Meniere's Disease Flashcards
1
Q
define
A
endolymphatic hydrops (excessive, swollen, high pressure endolymph) that can trigger swelling and rupture
2
Q
what other causes must be excluded?
A
tumour
stroke
3
Q
presentation
A
recurrent, spontaneous, rotational vertigo with at least 2 episodes lasting longer than 20 minutes
dizziness lasting hours
one ear feels full
change to hearing and tinnitus around dizzy spell
low frequency sensorineural hearing loss
4
Q
management
A
supportive treatment during episodes e.g. vestibular sedatives
tinnitus therapy
hearing aids
ITS (steroid injections) in the middle ear that is absorbed in round window and inner ear
ITG is gentamicin which is vestibular toxic/ototoxic
5
Q
prevention
A
salt restriction betahistine caffeine alcohol stress
