Menieres Disease Leona upljika Gabelica Mentor A mega

Meniere's Disease Leona Šupljika Gabelica Mentor: A. Žmegač Horvat

Meniere's Disease • French physician Prosper Ménière • 1861 • vertigo caused by inner ear disorders

dizzines and partial loss of hearing in her right ear vertigo

• “The Starry Night" illustrates his dizziness • ear pressure and deafness

• • • tinnitus vertigo dizziness motion sickness vomiting tiredness

What is Meniere's disease ? • Disorder of the inner ear • Affects hearing and balance • Periodic episodes of vertigo or dizziness • Fluctuating, progressive, unilateral or bilateral hearing loss • Unilateral or bilateral tinnitus • Sensation of fullness or pressure in one or both ears • Nausea, vomiting, sweating

What causes Meniere's Disease? (I) • exact cause - ? ? ? • related to endolymphatic hydrops or excess fluid in the inner ear Model of inner ear fluid compartments (yellow - perilymphatic space, blue - endolymphatic space)

What causes Meniere's Disease? (II) • swelling of the endolymphatic sac or other tissues in the vestibular system of the inner ear • endolymphatic duct may be obstructed by scar tissue, or be narrow from birth • too much fluid secreted by the stria vascularis

What are the risk factors? • • • Middle ear infection Stress Syphilis Fatigue Head injury History of allergies Recent viral infection Smoking Respiratory infection Alcohol use

Diagnosis • complaints and medical history • detailed otolaryngological examination • audiometry • head MRI scan - to exclude a tumour of the vestibulocochlear nerve • no definitive test for Ménière's diagnosed when all other causes have been ruled out !!

Treatment (I) • modification of personal habits • diet • stress reduction • regular exercise • medications

Treatment (II) • restoring balance in the hydrodynamic system of the inner ear by applying lowpressure pulses to the middle ear

References • Dictionary. com Unabridged (v 1. 1). Random House, Inc. Accessed on 9 September 2008 • Meniere disease at Dorland's Medical Dictionary • Ménière's disease at Who Named It? • Meniere's disease symptoms". Mayo Clinic. 2008 -06 -18. http: //www. mayoclinic. com/health/menieresdisease/DS 00535/DSECTION=symptoms. Retrieved 2008 -10 -17. • Hazell, Jonathan. "Information on Ménière's Syndrome"". http: //www. tinnitus. org/home/frame/meniere. htm. Retrieved 2007 -02 -27.