Meniere's disease Flashcards
What is Meniere’s disease?
disorder of the inner ear of unknown cause. It is characterised by excessive pressure and progressive dilation of the endolymphatic system
What is the epidermiology of Meniere’s disease?
It is more common in middle-aged adults but may be seen at any age. Meniere’s disease has a similar prevalence in both men and women.
What are the features of Meniere’s disease ?
recurrent episodes of vertigo, tinnitus and hearing loss (sensorineural). Vertigo is usually the prominent symptom
a sensation of aural fullness or pressure is now recognised as being common
other features include nystagmus and a positive Romberg test
episodes last minutes to hours
typically symptoms are unilateral but bilateral symptoms may develop after a number of years
What is used to diagnose Meniere’s disease?
ENT assessment
What is the DVLA involvement in Meniere’s disease?
patients should inform the DVLA. The current advice is to cease driving until satisfactory control of symptoms is achieved
What is the treatment for Meniere’s disease?
buccal or intramuscular prochlorperazine. Admission is sometimes required
What is the prevention for Meniere’s disease?
betahistine and vestibular rehabilitation exercises may be of benefit
