Meniere’s disease is a disease characterized by severe dizziness, nausea, vomiting, hearing loss, buzzing and ringing in the ears, and a feeling of fullness. Its peculiarity is that it comes in crises. The first crisis is always more severe and lasts longer. There is hearing loss with accompanying hum and ringing in every crisis. Crises take a little more than hearing each time.
Although it is the typical feature of Meniere’s disease, these may not be together in every case. The anamnesis given by the patient is the most helpful to the physician in the diagnosis. In addition to this, it is beneficial to perform additional tests to strengthen the diagnosis. In this condition, the priority is the relief of the patient. After the patient’s dizziness is controlled with sedative treatment, which is generally applied by hospitalization, necessary investigations can be made for maintenance treatment.
Hearing testing can provide valuable information in established Meniere’s disease. In addition, more supportive information can be obtained with videonystagmography and VEMP tests. Electrocochleography has been among the tests used in the diagnosis of Meniere’s Disease for years. Medication is primarily preferred in the treatment of Meniere’s disease.
Although strict attention to diet (restriction of salt, avoidance of caffeine and smoking) has been recommended until now, recent studies have revealed that salt restriction has no place in the treatment of Meniere’s and even consuming more water improves hearing levels.
- We use diuretics during crisis periods.
- We make extensive use of vasodilator drugs.
- In cases where there is no response to drug treatment, we prefer invasive treatments.
- Cortisone and gentamicin injections into the middle ear are popular treatments in recent years.
- Control of Meniere’s disease is possible in 70-75% of cases with endolymphatic sac surgeries.
- In cases where all these treatments are not effective, a response rate of 96% can be obtained by cutting the vestibular nerve.