Meniere's Disease

Question 1

Definition

Answer 1

· Recurrent episodes of tinnitus, paroxysmal vertigo and unilateral fluctuating hearing loss

Question 2

Aetiology/Risk factors

Answer 2

Disturbed homeostasis of endolymph (fluid in the inner ear)

Question 3

Presenting symptoms and signs on physical examination

Answer 3

· Vertigo

· Loss of hearing in affected ear

· Tinnitus

· Loss of balance

· Headaches

· Nausea/vomiting

Question 4

Investigations

Answer 4

· There is NO SPECIFIC TEST that will confirm the diagnosis

· Some other investigations (e.g. MRI, electrocochleography) may be used to exclude other causes of such symptoms