Meniere's disease & hearing loss Flashcards
aka as endolymphatic hydrops
Meniere’s Disease
What is the other term for Meniere’s Disease?
Endolymphatic hydrops
Characterized by symptoms caused by inner disease
Meniere’s Disease
What is Meniere’s Disease?
characterized by symptoms caused by inner disease
What are the manifestation or symptoms that caused by inner disease in meniere’s disease?
-Episodic vertigo
- Tinnitus
- Fluctuating sensorineural hearing loss
- sense of aural fullness
Etiology of Meniere’s Disease
-Idiopathic
- Excessive accumulation of endolymph in the membranous labyrinth
- Infections
- Allergies
- Abnormal immune response
What causes of the excessive accumulation of endolymph in the membranous labyrinth?
Causes rupture
Clinical Manifestations of Meniere’s Disease
-“Drop Attacks”
-“ Whirling in space” feeling
- Fullness in the ear
- Increasing tinnitus
- Muffled hearing
The feeling of being pulled to the ground
Drop attacks
What is drop attacks?
-The feeling of being pulled to the ground
-May last hours or day
Diagnostics of Meniere’s Disease
-Audiography
-Glycerol Test
Demonstrates a mild, low-frequency sensorineural hearing loss
Audiography
What is audiography?
Demonstrates a mild, low-frequency sensorineural hearing loss
Glycerol (an osmotic) is given orally, followed by serial audiography over 3 hours
Glycerol Test
What type of agent is the glycerol test?
-Osmotic
-It act as diuretic
What is glycerol test?
-Improved hearing supports the diagnosis
-Glycerol (an osmotic) is given orally, followed by serial audiography over 3 hours
Surgical Management of Meniere’s Disease
-Endolymphatic Shunt
- Labyrinthectomy
It is a nonablative surgery
Endolymphatic Shunt
A small silicone tube is positioned to empty extra fluid
Endolymphatic Shunt
What is endolymphatic shunt?
-nonablative surgery
-a small silicone tube is positioned to empty extra fluid
Surgical procedure of the temporal bone
Labyrinthectomy
Completely destroy the vestibular end organs to eliminate vestibular function
Labyrinthectomy
What is labyrinthectomy?
-Surgical procedure of the temporal bone
-Completely destroy the vestibular end organs to eliminate vestibular function
Drug Management for Meniere’s Disease
-Sedatives
-Benzodiazepines
-Anticholinergics
-Antiemetics
-Antihistamines
What cranial nerve is affected in meniere’s disease?
Cranial nerve VIII
What is the function of cranial nerve VIII?
Providing the sense of hearing and balance.
What nerve is CN VIII?
Vestibulocochlear nerve
Fastest growing and one of the most prevalent, chronic conditions
Hearing loss & deafness