Meniere disease Flashcards
1
Q
What is Meniere disease?
A
Impaired endolymph resorption that results in endolymph hydrops (accumulation of fluid in the endolymphatic sac)
2
Q
Which clinical features make up the Meniere triad?
A
- Peripheral vertigo
- Tinnitus
- Asymmetric fluctuating sensorineural hearing loss
3
Q
Besides the Meniere triad, what other clinical features may be present?
A
- N+V
- Ear fullness
- Spontaneous horizontal rotatory nystagmus
4
Q
What is the management for an acute attack (Meniere’s)?
A
Buccal or IM prochlorperazine
5
Q
What advice should be given to patients with Meniere disease?
A
Contact DVLA - should cease driving until they have good control of symptoms
6
Q
What can be prescribed to prevent Meniere attacks?
A
- Betahistine
- Vestibular rehabilitation exercises
