Meniere's disease

Question 1

What is Meniere’s disease?

Answer 1

Recurrent episodes of vertigo, nausea, hearing loss, tinnitus and aural fullness

Question 1

How does Meniere’s disease differ from acute labyrinthitis?

Answer 1

Symptoms are similar, but Meniere’s disease is recurrent whereas acute labyrinthitis occurs as one episode

Question 2

What medication can be used for prophylaxis of menieres disease?

Answer 2

Betahistine

Question 3

What medication an be used to treat acute attacks of menieres’s disease?

Answer 3

Prochlorperazine
Antihistamines

Question 4

What is the progression of hearing loss in meniere’s disease?

Answer 4

Fluctuated at first, with hearing loss associated with attacks of vertigo
- Then becomes a more progressive and permenant sensorineural hearing loss

Question 5

What is the pathophysiology of Meniere’s disease?

Answer 5

It is associated with excessive build up of endolymph in the labyrintyh of the inner ear, which increases pressure in the inner ear and disrupts signalling