Menieres Disease Flashcards
1
Q
What is Menieres disease?
A
A long-term inner ear disorder
2
Q
What is the pathophysiology of Menieres disease?
A
- Excessive buildup of endolymph in the labyrinth of the inner ear, causing higher pressure than normal
3
Q
How does Menieres disease present?
A
- More common in middle aged women
- Unilateral episodes of vertigo, tinnitus and hearing loss
- Feeling of fullness in the ear
- Episodic attacks can last for 20 minutes to several hours
- Hearing loss normally is associated with vertigo attacks then becomes more permanent (sensorinueral)
4
Q
How is MD managed?
A
- Symptomatic management during the acute attack (prochlorperazine, antihistamines)
- Prophylaxis with Betahistine