MENIERE DISEASE

BY: ENDIKA CAHYO K

01.209.5895
SCENARIO
Andin medical school student, often feel the
head spins, sometimes until he fell.
grievances felt since 3 months ago, and
frequent relapses. at the time of the attack,
he felt nausea, vomiting, and a ringing
sound. people often take medication to
relieve headache symptoms
MENIERE DISEASE
DEFINITION
disease which occurs especially when standing
balance disorders characterized by recurrent
attacks of vertigo (a feeling of spinning), deafness
and tinnitus (ringing in the ears).
ETIOLOGI
The exact cause of Meniere's disease is
unknown. The addition of endolymph
volume estimated by biochemical
disturbances and disorders clinic endolimfa
fluid on the membrane labyrinth.
CLINICAL MANIFESTATIONS
There is a triad or Meniere's syndrome which is
vertigo, tinnitus and sensorineural deafness is
mainly a low tone. The first attack was very severe,
which is a sense of vertigo accompanied by
vomiting. Every time he was trying to stand up
spinning, nausea and vomiting continue again. It
lasts a few days to a few weeks, although the
situation is gradually getting better. This disease
can be cured without drugs and symptoms may
disappear altogether. In the second attack and
subsequently felt lighter, not as the first attack. At
periodic vertigo of Meniere's disease are
increasingly subsided in subsequent attacks.
PATHOPHYSIOLOGY
Clinical symptoms of Meniere's disease is caused by the
presence of endolymph hydrops in the cochlea and vestibule.
Hydrops that occurs suddenly and is intermittent thought to
be caused by:
Increased hydrostatic pressure at the arterial end.
Reduced osmotic pressure in the capillaries.
Increased osmotic pressure in ekstrakapielr.
Endolimfatikus sac street exit is blocked, resulting in
accumulation of fluid endolimfa.
DIAGNOSIS
ANAMESIS
Diagnosis is facilitated by doing the
diagnosis, which is:
Intermittent vertigo
Fluctuations in the form of hearing loss nerve
deafness
Rule out the possibility of a central cause, eg
vestibulo cochlearis nerve tumors.
If the typical symptoms of Meniere's disease
in history is found, then the diagnosis of Meniere's
disease can be enforced.
PHYSICAL EXAMINATION
A physical examination is required only
to confirm the diagnosis of this disease. If
there is a record in the history of hearing
fluctuation, while on inspection it turns out
there is a sensorineural hearing loss, then
we are able to diagnose Meniere's disease,
because there is no other disease that can
lead to an improvement in deaf
senosrineural, except in Meniere's disease.
FURTHER EXAMINATION
In the case of doubt we can prove the
existence of hydrops with glycerin test.
Additionally glycerin test is useful for
determining the prognosis of operative
measures on the making of "shunt". If there
hydrops, then the operation is expected to
work well.
THERAPY
Especially for Meniere's disease, given the
peripheral vasodilator drugs to reduce
pressure endolimfa hydrops. This
endolimfa pressure can also piped to
another by way of operation, which is make
a "shunt".
Anti-ischemic drugs, can also be given as
an alternative medicine and also given
medication to strengthen her nerves
neurotonik