Meniere's Illness is a symptom complex of dizziness, sounding sounds in the ear (ringing in the ears), feeling of ear (aural) pressure, and changing hearing loss. Prosper Meniere initially explained this symptom complex in 1861. He was the initial medical professional to propose that this sign complex was due to an internal ear issue instead of central nervous system problem such as a stroke or growth. Menieres illness (Morbus Meniere) is a set of three of hearing, vertigo and tinnitus loss with the duration of an attack lasting from minutes to many hrs. It is named after Prosper Menière, a french physician, which first described these signs, noted in his clients.
The goal of treatment is to provide stable body fluid/blood levels so that secondary fluctuations in the inner ear fluid can be avoided. We recommend that patients avoid skipping meals and attempt to eat similar amounts during each meal during the day. It is critical that you drink plenty of water, especially if you are started on a diuretic (water pill). High salt foods should be avoided. Clearly, no salt should be added to meals, however it is of utmost importance that you select foods with low sodium content. High salt intake results in fluctuations in the inner ear fluid and may increase the symptoms that you are experiencing.
The hearing nerve and hearing pathways within the brain can be measured by a special computerized test called an "Auditory Brainstem Response Test" or ABR. This test is also referred to in the medical literature as a BSER, BEAR, etc. Using headphones in a quiet room, rapid clicks of sound are placed in the ear canal. The clicks are heard by the ear and nerve impulses travel from the inner ear to the brain. The electrical impulses create brain waves that can be measured from the skin and analyzed by a computer. Usually, this study is normal in Meniere's disease. Inner Ear or Cochlear Testing.
Ménière’s disease, also called idiopathicendolymphatic hydrops, is a disorder of the inner ear. Although the cause is unknown, it probably results from an abnormality in the fluids of the inner ear. Ménière’s disease is one of the most common causes of dizziness originating in the inner ear. Ménière’s disease typically starts between the ages of 20 and 50 years. Meniere's Disease is a disease which causes hearing and frequently balance symptoms. It is thought to be caused by fluid overload in the inner ear. The disease can begin with a variety of symptoms. Symptoms
A specific attack is usually treated with an anti-emetic to lessen nausea and vomiting, and a vestibular suppressant (Valium/diazem or meclizine/antivert). Patients who do not respond to medication and diet may undergo a chemical labyrinthectomy (aminoglycoside ablation). As part of this procedure, an aminoglycoside antibiotic is injected into the middle ear, selectively diminishing vestibular signals from that ear. A few patients require surgical treatment, which can include an endolymphatic shunt or vestibular neurectomy, in which the nerve that carries inner ear balance information is severed. The exact cause of Meniere's disease is not known. Spells may be due to ischemia (decrease or lack of blood flow) within inner ear tisues.
The Merck Manual has added head trauma as a risk factor due to the research on 300 Meniere's patients over the past fourteen years. Michael Burcon, BPh, DC has established a link between whiplash as a result of vehicular accidents or falling on one's head and Meniere's disease. It takes an average of fifteen years after the trauma before the onset of symptoms. Case history, thermography, MRI, CScan, and/or cervical x-ray and modified Prill relative leg length tests are used for diagnosis and upper cervical specific adjustments are performed for treatment to reduce or eliminate vertigo. 48 Prognosis edit
Clients with dizziness and hearing loss go through a complete ear, nose and throat examination. On top of that, they may be provided a hearing test to produce an audiogram, a harmony (vestibular) test such as an ENG or VEMP or picture test such as a MRI or CT scan. Based upon the medical evaluation, the procedure choices for the lightheadedness and hearing loss will exist to you. Procedure for Hearing Loss and Ringing in the ears in Meniere's Illness He is likewise the Dean of the Professors of Medicine at the College of Antwerp. 16th International Seminar on Inner Ear Medication and Surgery
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