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Meniere's Disease

Meniere's Disease. Leona Šupljika Gabelica Mentor: A. Žmegač Horvat. Meniere's Disease. French physician Prosper Ménière 1861 vertigo caused by inner ear disorders. dizzines and partial loss of hearing in her right ear vertigo. “ The Starry Night " illustrates his dizziness

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Meniere's Disease

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  1. Meniere's Disease Leona Šupljika Gabelica Mentor: A. Žmegač Horvat

  2. Meniere's Disease • French physician Prosper Ménière • 1861 • vertigocaused by inner ear disorders

  3. dizzinesandpartial loss of hearingin her right ear vertigo

  4. “The Starry Night" illustrates his dizziness ear pressureanddeafness

  5. tinnitus vertigo dizziness motion sickness vomiting tiredness

  6. Disorder of the inner ear Affects hearing and balance Periodic episodes of vertigo or dizziness Fluctuating, progressive, unilateral or bilateral hearing loss Unilateral or bilateral tinnitus Sensation of fullness or pressure in one or both ears Nausea, vomiting, sweating What is Meniere's disease ?

  7. What causes Meniere's Disease? (I) • exact cause - ??? • related to endolymphatic hydrops or excess fluid in the inner ear Model of inner ear fluid compartments (yellow - perilymphatic space, blue - endolymphatic space)

  8. What causes Meniere's Disease? (II) • swelling of the endolymphatic sacor other tissues in the vestibular systemof the inner ear • endolymphatic duct may be obstructed by scar tissue, or be narrow from birth • too much fluid secreted by the stria vascularis

  9. What are the risk factors? • Middle ear infection • Stress • Syphilis • Fatigue • Head injury • History of allergies • Recent viral infection • Smoking • Respiratory infection • Alcohol use

  10. Diagnosis • complaints and medical history • detailed otolaryngological examination • audiometry • head MRI scan - to exclude a tumour of the vestibulocochlear nerve • no definitive test for Ménière's - diagnosed when all other causes have been ruled out !!

  11. Treatment (I) • modification of personal habits • diet • stress reduction • regular exercise • medications

  12. Treatment (II) • restoring balance in the hydrodynamic system of the inner ear by applying low-pressure pulses to the middle ear

  13. References • Dictionary.com Unabridged (v 1.1). Random House, Inc. Accessed on 9 September 2008 • Meniere disease at Dorland's Medical Dictionary • Ménière's disease at Who Named It? • Meniere's disease symptoms". Mayo Clinic. 2008-06-18. http://www.mayoclinic.com/health/menieres-disease/DS00535/DSECTION=symptoms. Retrieved 2008-10-17. • Hazell, Jonathan. "Information on Ménière's Syndrome"". http://www.tinnitus.org/home/frame/meniere.htm. Retrieved 2007-02-27.

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