Description A disorder of the i...
Description
A disorder of the inner ear that causes dizziness, a sensation of spinning (vertigo), hearing loss, and ringing in the ear (tinnitus). The fluid-filled semicircular canals (labyrinths) of the inner ear help with balance and enable one to orient themselves in relation to gravity. Inflammation and a fluid build-up in these canals are thought to cause Meniere's disease. The exact cause is unknown. This disorder can occur at any age but is more common between the ages of 40 and 50.
Symptoms
Spinning sensation (vertigo), dizziness, hearing loss in one ear, noises or ringing in one ear (tinnitus), feeling of fullness in the ear, nausea, vomiting.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. Other tests to establish the diagnosis and rule out other causes of the symptoms may be done. A detailed hearing test may be performed as well. The diagnosis is based on having two or more episodes of vertigo lasting at least 20 minutes each, ringing in one ear (tinnitus), temporary hearing loss in the same ear, and a feeling of fullness in that ear.
Tests:
CT Scan, Magnetic resonance imaging (MRI)
Other Specific Tests: Caloric stimulation (tests reflexes of the eyes), evoked potential studies (BAER), electronystagmography, audiology/audiometry
Specialists:
Internal Medicine, Family Practice, Ear, Nose, and Throat (ENT), Pediatric ENT (Otolaryngology), Otology and Neurotology
Workup:
A history and physical exam will be performed. Other tests to establish the diagnosis and rule out other causes of the symptoms may be done. A detailed hearing test may be performed as well. The diagnosis is based on having two or more episodes of vertigo lasting at least 20 minutes each, ringing in one ear (tinnitus), temporary hearing loss in the same ear, and a feeling of fullness in that ear.
Tests:
CT Scan, Magnetic resonance imaging (MRI)
Other Specific Tests: Caloric stimulation (tests reflexes of the eyes), evoked potential studies (BAER), electronystagmography, audiology/audiometry
Specialists:
Internal Medicine, Family Practice, Ear, Nose, and Throat (ENT), Pediatric ENT (Otolaryngology), Otology and Neurotology
Treatment
Therapy helps reduce symptoms but there is no cure. Medications include: benzodiazepines (diazepam/Valium, lorazepam/Ativan), meclizine/Antivert, and anti-nausea drugs. Pressure pulse treatment applies pressure to the middle ear and may help with the disorder. Surgery may be considered if symptoms are severe.