Menieres Disease Flashcards
(8 cards)
1
Q
Definition
A
Condition of the inner ear. Clinical syndrome characterised by episodes of:
- vertigo
- hearing loss
- tinnitus
Also associated with aural fullness
2
Q
Epidemiology
A
20-60 years: Peak 50-60 years
Caucasian ethnicity
Family History
Migraines
Autoimmune diseases
Head Trauma
Viral infection
3
Q
Symptoms
A
- Last between 20 minutes but typically last a few hours (<24 hours)
- Attacks occur in clusters over a few weeks although months or years of remission can also occur
= Tinnitus
= Fluctuating hearing loss
= Aural fullness
= Unsteadiness on feet
= Nystagmus
= Positive Romberg’s test
4
Q
Diagnosis
A
Clinical diagnosis over triad of:
- Vertigo
- Fluctuating
- Hearing loss
5
Q
Differential diagnosis
A
- Vestibular Schwannoma (acoustic neuroma)
- Migraine with brainstem aura
- BPPV
6
Q
Management
A
Prochlorperazine
7
Q
Prophylaxis
A
Betahistine
8
Q
General advice
A
Patient must alert DVLA once they are diagnosed, the DVLA will permit driving again if there is good control of symptoms
