Meniere’s Disease

Question 1

What is Ménière’s disease

Answer 1

Excessive accumulation of endolymph fluid in labyrinth
1. Distention of endolymph this compartment of inner ear
2. Chronic inner ear pathology

Question 2

Who is Ménière’s disease common in

Answer 2

40-50 year olds
1. Last minueted to hours varies tremendously

Question 3

What are the classic signs of meniere disease

Answer 3

1. Episodic spontaneous vertigo that lat 20 minutes to several hours
2. Low frequency SHL
3. Sensation of unilateral aural pressure or fullness
4. Nystagmus with acute attack
5. Not precipitated by positional changes

Question 4

What is the diagnosis criteria for Ménière’s disease

Answer 4

1. Verified hearing loss
2. 2 episodes of vertigo (20 minutes in length)
3. Tinnitus
4. Exclusion of other Dx

Question 5

What is the treatment of Ménière’s disease

Answer 5

1. Stabilizes the endolymph attic pressure / reduce the endolymph fluid
2. Manage airborne allergens
3. Referral to ENT

Question 6

What are symptomatic relief treatments of Ménière’s disease

Answer 6

1. Meds for motion sickness
2. Anti-emetics
3. antihistamine
4. Diuretic

Question 7

What is the prognosis of Ménière’s disease

Answer 7

1. Increased risk of falling
2. Depression / anxiety
3. Permanent hearing loss