Meni Disease

Meniere’s Disease: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate Meniere’s disease: Leading symptoms (Meniere’s triad). Acute onset of spinning/vomiting vertigo with nausea/vomiting [two or more episodes of vertigo lasting 20 minutes or longer]. Unilateral ringing in the ears (tinnitus) [tinnitus or ear pressure in the affected ear]. Sensorineural hearing loss [proven hearing loss in at least one … Meniere’s Disease: Symptoms, Complaints, Signs

Meniere’s Disease: Classification

Diagnostic criteria of Meniere’s disease of the International Classification Committee of the Bárány Society: Two or more episodes of spontaneously occurring vertigo, each of duration between 20 minutes and 12 hours. Audiometrically proven sensorineural hearing loss in the low-to-moderate frequency range in an ear defining the affected ear on at least one examination before, during, … Meniere’s Disease: Classification

Meniere’s Disease: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height. ENT medical examination – including inspection of the external ear and auditory canal; otoscopy (ear examination) tuning fork tests according to Weber and Rinne, to differentiate between middle ear and sensorineural hearing … Meniere’s Disease: Examination

Meniere’s Disease: Drug Therapy

Therapeutic target Improvement of the symptomatology Therapy recommendations Note: There is no proven causal (“cause-and-effect”) therapy. Therapeutic measures occur in the following stages: Drug therapy (= 1st stage of therapy): In seizure: dimenhydrinate (antivertiginosa (drug used to treat vertigo)/antihistamines (agents that reverse the effects of the body’s own substance histamine). For prophylaxis (preventive aftercare): betahistine … Meniere’s Disease: Drug Therapy

Meniere’s Disease: Diagnostic Tests

Obligatory medical device diagnostics. Tone threshold audiogram (representation of subjective hearing for different tones) with tympanometry (middle ear pressure measurement) and a caloric test (irrigation of the external auditory canal with cold and warm water to examine peripheral excitability of the vestibular organ) – to check inner ear function, etc. Recruitment measurement – representation of … Meniere’s Disease: Diagnostic Tests

Meniere’s Disease: Surgical Therapy

If Meniere’s disease cannot be controlled by conservative therapy, the following ENT surgical procedures are used: 1st order Insertion of a tympanostomy tube – led to improvement in more than two-thirds of patients. Saccotomy (endolymphatic shunt surgery: opening of the saccus endolymphaticus) – a meta-analysis showed that these procedures also controlled vertigo attacks in the … Meniere’s Disease: Surgical Therapy

Meniere’s Disease: Or something else? Differential Diagnosis

Musculoskeletal system and connective tissue (M00-M99). Cervical syndrome – syndrome of the cervical spine with nerve compression/damage. Neoplasms – tumor diseases (C00-D48). Acoustic neuroma (AKN) – benign tumor arising from the Schwanńs cells of the vestibular portion of the VIII. Cranial nerve, the auditory and vestibular nerves (vestibulocochlear nerve), and is located in the cerebellopontine … Meniere’s Disease: Or something else? Differential Diagnosis

Meniere’s Disease: Causes

Pathogenesis (development of disease) The exact trigger of Meniere’s disease is unknown. It is thought to be due to a disturbance of inner ear homeostasis of multifactorial genesis: What is certain is that the formation of an endolymphatic hydrops (endolymph hydrops; increased occurrence of water or serous fluid) occurs due to a reabsorption disorder of … Meniere’s Disease: Causes