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01.06.2014

Meniere without tinnitus, depression mood disorder - Reviews

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In 1861, the French physician Prosper Meniere described a condition which now bears his name. An acute attack of Meniere’s disease is generally believed to result from fluctuating pressure of the fluid within the inner ear.
Abnormally enlarged fluid pathways into the ear, such as the vestibular aqueduct or cochlear aqueduct, may also be associated with Meniere’s-like symptoms, but recent evidence is against a relationship between the cochlear aqueduct and Meniere’s disease.
Franz (2007) suggested a link between Meniere’s disease and joint disease of the jaw (temporomandibular joint), the cervical spine, Eustachian tube dysfunction, and autonomic nervous system dysfunction.
Meniere’s disease can cause hair cell death, as well as mechanical changes to the ear. There is presently no evidence that Meniere’s disease kills the cochleovestibular nerve (Kitamura et al, 1997).
At the present time there is no cure for Meniere’s disease, but there are ways to manage the condition and help you control symptoms. Between attacks, medication may be prescribed to help regulate the fluid pressure in your inner ear, thereby reducing the severity and frequency of the Meniere’s episodes. The Meniett device, manufactured by Medtronic (R), is a noninvasive treatment option that works by sending small pulses of pressure into the ear canal. Although intratympanic steroids injections have also been recently used to treat Meniere’s disease by Shea, the present consensus is that treatment has not yet been clearly proven to be effective or to have a reasonable scientific basis.
For bilateral Meniere’s disease, when the patient is incapacitated and it cannot be determined which ear is causing the dizziness, intramuscular streptomycin (1 gm twice a day) can be given on an outpatient basis until the first sign of ototoxicity develops. Since the acute symptoms of Meniere’s disease are episodic, it is important to explain to your family and friends what might happen when you have an attack.
In September 2012, a visit to the National Library of Medicine’s search engine, Pubmed, revealed more than 6800 research articles concerning Meniere’s disease published since 1883. Meniere’s disease is a disorder of the inner ear that causes episodes of vertigo, ringing in the ears (tinnitus), a feeling of fullness or pressure in the ear, and fluctuating hearing loss.
Meniere’s patients who have associated migraines are reported to have an earlier age of disease onset and a higher rate of family history, suggesting a genetic component (Cha, 2007).
Interestingly, the Framingham study found that 2% of the population of the United States believe they have Meniere’s disease, suggesting that there is considerable chance of misdiagnosis.
In a review of literature, Ciuman (2009) stated that the endolymphatic sac in those with enlarged vestibular aqueduct was thin, whereas it was fibrous in those with Meniere’s.


Although a recent study showed significant neural deterioration in a guinea pig model of endolymphatic hydrops, a hallmark of Meniere’s (Megerian, 2005).
This is an important part of treatment for virtually all patients with Meniere’s disease. A permanent tinnitus (ringing in the ears) or a progressive hearing loss may be the consequence of long-term Meniere’s disease. It is thought that this reduces symptoms of Meniere’s disease by eliminating excess endolymphatic fluid within the ear. This fluctuation causes the symptoms of hydrops (pressure or fullness in the ears), tinnitus (ringing in the ears), hearing loss, dizziness and imbalance.
In spite of this concentration of effort by the medical community, Meniere’s disease remains a chronic, incurable disorder that causes progressive disability to both hearing and balance. Long-term vertigo control in patients after intratympanic gentamicin instillation for Meniere’s disease. Long-term disability of class A patients with Meniere’s disease after treatment with interlymphatic gentamycin.
The potential role of joint injury and eustachian tube dysfunction in the genesis of secondary Meniere’s disease. Evaluation of retrosigmoid vestibular neurectomy for intractable vertigo in Meniere’s disease: an interdisciplinary review.
HLA-DRB1*1101 allele may be associated with bilateral Meniere’s disease in southern European population. Dexamethasone perfusion of the labyrinth plus intravenous dexamethasone for Meniere’s disease. Illness behavior, personality traits, anxiety and depression in patients with Meniere’s disease. Dexamethasone inner ear perfusion for the treatment of Meniere’s disease: A prospective, randomized double-blind crossover trial. A Meniere’s episode generally involves severe vertigo (spinning), imbalance, nausea and vomiting. Between the acute attacks, most people are free of symptoms or note mild imbalance and tinnitus. Recently, the the HLA-Cw allele was found to much higher in Meniere’s patients than controls (Khorsandi et al., 2011).


While some people have hearing that fluctuates like this without any further symptoms of dizziness or tinnitus, in most cases, this does not progress to Meniere’s disease (Schaaf et al, 2001).
Long-term effects of the Meniett device in Japanese patients with Meniere’s disease and delayed endolymphatic hydrops reported by the Middle Ear Pressure Treatment Research Group of Japan. Intratympani gentamicin treatment of patients with Meniere’s disease with normal hearing.
We presently do not recommend vestibular nerve section for Meniere’s disease, except in situations where gentamicin injection has failed. Large amounts of caffeine may trigger migraine (migraine can be difficult diagnostically to separate from Meniere’s disease). This is a very disabling symptom as it occurs without warning and can result in severe injury. The majority of people with Meniere’s disease are over 40 years of age, with equal distribution between males and females. The more stressful and anxiety-inducing development for me was the onset of chronic tinnitus (constant background noise) and vertigo. With Meniere's disease 5 years, often dizzy, but came close to increasing diagnosis and treatment of illness card. Carved diagnosis: vertigo, tinnitus, can not get up, since the rotating earth, nausea Yu Tu, food cooler is aggravated epigastric uncomfortable, cold Epigastrium, thermophilic hi press, hand, foot and not warm, pale, thin white fur, pulse weak.
2-year follow-up, everything is still good.2, Kuizi Poria Pill Treating Meniere's diseaseChoi, female, 37 years old.
3 years ago due to emotional, work and other causes dizziness, ringing in the ears, after repeated examination, no obvious anomaly, had a diagnosis of Meniere's disease.
Carved diagnosis: dizziness, dizzy, vomiting phlegm, tinnitus, chills, upset the stool, pale tongue, greasy moss, pulse. When the pressure reaches a critical level there is a release of the pressure which causes the symptoms of severe vertigo, tinnitus and hearing loss.




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