|
|
| (12 intermediate revisions by 5 users not shown) |
| Line 1: |
Line 1: |
| ==Background==
| | #REDIRECT[[Ménière's disease]] |
| *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)
| |
| | |
| ==Differential Diagnosis==
| |
| {{Vertigo DDX}}
| |
| | |
| ==Diagnosis==
| |
| *Confirmed by ENT via glycerol testing or vestibular-evoked potentials
| |
| | |
| ==Treatment==
| |
| *Treat vertigo symptomatically with scopolamine, antihistamines, or benzodiazepines
| |
| | |
| ==Disposition==
| |
| *Refer to ENT
| |
| | |
| ==References==
| |
| | |
| | |
| [[Category:ENT]] | |
| [[Category:Neurology]]
| |
