Академический Документы
Профессиональный Документы
Культура Документы
Disease
OVERVIEW
Idiopathic disease
an abnormal inner ear fluid balance caused
by a mal-absorption of fluid in the
endolymphatic sac
a blockage in the endolymphatic duct
regardless what cause it, endolymphatic
hydrops develops.
NORMAL DILATED
OVERVIEW
more common in adults
an average age of onset in the 40s
with symptoms usually beginning between the
ages of 20 and 60 years
common in both genders
the right and left ears are affected with equal
frequency
CLINICAL
MANIFESTATION
S
fluctuating, progressive sensorineural hearing
loss
tinnitus or a roaring sound
a feeling of pressure or fullness in the ear
episodic, incapacitating vertigo, often
accompanied by nausea and vomiting
2 SUBSETS OF
MENIERE’S DISEASE
Cochlear Vestibular
fluctuating, progressive characterized as the
sensorineural hearing loss occurrence of episodic
associated with tinnitus and vertigo associated with
aural pressure in the absence aural pressure but no
of vestibular symptoms or cochlear symptoms
findings.
PATHOPHYSIOLOGY
Risk Factors
1. Age
2. Gender
3. Congenital
4. High-sodium diet
5. Conditions:
a. Syphilis
b. Autoimmune Disease
c. Herpes Virus Infection
Fluid imbalance in the
endolymphatic sac
Feeling of
fullness Accumulation of fluid in
Pressure in the the endolymphatic sac
ear
Compression of
Organ of Corti Vertigo
Intraotologic Catheters
catheters are being developed to provide a conduit
from the outer ear to the inner ear
uses of these catheters include treatment for sudden
hearing loss and various disorders causing intractable
vertigo
SURGICAL MANAGEMENT