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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Article Home Ear Nose and Throat Disorders Meniere's disease

Meniere's disease

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Meniere s disease is a disease of the inner ear characterised by vertigo(dizziness),tinnitus(ringing noise),feeling of fullness in the ear and waxing waning hearing loss

Meniere's disease usually affects people around age of 40 to 50 years but can occur from 20 years on wards.on tests performed people with right ear affected tend to do more worse in the cognitive performance

some patients also suffer from nystagmus (repetitive involuntary eye movements)


Causes

Its exact cause is not known but it is believed to be due to endolymphatic hydrops.It is supposed to be caused due to endolymphatic channels flowing from its normal channels to other areas to damage

It is also said to be because of Herpes virus as it remains dormant in many and reactivates as immunity wanes


Symptoms

  • vertigo
  • tinnitus
  • fluctuating hearing loss
  • aural fullness(it is similar to when we ride up a hill or ascending a plane but it cannot be cleared by swallowing)

Diagnostic procedures

 

  • Otolaryngological tests such as audiometry is performed


Treatment

 

  • Vestibular training,stress reduction,hearing aids to deal with hearing loss. some doctors prefer a low sodium diet
  • Treatment also aims at reducing the inner fluid pressure with antihistamines, steroids , diuretics. devices which provide trans tympanic micropressure pulses such as meniett is also used
  • Betahistine is used to treat symptoms.Acyclovir is used to counter Herpes infection as it prevents and reduces the damage to inner ear.
  • In case of one severely affected ear chemical labrynthectomy is performed by injecting gentamicin into the middle ear which destroys the vestibular apparatus.vestibular neurectomy is also performed
  • In certain cases to elimimate vertigo surgery is done to decompress endolymphatic sac which gives temporary relief


Prognosis


Exacerbations and remission are common in menieres disease as the age progresses.

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