Meniere's disease

Meniere's disease. The reasons are unclear. The main pathogenetic factors are increasing the number of labyrinthine fluid (endolymph) and increase intra-labyrinthine pressure.

Symptoms within. Sudden attacks of severe vertigo, nausea, vomiting, accompanied by tinnitus and hearing loss (usually in one ear), nystagmus (usually in a healthy way) and loss of balance; the patient can not walk, stand or even sit. The attack can last from several hours to several days, repeated very often (every 2-3 days), and sometimes, much less often (1 time in 1-2 years). In the interictal period no signs of the disease, with the exception of hearing loss. Repeated attacks lead to progressive hearing loss sometimes up to complete deafness in one ear. The total duration of the disease varies greatly, sometimes the illness lasts for decades. More common in women aged 30-50 years. Often, the clinical picture is not sufficiently clear. In these cases, use the general term "labirintopatiya". In the differential diagnosis must be borne in mind labyrinthitis, acoustic neuroma, hypertension, cervical osteochondrosis, atherosclerosis, diabetes.

Treatment. During the attack - bed rest, with the exception of noise, bright light. Appoint sparing diet, laxatives. Apply Aeron 0,005 g tablets 2 times a day. When blood vessels spasm prescribe vasodilators affinity (nicotinic acid 0.1 g 2 times a day, papaverine to 0,015 g 3-4 times a day), dehydration therapy. With frequent attacks and failure of conservative treatment is performed surgery: transection tympani, cut nerve fibers drum plexus (timpanosimpatektomiya), opening the endolymphatic space. Smoking and drinking alcohol completely excluded. Sometimes a positive result gives a special set of physical therapy. Sport physiotherapy exercises should be carried out only in the interictal period. People with Meniere's disease do not have to work in transport, at an altitude from moving parts.