Meniere’s disease - Dubai ENT Clinic 

This is a disorder in the inner ear known as intra inner ear hypertension. It can occur in any age usually between 20-50 years old and usually affects one ear. The patient complains of severe vertigo (spinning sensation), tinnitus in the affected ear, fullness, and hearing loss.

 Signs and Symptoms of Meniere’s Disease:

• Fluctuating hearing loss may come and go in the early stages, but will be permanent eventually.
• Recurrent attacks of spontaneous spinning sensation without warning last from minutes to hours but less than 24 hours.
• Tinnitus or ringing in one ear.
• Aural fullness or feeling of pressure in the affected ear.

Vomiting or nausea during the vertigo episode

How can it be managed?

• Short-term medications: Anti-emetic (Promethazine, Meclizine, Diazepam).
• Long-term medications: Diuretic and salt limiting dietary.
• Non-invasive procedures, rehabilitation, hazards, use of Meniett device.
• Middle ear injection:
  • Gentamicin – risk for further hearing loss.
  • Steroids (Dexamethasone) – for controlling vertigo attacks.
• Surgery:
  • Vestibular Nerve Section (VNS).
  • Endolymphatic sac decompression.
  • labyrinthectomy.

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