Overview
What is Ménière disease (idiopathic endolymphatic hydrops)?
Why is evaluation and management of Ménière disease (idiopathic endolymphatic hydrops) challenging?
How is medical therapy directed in Ménière disease (idiopathic endolymphatic hydrops)?
What anatomy is relevant to Ménière disease (idiopathic endolymphatic hydrops)?
What is the pathophysiology of Ménière disease (idiopathic endolymphatic hydrops)?
What causes hydrops attacks in Ménière disease (idiopathic endolymphatic hydrops)?
What causes Ménière disease (idiopathic endolymphatic hydrops)?
What is a possible autoimmune etiology of Ménière disease (idiopathic endolymphatic hydrops)?
What is the role of allergens in the etiology of Ménière disease (idiopathic endolymphatic hydrops)?
How does the incidence of Ménière disease (idiopathic endolymphatic hydrops) vary by age?
How does the prevalence of Ménière disease (idiopathic endolymphatic hydrops) vary by sex?
What is the prevalence of Ménière disease (idiopathic endolymphatic hydrops) in the US?
What is the mortality rate for Ménière disease (idiopathic endolymphatic hydrops)?
What is the progression of Ménière disease (idiopathic endolymphatic hydrops)?
What is the prognosis of Ménière disease (idiopathic endolymphatic hydrops)?
What is the spontaneous remission rate for Ménière disease (idiopathic endolymphatic hydrops)?
What is the main morbidity associated with Ménière disease (idiopathic endolymphatic hydrops)?
Presentation
What history is characteristic of Ménière disease (idiopathic endolymphatic hydrops)?
How is vertigo characterized in Ménière disease (idiopathic endolymphatic hydrops)?
How does acute vertigo manifest in Ménière disease (idiopathic endolymphatic hydrops)?
How does hearing loss manifest in Ménière disease (idiopathic endolymphatic hydrops)?
How is tinnitus characterized in Ménière disease (idiopathic endolymphatic hydrops)?
What are the otoscopy findings characteristic of Ménière disease (idiopathic endolymphatic hydrops)?
What are the complications of Ménière disease (idiopathic endolymphatic hydrops)?
DDX
What are the differential diagnoses for Meniere Disease (Idiopathic Endolymphatic Hydrops)?
Workup
How is CT scanning used in the diagnosis of Ménière disease (idiopathic endolymphatic hydrops)?
Treatment
How is medical therapy for Ménière disease (idiopathic endolymphatic hydrops) directed?
When is inpatient care indicated for Ménière disease (idiopathic endolymphatic hydrops)?
What is the first-line management for Ménière disease (idiopathic endolymphatic hydrops)?
When is surgical therapy indicated for Ménière disease (idiopathic endolymphatic hydrops)?
What is the goal of medical treatment for Ménière disease (idiopathic endolymphatic hydrops)?
Which medications are used to treat Ménière disease (idiopathic endolymphatic hydrops)?
What is the initial treatment for Ménière disease (idiopathic endolymphatic hydrops)?
What is the role of steroids in the treatment of Ménière disease (idiopathic endolymphatic hydrops)?
When is surgery indicated in the treatment of Ménière disease (idiopathic endolymphatic hydrops)?
How is Ménière disease (idiopathic endolymphatic hydrops) prevented with dietary restrictions?
What should be avoided to prevent Ménière disease (idiopathic endolymphatic hydrops)?
Guidelines
Medications
What are the goals of drug treatment for Ménière disease (idiopathic endolymphatic hydrops)?
Which medications are used in the treatment of Ménière disease (idiopathic endolymphatic hydrops)?
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Transtympanic instillation device is used to administer drugs to inner ear.
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Intraoperative view of the left ear treated with labyrinthectomy; endolymphatic sac can be seen in this view.
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Tinnitus model. Two phenomena in auditory cortex are associated with peripheral deafferentation: (1) hyperactivity in lesion projection zone and (2) increased cortical representation of lesion-edge frequencies (here, C6) in lesion projection zone. These 2 phenomena are presumed to be neurophysiologic correlates of tinnitus. Red letters correspond to octave intervals of fundamental frequency.
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- Overview
- Presentation
- DDx
- Workup
- Treatment
- Approach Considerations
- Principles of Medical Management
- Pharmacologic Therapy
- Meniett Device
- Principles of Surgical Management
- Endolymphatic Sac Decompression or Shunt
- Vestibular Nerve Section
- Labyrinthectomy
- Cochlear Implant
- Transtympanic Perfusion of Medication
- Vestibular Rehabilitation
- Diet and Activity
- Prevention
- Consultations
- Show All
- Guidelines
- Medication
- Questions & Answers
- Media Gallery
- References