Minere disease

patho

Swelling of the membranous labyrinth in the cochlea and vestibular system of the internal ear.

• Increased volume of endolymph (endolymph hydrops) causes dilation of the membranous labyrinth.

• This alters hearing and balance.

• Mild rupture of the membranous labyrinth may reduce symptoms.

• Onset and duration of symptoms

are unpredictable.

• Symptoms can occur as often as daily or as infrequently as yearly.

what are symptoms related too?

vestibular dysfunction, often unilateral.

clinical manifestations

Vertigo: feeling of spinning often associated with

May show sensorineural

hearing loss.

nausea and vomiting

tinnitus

Nystagmus

feeling of fullness and pressure

ear pain

Sensorineural hearing loss

diagnostics

AUDITORY EXAMINATION

AUDITORY BRAINSTEM RESPONSE (ABR)

ELECTROCOCHLEOGRAPHY (ECOG)

VIDEONYSTAGMOGRAPHY (VNG)

ELECTRONYSTAGMOGRAPHY (ENG)

CALORIC TEST

life style modifications

reduce salt intake

diuretic therapy

reduce smoking

stress reduction

medications

Antiemetics

drugs to reduce vertigo

vestibular suppressants

Betahistine (histamine analog)- 1st line treatment

surgical

Labyrin-thectomy

Vestibular neurectomy

Gentamicin into middle ear

Endolymphatic sac decompression/shunting