Ménière's disease

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Ménière's disease

(mən-yĕrz`), disorder of the inner ear characterized by recurrent vertigovertigo
, sensations of moving in space or of objects moving about a person and the resultant difficulty in maintaining equilibrium. True vertigo, as distinguished from faintness, lightheadedness, and other forms of dizziness, occurs as a result of a disturbance of some part of
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 combined with hearing loss and tinnitustinnitus,
the hearing of sounds in the absence of any external sound, also known as ringing in the ears. The sounds may be perceived as hissing, whistling, buzzing, swooshing, roaring, or clicking in addition to ringing; in rare cases indistinct voices or music may be heard.
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 (a ringing sensation). It was first described by the French otologist Prosper Ménière, in 1861. The sufferer experiences severe dizziness, in which objects may seem to spin around, and often nausea, vomiting, and sweating. Attacks may last for several hours. In the disorder, which occurs most often in men between the ages of 40 and 60, the symptoms are the result of abnormally large amounts of a fluid (endolymph) collecting in the inner ear, but the exact cause of the disease or of the trigger for an attack is unclear. The disease is most typically treated by a reduced-sodium diet and diurectics; an acute attack may be treated by medications that control the vertigo and nausea. Vestibular rehabilitation therapy is sometimes used to help patient cope with the sense of imbalance that may occur between attacks. Surgical procedures that relieve the condition include vestibular neurectomy, labyrinthectomy, sacculotomy (placement of a stainless steel tack through the footplate of the stapes), ultrasonic irradiation, endolymphatic-subarachnoid shunt, and cryosurgery for relief of frequent vertiginous attacks and degenerative hearing.

Ménière’s Disease

 

a condition characterized by vertigo in combination with noise in one ear, impairment of hearing, nausea, vomiting, and loss of equilibrium; named after the French physician P. Ménière (1799-1862), who described it in 1861.

Ménière’s disease generally begins in patients between the ages of 25 and 40. Attacks may last for hours or even days. They are provoked by a decrease in the tonus of the vessels supplying blood to the peripheral portions of the vestibulocochlear nerve, which performs auditory and vestibular functions. According to another view, the disease is caused directly by increased fluid (endolymph) pressure in the inner ear. The vertigo is usually systemic in nature—that is, there is a sensation that surrounding objects or the patient himself is turning in a certain direction. Hearing is often unilaterally impaired after the attack passes. Loss of hearing progresses with repeated attacks, and deafness may result. Ménière-like conditions, with symptoms resembling Ménière’s syndrome, may also occur in some organic brain dis-eases (arachnoiditis, tumor of the cerebellopontile angle).

Ménière’s disease is treated with a series of strychnine and neostigmine-methylsulfate injections, with physical therapy (ultrahigh-frequency therapy, galvanic collar), and exercise. Drugs that dilate the blood vessels of the inner ear (pilocarpine) and brain (nicotinic acid, papaverine) and agents that decrease the excitability of the brain stem (atropine sulfate, chlorpromazine, haloperidol) are also prescribed. Surgery may sometimes be necessary.

REFERENCES

Velikov, K. A. Sindrom i boleznMen ’era. Moscow, 1967.
Patiakina, O. K., and T. D. Zadorova. “Simpozium o bolezni Men’era.”[New York, June 1965.] Vestnik otorinolaringologii, 1966, no. 5.
Bystrzanowska, T. Choroba Ménière’a. Warsaw, 1970.

V. A. KARLOV

References in periodicals archive ?
Global Meniere's Disease Drug Market -By Type ( Classic, Vestibular and Bilateral), Mechanism of Action (Antihistamines, Benzodiazepines, Antinausea, Diuretics, Antibiotics, Steroids and Others), Drugs (Meclizine, Diazepam, Prochlorperazine, Hydrochlorothiazide, Gentamicin, Dexamethasone and Others), Devices (Hearing Aid, Meniett device), Treatment (Medications, Therapy or Hearing Aids, Surgery), Route of Administration (Oral, Intravenous, Intratympanic and Others), Distribution Channel (Online Pharmacy, Direct Tenders, Retailers and Others), End-Users (Hospitals, Homecare, Specialty Clinics, Others), Geography (North America, Europe, South America, Asia-Pacific, Middle East and Africa) - Industry Trends and Forecast to 2026
Knapp postulated that the distension was as a result of increased endolymphatic pressure, making a comparison to Meniere's disease with glaucoma.
With many treatment options available and without consensus on optimal care, patients with Meniere's disease are likely to be offered therapy dependent on the preferences of providers at the clinics to which they present.
"There isn't any specific treatment for Meniere's disease and there's no cure.
On genetic and environmental factors in Meniere's disease.
He has edited six books, published 100 articles in peer-reviewed journals, and published or presented more than 500 abstracts, papers or book chapters on ear diseases, hearing, balance and tinnitus, and specifically Meniere's disease.
You can sponsor Chris and help raise vital funds for Meniere's Society at www.justgiving.com/fundraising/chris brownrunx2 BECKY Howard, 19, from Worcester, is running in aid of Mind, the mental health charity that helped her to overcome many personal battles.
(14) Other peripheral vestibular causes include vestibular neuronitis, viral labyrinthitis, Meniere's disease, vestibular schwannoma, perilymphatic fistula, superior semicircular canal dehiscence (SSCD), and head trauma (basilar skull fracture).
Chris, 57, said: "There is a danger that the Meniere's could spread and I could lose my hearing in that ear as well.
More recently, Nauta supported also the therapeutic benefit of betahistine on vertiginous symptoms in both Meniere's disease and vestibular vertigo patients [32].