Meniere's Disease Flashcards
1
Q
CLINICAL FEATURES
Classic triad
A
- Hearing loss
- Vertigo
- Tinnitus
2
Q
CLINICAL FEATURES
Presentation
A
- 40-50 years old presenting with unilateral episodes of vertigo, hearing loss and tinnitus
- Vertigo in episodes lasting 20 mins
- Hearing loss fluctuates at first, then gradually becoming permanent
- Tinnitus initially occurs with episodes of vertigo before becoming more permanent
3
Q
INVESTIGATIONS
A
- Diagnosis is clinical based on presentation
- Audiometry
4
Q
MANAGEMENT
General
A
- Manage symptoms during attack
- Prophylactic medication
5
Q
MANAGEMENT
Acute attack medication
A
- Prochorperazine
- Antihistamines (cyclizine, cinnarizine, promethazine)
6
Q
MANAGEMENT
Prophylaxis
A
Betahistine
7
Q
PATHOPHYSIOLOGY
A
Excessive build up of endolymph in the labyrinth of innner ear, causing higher pressures than normal and disrupting sensory signals
Increased pressure is called endolymphatic hydrops
