Meniere's disease

Revisión del 05:51 4 oct 2011 de Jswartz (discusión | contribs.) (Created page with "==Background== *Occurs due to increased endolymph within the cochlea and labyrinth *First attack usually occurs in pts >65yrs *Usually is unilateral but may become bilateral w/ t...")
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Background

  • Occurs due to increased endolymph within the cochlea and labyrinth
  • First attack usually occurs in pts >65yrs
  • Usually is unilateral but may become bilateral w/ time

Clinical Features

  • Episodes of sudden-onset vertigo w/ nausea/vomiting
    • Duration: usually 2-8hr
    • Frequency: Ranges from several episodes per week to several times per month
  • Roaring tinnitus
  • Diminished hearing
  • Fullness in affected ear
  • Between attacks pt is well (although decreased hearing may persist)

Diagnosis

  • Confirmed by ENT via glycerol testing or vestibular-evoked potentials

Treatment

  • Treat vertigo symptomatically with scopolamine, antihistamines, or benzodiazepines

Disposition

  • Refer to ENT

Source

Tintinalli

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