Saturday, March 15, 2014

Ménière's Condition, Robert Wood Johnson University Medical facility, New Brunswick, NJ, 08903

Meniere's condition is a persistent health condition that affects your equilibrium by interrupting your internal ear features. Since 2011, there is no cure and the precise cause of the disease is unknown. Symptoms are not continual and may show up at any sort of given time. When symptoms, which could include vertigo, dizziness, whiring or ringing of the ears, nausea or vomiting and vomiting accompanying the lightheadedness, present, it is thought about an attack. Low-Sodium Diet regimen No remedy exists for Meniere's condition, yet a variety of approaches may assist you handle some signs. Research shows that most people with Meniere's illness reply to therapy, although long-term hearing loss is tough to stop.


Microsurgical posterior fossa vestibular neurectomy is a procedure whereby the balance nerve is cut between the inner ear and brainstem. This stops the brain from receiving abnormal impulses from a diseased inner ear. The most common disease treated is Meniere's disease. The cure rate of relieving inner ear vertigo (90%) and preserving hearing is excellent. The patient will normally have severe vertigo, nausea, vomiting and imbalance for one to two days after this surgery. These symptoms are usually similiar to those the patient experiences during an attack of dizziness prior to surgery, but are only temporary.


In patients where it has not been possible to control the vertigo generated by the affected ear, certain antibiotics (aminoglycosides) can be used to weaken the inner ear so that it is incapable of generating dizziness. One of these aminoglycosides, gentamicin, has been used to affect the inner ear directly. It can be placed in the middle ear (behind the eardrum) and be allowed to diffuse into the inner ear where it generally destroys some or all of the balance cells in the one ear. In patients with Meniere' disease in both ears, a similar medication (streptomycin) can be given intramuscularly and will have an effect on both ears.


Meniere's disease is a common and debilitating disorder of the inner ear that results in severe spells of vertigo, disturbing tinnitus, and progressive hearing loss in one or both ears. Little has been learned about the cause of this disorder since it was first described in the 1860s. This malady gained national attention briefly during the 1970s, when a prominent NASA astronaut, Alan Shepherd Jr., received treatment that allowed him to continue his career. Some medical historians also believe that it was this condition, rather than epilepsy, that accounted for the infirmity and eventual suicide of the great painter Vincent van Gogh.


Meniere's condition affects a component of the internal ear called the labyrinth. Feasible symptoms of this disorder feature difficulty preserving balance, problems, ringing in the ears, nausea or vomiting, throwing up and sweating. The therapy for Meniere's illness might feature medicines, changes in way of life and maybe even surgical treatment. Among the typical suggestions for folks with this condition is to prevent caffeine, an energizer that can make the signs much more constant and serious. Effects of Caffeine I belong to a large on-line network of Meniere's patients, and I believe it could possibly offer them hope if an individual they in fact understood had success with this therapy.


Several procedures have been developed to help treat severe cases of Ménière's disease. They involve injections of medications such as gentamycin (an antibiotic toxic to the inner ear) and dexamethasone (a steroid) into the middle ear where they are then absorbed into the inner ear. Other methods involve surgical procedures, where one of the inner chambers in the membranous labyrinth - the endolymphatic sac - is decompressed by removing a small piece of bone over it and then placing a small shunt there to help drain off excess fluid from the inner ear.

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