{"id":400,"date":"2021-01-04T16:51:58","date_gmt":"2021-01-04T23:51:58","guid":{"rendered":"https:\/\/neurotucson.fm1.dev\/ear-hearing\/ear-specific-dizziness\/menieres-disease\/"},"modified":"2021-02-02T17:55:17","modified_gmt":"2021-02-03T00:55:17","slug":"menieres-disease","status":"publish","type":"page","link":"https:\/\/neurotucson.com\/ear-hearing\/ear-specific-dizziness\/menieres-disease\/","title":{"rendered":"Meniere\u2019s Disease"},"content":{"rendered":"\n

Meniere\u2019s disease is an idiopathic medical condition thought to be caused by fluid deregulation within the inner ear. Typically affecting just one ear (bilateral in 20 \u2013 30% of cases), the diagnosis is made by a characteristic symptom complex including fluctuating hearing loss, fluctuating\u00a0tinnitus<\/a>, fluctuating sense of aural fullness and episodic true vertigo lasting at least twenty minutes (occurring at least twice).<\/p>\n\n\n\n

While there is no cure for Meniere\u2019s disease, 80 \u2013 85% of patients can be managed medically with a low salt diet and use of a diuretic (typically Dyazide). Anti-nausea medications (e.g. Phenergan) and vestibular suppressants (meclizine or Valium) may be required for breakthrough episodes of true vertigo but should not be used on a daily basis. Procedures used in patients who fail medical therapy include intratympanic injections of steroids or gentamicin, endolymphatic sac operations, vestibular nerve sectioning (via middle fossa or retrosigmoid approaches) or surgical labyrinthectomy. The Meniett device can also be considered.<\/p>\n\n\n\n

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