Meniere's disease: Difference between revisions

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==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)
 
==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
 
 
[[Category:Neuro]]

Latest revision as of 05:00, 17 August 2017

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