Saturday, March 15, 2014

14th Yearly National Meniere's Condition Seminar, Thursday, April 10, 2014, Grand Rapids, MI.

There is no remedy for Ménière's disease. Medical and behavior modification, however, are commonly beneficial in managing its symptoms. Although several operations have been established to reverse the condition procedure, their value has actually been tough to set up. And, unfortunately, all operations on the ear lug a danger of hearing loss. Meniere illness is an ailment distinguisheded by recurring attacks of disabling dizziness (an untrue experience of moving or turning), varying hearing loss (in the reduced frequencies), and sound in the ear (tinnitus).

Different surgical procedures have been advocated for patients with persistent, debilitating vertigo from Ménière's disease. Labyrinthectomy (removal of the inner ear sense organ) can effectively control vertigo, but sacrifices hearing and is reserved for patients with nonfunctional hearing in the affected ear. Vestibular neurectomy, selectively severing a nerve from the affected inner ear organ, usually controls the vertigo while preserving hearing, but carries surgical risks. Recently, the administration of the ototoxic antibiotic, gentamycin directly into the middle ear space has gained popularity worldwide for the control of the vertigo of Ménière's disease.

The inner ear contains two separate fluid comparments. One contains a fluid designated perilymph and the second innermost compartment contains a fluid called endolymph. In Meniere's disease there is too much pressure and fluid within the endolymphatic space. The exact reason for the excess pressure is unknown. It is known that endolymph is produced by special cells in the inner ear and that the fluid ultimately drains out of the inner ear into the cerebrospinal fluid through the endolymphatic duct and sac. Either or both problem will lead to excess fluid. Although there has been much research the answer is not known.

Your hearing will also be tested to determine if you can differentiate between similar sounds. In this portion of the test, you will hear words through the headphones. You will need to repeat what you hear. The results of this test will tell your doctor if you have a hearing problem in one or both ears. Most people with Meniere’s disease do not require surgery, but it is an option for those who have severe attacks and have not had success with other treatment options. An endolymphatic sac procedure is done to help decrease the production of fluid and promote fluid drainage in the inner ear.

The auditory brain stem response (ABR), a computerized test of the hearing nerves and brain pathways, computed tomography (CT), or magnetic resonance imaging (MRI) may be needed to rule out a tumor occurring on the hearing and balance nerve. Such tumors are rare, but they can cause symptoms similar to Ménière’s disease. Patients with Ménière’s disease may experience different patterns of symptoms. “Auditory dominant” Ménière’s disease produces more hearing loss changes than vertigo, while “vestibular dominant” causes frequent episodes of severe vertigo and less severe hearing changes. A “mixed” pattern of Ménière’s disease manifests with both hearing fluctuations and vertigo. 5

The Hydrops Diet, which involves reducing salt intake and taking a diuretic (triamterene/hydrochlorothiazide Dyazide, amiloride/HCTZ Moduretic, acetazolamide Diamox) for at least a three-month trial period, is intended to keep sodium concentrations in the inner ear from fluctuating, which causes the symptoms of hydrops. Strict adherence to a 1.5- to 2.0-gram salt diet stabilizes symptoms in most patients; 2 some otolaryngologists refer patients to a dietician to help with this dietary challenge. In my practice, I commonly treat patients who have intractable Ménière's disease with intratympanic gentamicin and endolymphatic sac decompression or shunt to control their vertigo, said Dr. Megerian.

Lots of researches have actually recorded that people with Meniere's illness often have more mental handicap than the normal populace, possibly including sadness and/or stress and anxiety, in response to their condition. It may be required to take antidepressants or anti-anxiety medications, under the guidance of a proper healthcare professional. Study Researches on Meniere's Illness In between the intense assaults many people are free of signs or have marginal inequality. The tinnitus and hearing loss may continue despite the fact that it can vary. In its most extreme discussion, Meniere's Disease could advance to permanent loss of hearing in the affected ear and unexpected falling attacks ("decrease attacks"). Exactly what creates Ménière's Disease?

Several types of surgery are effective for treating the balance problems of Ménière's disease. The most common surgical treatment is the insertion of a shunt (silicone tube) to drain of excess fluid. AURORA, Colo. (Dec. 5, 2013) Researchers at University of Colorado School of Medicine may have figured out what causes Meniere’s disease and how to attack it. According to Carol Foster, MD, from the department of otolaryngology and Robert Breeze, MD, a neurosurgeon, there is a strong association between Meniere’s disease and conditions involving temporary low blood flow in the brain such as migraine headaches.

Various other tests may be done! Electrocochleography (EcoG) might indicate rise inner ear fluid pressure in some cases of Meniere's illness. The auditory brainstem response (ABR), a computerized examination of the hearing nerves and brain paths, computed tomography (CT) or, magnetic vibration imaging (MRI) may be should eliminate a tumor taking place on the hearing and equilibrium nerve. Such growths are unusual, yet they could trigger symptoms much like Meniere's condition. Lie flat and still and concentrate on an unmoving things. When they stir up, frequently individuals drop asleep while lying down and feel much better. Exactly how can I lower the regularity of Ménière's condition installments?

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