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

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

4. dizzines and partial loss of hearing in her right ear
vertigo

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

6. tinnitus
vertigo
dizziness
motion sickness
vomiting
tiredness

7. 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

8. 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)

10. 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

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

13. 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 !!

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

15. Treatment (II)
restoring balance in the hydrodynamic system of the inner ear by applying low-pressure pulses to the middle ear

16. 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 Retrieved
Hazell, Jonathan. "Information on Ménière's Syndrome"". Retrieved