their ASHA number to ensure that CEU can be accurately reported. Learners are required to complete the session evaluation that includes a self-assessment/reflection regarding the knowledge and skills gained from the activity. All completion requirements must be fulfilled before CEUs can be awarded. Once all required steps have been successfully completed and verified, credit will be reported to ASHA on the learner’s behalf.
DISCLOSURE SUMMARY
As a provider accredited by Joint Accreditation for Interprofessional Continuing Education, Mayo Clinic College of Medicine and Science must ensure balance, independence, objectivity and scientific rigor in its educational activities. All who are in a position to control the content are required to disclose all financial relationships with any ineligible company. Faculty will also identify any off-label and/or investigational use of pharmaceuticals or instruments discussed in their content for FDA compliance.
Listed below are individuals with control of the content of this program who have disclosed...
Faculty Member | Relevant Financial Relationship(s) | Relevant Non-Financial Relationship(s) |
Jamie Bogle, Au.D., Ph.D. | Intellectual Property-Luna Labs USA LLC; vMocion, LLC | No relevant non-financial relationships |
| Heather Clark, Ph.D. | Mayo Clinic Employee | No relevant non-financial relationships |
| Katie Dease, AuD. | Mayo Clinic Employee | ASHA Committee on Ambassadors MN Representative |
Greta Stamper, Au.D., Ph.D. | Mayo Clinic Employees | American Academy of Audiology Board of Directors General Member |
PRESENTERS: Dr. Andreas Eckhard, M.D. | Harvard Medical School | No relevant non-financial relationships |
Off-label/Investigational Use: None
For Disclosure information regarding Mayo Clinic School of Continuous Professional Development accreditation review committee member(s) and staff, please go here to review disclosures.
Faculty | Biography |
Heather Clark, Ph.D. | Dr. Clark is the Chair of Speech Pathology in the Department of Neurology and Associate Professor in the College of Medicine at the Mayo Clinic in Rochester, Minnesota. She is board-certified by the Academy of Neurologic Communication Disorders and Sciences and is a Fellow of the American Speech-Language-Hearing Association. Her clinical responsibilities include differential diagnosis of communication and swallowing disorders in adults and children. She serves as co-investigator in several projects examining the nature of speech, language, and swallowing impairment in degenerative neurologic disease. Dr. Clark has served as a topic chair for the ASHA convention, program chair of the Conference on Motor Speech, and chair of the fall conference of the North Carolina Speech Language Hearing Association. |
| Katie Dease, Au.D. | Katie Dease, Au.D., has been an audiologist with Mayo Clinic since completing her externship with Mayo Clinic Health System in Southwest Wisconsin in 2009-2010 and then accepting a full-time position with Southwest Minnesota in 2010. She currently serves as the Audiology Manager with Mayo Clinic Health System in Southeast MN. She holds board certification with the American Board of Audiology (ABA) including certifications in precepting and tinnitus and has her clinical certificate of competency (CCC-A) from the American Speech and Hearing Association. Her clinical specialty areas include diagnostic testing, amplification and tinnitus in all ages. |
| Jamie Bogle, Au.D., Ph.D. | Jamie M. Bogle, AuD, PhD is the Division Chair of Audiology at Mayo Clinic Arizona and is an Assistant Professor of Audiology at the Mayo Clinic College of Medicine and Science. She earned her PhD in Speech, Language, and Hearing Sciences from the University of Colorado at Boulder. Her research interests include the integration of visual and vestibular information in individuals with complex central pathology, including concussion, and in improved understanding of the importance of vestibular gravito-inertial information into the autonomic nervous system. |
| Greta Stamper, Au.D., Ph.D. | Greta C. Stamper, Au.D., Ph.D., is a clinical and research audiologist in the Division of Audiology in the Department of Otolaryngology at Mayo Clinic in Jacksonville, FL. Her interests include adult aural rehabilitation and hearing loss prevention. Dr. Stamper obtained her bachelors, masters, and clinical audiology doctorate (Au.D.) degrees from the University of Iowa in Iowa City, IA. She obtained her Ph.D. in Audiology at the University of Kansas in Kansas City, KS and Lawrence, KS. In addition to her clinical activities, Dr. Stamper is active in research and education. She serves as the Program Director for the Audiology Externship at Mayo Clinic in Jacksonville. |
TARGET AUDIENCE
Audiologists
Commercial Support
This activity is supported in part by educational & in-kind grants from the following companies in accordance with ACCME Standards:
Grants: None
In-Kind: None
Exhibitors: None
ATTENDANCE / CREDIT
Text the session code (provided only at the session) to 507-200-3010 within 48 hours of the live presentation to record attendance. All learners are encouraged to text attendance regardless of credit needs. This number is only used for receiving text messages related to tracking attendance. Additional tasks to obtain credit may be required based on the specific activity requirements and will be announced accordingly. Swiping your badge will not provide credit; that process is only applicable to meet GME requirements for Residents & Fellows.
TRANSCRIPT
Any credit or attendance awarded from this session will appear on your Transcript.
QUESTIONS?
Mary Ann Geraci 480-301-5351