Meniere diseases

• Recurrent spontaneous attacks of vertigo

• Fluctuating sensorineural hearing loss
• Tinitus
• Aural fullness
• Etiologi:
– Idopathic
– Endolymphatic hydrops
– Periodic ruptures of the membranous labyrinth
• Clinical manifestations
– Recurrent spontaneous attacks of vertigo,
associated with nausea and vomiting
– Lateralized low-frequncy hearing loss
– Tinnitus
– Aural fullness
• Diagnosis:
– Definite
• Has two or more spontaneous attacks of vertigo
• Hearing loss documented by pure-tone audiogram on
at least one occasion
• Tinnitus or auralfullness on the affected side
– Probable
• Has two or more spontaneous attacks of vertigo with
unilateral hearing loss, tinnitus, and aural fullness at
the same time
• DD
– Vestibular neuritis
– Migrainous vertigo
– Autoimmunner ear disease
• Management
– Sodium restriction
– Andolymphatic sac surgery
– Selective vestibular neurectomy
– Surgical labyrinthectomy
– Coclear implantation