Menieres Disease

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Menieres Disease


  • recurrent attacks of
    • vertigo
    • tinnitus
    • deafness
  • associated with dilatation of endolymph system
  • unknown cause

History

  • sudden, unprovoked attacks last minutes to hours
  • vertigo with vomiting
  • loss of balance
  • tinnitus
  • deafness
  • recurrent over months to years
  • deafness develops and vertigo ceases

Examination

  • nystagmus with attack

Management

  • rest
  • vestibular sedative
    • cinnarixine
    • betahistine
    • prochlorperazine
  • surgery
    • endlymph drainiage
    • ultrasound destruction of labyrinth
    • vestibular nerve section
 

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