Meniere's disease: Difference between revisions
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Revision as of 05:52, 4 October 2011
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