Manier's Disease Presentation

Meniere’s disease. The plan of presentation. Definition. Etiology. Epidemiology. Anatomy. Pathophysiology. A tetrad of symptoms. Stages. Diagnosis. Other diagnostic methods. The aim of treatment is to. Treatment. Surgery. Prognosis. Prevention. Sources. Thank You for your attention.

Meniere’s disease or idiopathic endolymphatic hydrops is a disorder of the inner ear. It results from increased hydraulic pressure within the inner ear endolymphatic system. It was described in 1861 by the French physician Prosper Ménière. Meniere’s syndrome is a secondary endolymphatic hydrops caused by a specific condition such as trauma, electrolyte imbalance, autoimmune and hormonal dysfunction, medications and hyperlipidemia.

50% of patients have a significant family history. 15-150 per 100,000. Bilateral disease is found in 10% of patients at initial diagnosis. If disease progress, it may be found in more than 40% of patients. The onset of symptoms arises in the 35- to 40- year-old people. The peak is in the 40- to 60-year-old age group. females > males (1.5:1) primarily affects whites. causes approximately 10% cases of systemic vertigo.

Attack of vertigo and disturbance of balance last from 20 min. to 24 hours, usually 2-4 hours. Other common symptoms include a cold  sweat, nausea, vomiting, generalized weakness during the attack. Some people have drop attacks (Tumarkin's otolithic crisis). It is a sudden fall without warning and loss of consciousness. Drop attacks are reported in about 4% of patients. Most patients have unilateral symptoms initially.