Meniere Disease

Question 1

What is Meniere disease? MD

Answer 1

Its a pathology of the inner ear with classical tirade av hearing loss (unilateral), vertigo, and tinnitus.

Question 2

What are the criteria for definitive diagnosis of MD?

Answer 2

1. Two or more episode of vertigo lasting 20min to 12 hours
2. Low to mid frequency sensorineural hearing loss prior, during or after vertigo episode
3. Fluctuating aura symptom like tinnitus, ear fullness
4. The condition can not be explained by other vertigo causes

Question 3

What is probable MD?

Answer 3

1. Two or more episode of vertigo lasting 20min to 24 hours
2. Fluctuating aura symptom like fullness, tinnitus
3. Can be explained by other causes of vertigo

Question 4

Etiology of MD?

Answer 4

Mostly due to accumulation of endolymph in the cochlea or vestibular organ due to overproduction or bad absorption.

Question 5

Who is more suspectable for MD?

Answer 5

Mostly in middle age adult around 40 and mostly i women

Question 6

Other conditions that can happen more often in a patient with MD?

Answer 6

1. Migraine
2. Autoimmune disease like SLE, RA or ankylosing spondylitis. IgE a contributory factor in case of MD