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

Meniere's Disease 1861 vertigo caused by inner ear disorders 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 audiometry 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 low-pressure 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/menieres-disease/DS00535/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.