Menieres Disease

Question 1

What is menieres disease

Answer 1

Long-term inner ear disorder that causes recurrent attacks of vertigo

Question 2

Triad of Menieres disease

Answer 2

Hearing loss
Vertigo
Tinnitus

Question 3

Symptoms of menieres disease

Answer 3

Vertigo, hearing loss, tinnitus, fullness in the ear, unexplained falls, imbalance, spontaneous nystagmus. Unilateral

Question 4

Typical age of patient

Answer 4

40-50 years old

Question 5

Vertigo episodes

Answer 5

Last for around 20 minutes to several hours before settling. These episodes can come in clusters over several weeks, followed by porlonged periods without vertigo symptoms.

Question 6

Hearing loss in menieres disease

Answer 6

Typically fluctuates at first, associated with vertigo attacks, then gradually becomes more permanent. Senorineural hearing loss generally unilateral and affects low frequencies first

Question 7

Diagnosis of menieres disease

Answer 7

Clinical based on signs and symptoms. Audiology assessment to evaluate hearing loss

Question 8

Management of menieres disease

Answer 8

Managing symptoms during acute attack, prophylactic medication to reduce frequency of attacks.

Question 9

Short term options for managing acute attacks

Answer 9

Prochlorperazine and antihistamines (cyclizine, cinnarizine, promethazine)

Question 10

Prophylactic medication

Answer 10

Betahistine