MENIERE’S DISEASE

Description

  • A disorder of the inner ear
  • Affects balance and hearing
  • Causes a feeling of pressure deep inside the ear

Symptoms

  • Recurring episodes of vertigo
  • Hearing loss
  • Ringing in the ear (tinnitus)
  • Feeling of fullness in the ear
  • Nausea, vomiting, and sweating often occur
  • Symptoms get worse with sudden movement
  • Diarrhea
  • Headaches
  • Pain or discomfort in the abdomen

Causes

  • Middle or inner ear infections
  • Improper fluid drainage
  • Abnormal immune response
  • Allergies
  • Viral infection
  • Genetic predisposition
  • Head trauma
  • Migraines

Risk Factors

  • Alcohol use
  • Allergies
  • Family history
  • Recent cold or viral illness
  • Smoking
  • Stress
  • Use of certain medicines

Diagnostic Tests

  • Hearing assessment
  • Balance assessment
  • Videonystagmography (VNG)
  • Rotary-chair testing
  • Vestibular evoked myogenic potentials (VEMP) testing
  • Posturography
  • Video head impulse test (vHIT)
  • Electrocochleography (ECoG)
  • Head MRI scan
  • Electronystagmography (ENG)

Treatment

  • No cure exists, treatment is done to reduce severity of symptoms
  • Medications for vertigo
  • Medication to reduce fluid retention (diuretic)
  • Rehabilitation
  • Hearing aid
  • Meniett device
  • Injections to the middle ear
  • Endolymphatic sac procedure
  • Vestibular nerve section
  • Labyrinthectomy

Medications

  • Motion sickness medications
  • Anti-nausea medications
  • Meclizine or diazepam (Valium)
  • Promethazine

Lifestyle Management

  • Sit or lie down when you feel dizzy
  • Rest during and after vertigo attacks
  • Be aware that you might lose your balance
  • Avoid driving a car or operating heavy machinery
  • Limit salt
  • Manage stress