What is Meniere s syndrome, Meniere s syndrome and what else do you know

Meniere's syndrome refers to Meniere's disease.

Meniere's disease is an idiopathic inner ear disease, once known as Meniere's disease, which was first proposed in 1861 by the French physician Prosperménière. The main pathological changes of the disease are hydrocephalus in the membranous labyrinthus, which is clinically manifested as rotational vertigo, fluctuating hearing loss, tinnitus and ear fullness. The disease mostly occurs in middle-aged and young people aged 30 to 50 years, and is rare in children.

There was no significant difference in the incidence between men and women. Both ears account for 10% to 50% of cases.

Meniere's syndrome is a disease of the inner ear characterized by sudden vertigo, tinnitus, hearing loss, and a feeling of swelling in the ear. The most typical symptom is that only one ear is present at first, but later both ears may be affected. Symptoms can last anywhere from 20 minutes to a few hours, with a variable interval between second symptoms, and may eventually progress to permanent hearing impairment.

Hello, Meniere's syndrome is an idiopathic inner ear disease with hydrocephalus as the basic pathological basis, and recurrent vertigo, hearing impairment, tinnitus and ear fullness as typical characteristics. The main symptom is vertigo, which is mostly sudden rotational vertigo without aura, lasting tens of minutes to hours, and the elderly can reach several days or even weeks. It is often accompanied by autonomic reflex symptoms such as nausea, vomiting, cold sweats, pallor, and decreased blood pressure.

At the same time, it is accompanied by tinnitus and deafness. **Mainly drugs**, mostly dehydrating agents, antihistamines, sedatives or autonomic nerve modulators. Surgery may also be an option in severe cases**.

Meniere's syndrome: It is an otogenic vertigo disorder with episodes of rotational vertigo, fluctuating hearing loss, tinnitus or a feeling of fullness in the ears, which requires audiological tests and imaging tests to confirm the diagnosis. Do not blindly self-recuperate, low-salt diet.

Meniere's syndrome is characterized by sudden vertigo, visual rotation, severe vomiting, inability to move, tinnitus, deafness or nystagmus, with episodic and aspirative characteristics, that is, vertigo has obvious episodes and intermittent periods. Most of the patients are middle-aged, and there is no significant difference in the gender of the patients, with about 65% of patients having a first episode before the age of 50, and most patients have monocular disease.

Vertigo and tinnitus warn of Meniere: As the saying goes, "The patient is dizzy, the doctor is dizzy".

Vertigo is one of the common clinical symptoms, and the diagnosis and treatment of vertigo are extremely disordered because the severity of vertigo is often difficult to determine. Yes, the inner ear is the sensory organ for hearing and balance, and more than 96% of Meniere patients have episodes of vertigo or dizziness. This vertigo lasts from 1 hour to 2 days, from severe to mild, and occurs irregularly, about once or several times a year.

After an attack, patients often feel very tired, fall asleep quickly, and wake up feeling better. Generally, patients suffering from Meniere's syndrome can be conditioned according to ** with traditional Chinese medicine, if there are patients with vertigo, because vertigo is mainly related to the five internal organs, kidney yin is insufficient, and spleen yang is weak, which will cause vertigo, and patients with vertigo will be weaker, and weakness will be supplemented, so traditional Chinese medicine **, for vertigo in Meniere's syndrome has a better curative effect.

No Love Disease is an inner ear disease named after a French doctor, Prosper Meniere. The main symptoms of this disease are regurgitative vertigo, hearing loss, tinnitus, and ear stuffiness. In 1861, Dr. Meniere published an article suggesting that the inner ear has the function of regulating balance in addition to hearing.

This view was not taken seriously at the time due to the limitations of medical anatomy, and it was not until the 20th century that it was gradually verified in medicine. By 1989, China's Natural Science Terminology Examination and Approval Committee named the disease Meniere's disease according to the French pronunciation. At present, it is generally believed that Meniere's disease is caused by hydropsatophylaxis in the inner earmembrane, which leads to hydrops.

Electrophysiology of hearing is the most important in Meniere's examination, and CT and magnetic resonance imaging are also required to rule out vertigo due to intracranial tumors in pure tone audiometry, glycerol testing, electrocochleography, and vestibular function testing. It is recommended to go to a specialized ENT hospital for a detailed examination.

A confirmed case of Meniere's syndrome, typically characterized by paroxysmal vertigo and hearing loss, accompanied by tinnitus or a feeling of tightness in the ears. Vertigo is characterized by sudden rotation, lasting from about 20 minutes to 12 hours. In severe cases, it may be accompanied by autonomic symptoms, such as nausea, vomiting, paleness, sweating, etc.

Hearing loss is characterized by fluctuating hearing loss, which is mainly low-frequency type at the beginning, and with the reversal of the disease, it will develop into irreversible high-frequency sensorineural hearing loss, and there will be persistent tinnitus or ear stuffiness symptoms during the intermittent period. Diagnostic criteria for Meniere's syndrome require at least two episodes of vertigo and audiologic findings for sensorineural hearing loss.

1. Genetic factors.

If more than one person in the family has had Meniere's disease, the other people are much more likely to develop the disease than the general population, and the way the disease is inherited is very diverse. In order to reduce the chance of developing the disease, people with genetic risk need to strengthen their physical protection.

2. Viral infection.

Viral infections are a common factor in the development of Meniere's disease. If a patient's endolymphatic vessels and endolymphatic sac are accidentally infected and destroyed by the disease-causing virus, the risk of developing the disease is significantly increased. Once this factor appears, what patients need to do is to actively seek medical attention to fight the infection**, so that the disease can be curbed more quickly.

3. Endolymphatic sac dysfunction.

After the occurrence of endolymphatic sac dysfunction, it is easy to cause abnormal glycoprotein secretion or production, which leads to problems in the internal environment of endolymphtic stability, and Meniere's disease may occur at this time. Moreover, this factor is difficult to prevent, so after the occurrence of such a trigger, it is necessary to deal with it according to the guidance of a professional doctor as soon as possible.

The above are some of the causes of Meniere's disease, and it is recommended that patients actively prevent common adverse triggers in their daily lives. If it is not prevented, the symptoms have already appeared. Patients must seek medical attention in time and choose the best measures according to the specific state of the condition.

After the illness**, patients should rest more, maintain good eating habits and a relaxed emotional state. At the same time, it is also necessary to exercise appropriately and strengthen physical fitness, which is conducive to the recovery of the condition.

The condition of Meniere's syndrome is not well understood, and it may be related to various infectious factors, injuries, otosclerosis, syphilis, genetic factors, allergies, tumors, leukemia, and autoimmune diseases.

Meniere's syndrome is a very common condition in otology, with dizziness, spinning, nausea, vomiting, tinnitus, and hearing loss. **In terms of drugs that can be intravenously dripped to improve circulation, such as ginkgolide injection, vinpocetine injection, and Xuesaitong injection, all have good efficacy, and it is recommended that patients have selective application. Intravenous fluids should not be given too much to avoid aggravating the patient's vertigo.

If the patient's nausea and vomiting are particularly obvious, metoclopramide or promethazine injection can be injected intramuscularly, and the patient's symptoms should be improved to a certain extent after medication, and there will be a significant improvement in about 7 days. It is best to complete the MRI of the head at the same time to rule out whether the patient has other lesions in the skull and avoid misdiagnosis. Meniere's disease is an idiopathic inner ear disease, the main pathological change of the disease is membrane labyrinth, and the clinical manifestations are recurrent rotational vertigo, fluctuating hearing loss, tinnitus and ear fullness.

Due to the complexity of the causes of Meniere's disease, drugs and surgeries are mainly used to regulate autonomic nerve function, improve inner ear microcirculation, and relieve labyrinthine hydrops**. During the attack, some sedatives, anticholinergics such as hyoscyamine, vasodilators, flunarizine hydrochloride, diuretic dehydration drugs, etc.

Meniere's syndrome may be caused by edema in the labyrinth of the inner ear, so the main symptom is to reduce the edema of the labyrinth, so as to relieve the symptoms of vertigo in patients. Some mannitol may also be used for dehydration** and, if the patient's vestibular symptoms are severe, central sedative medications may be administered.

Meniere's syndrome includes medications and surgery, including oral medications, such as vestibular nerve inhibitor diazepam, diuretics can be given to improve edema of the inner eardrum labyrinth, and oral hormonal drugs can also be used to improve symptoms and reduce fluid accumulation in the membranous labyrinth. Drugs that improve inner ear circulation and vasodilators can also be used, such as Jinnadol tablets or Minzhilang. Of course, it can also be administered by injection, such as by tympanic membrane puncture, intratympanic injection, including chemical labyrinth resection.

If medications** do not work well, or if hearing is no longer being used, surgery for Meniere's syndrome may also be considered.

Seek medical attention for symptoms**.

Prognosis Daily**.

At present, drug synthesis** or surgery** are mostly used to regulate autonomic nerve function, improve inner ear microcirculation, reduce or control vertigo episodes, preserve hearing, and reduce tinnitus.

and a feeling of fullness in the ears.

Acute phase**.

In the acute attack stage, it is mainly to reduce or control vertigo, treat symptoms**, preserve hearing, and reduce tinnitus and ear fullness.

Vestibular nerve depressants.

It is used to control acute episodes of vertigo, including antihistamines, benzodiazepines, anticholinergics, and antidopamine.

Commonly used drugs in clinical practice include diazepam.

Promethazine. Diphenhydramine, prochlorazine, chlorbenzazine, droperidol.

etc., and is only used during acute attacks. Note that under normal circumstances, use should not exceed 72 hours.

Glucocorticoids.

If patients with severe vertigo or significant hearing loss during an acute attack may be given oral or intravenous corticosteroids.

In the tank**. If nausea and vomiting are severe during the attack, rehydration support can be added to the medication**.

For patients with a confirmed diagnosis, mannitol may be added to the above regimens**.

Dehydrating agents such as sodium bicarbonate.

Intermittent period**.

Intermittent periods should reduce, control, or prevent episodes of vertigo while maximizing the preservation of the patient's existing inner ear function. Pharmacological combinations** or surgery** should be used.

**Choice of plan.

According to the patient's hearing test results (average hearing threshold results) in the last 6 months, different programs can be selected, and the test and interpretation of the results need to be carried out by professionals, and the doctor will also judge according to the patient's individual situation when selecting the program. **The proposed programme is as follows.

Meniere's disease, also known as Meniere's syndrome, is an inner ear disease characterized by episodic vertigo, fluctuating deafness and tinnitus caused by edema of the inner ear membrane. It is usually monocral, and it is more common in young adults. **Unknown, may be related to congenital inner ear anomalies, autonomic dysfunction, viral infections, allergies, endocrine disorders, salt and water metabolism disorders, etc.

At present, it is generally believed that endolymphtic return obstruction or malabsorption is the main cause, and the main clinical manifestations are episodic vertigo, fluctuating deafness, and tinnitus. Diagnosis and treatment guidance: 1. To determine whether it is Meniere's disease, it is necessary to pay attention to sudden deafness, labyrinthitis, oto-drug poisoning, vestibular neuronitis, acoustic neuroma, positional vertigo, sudden deafness, vertebrobasilar artery insufficiency, cardiovascular disease and hunt syndrome.

2. Vestibular function examination, hearing examination, glycerol test, and electrocochlear electrogram examination can be performed3. 1. During the seizure period, bed rest, low-salt diet, and less water should be drunk. 2. Sedatives: Valium can be used during the attack period to inhibit dizziness and vomiting.

3 Vasodilator drugs. 4. Vitamin drugs: vitamin B1, vitamin B6, vitamin E, etc.

5 Diuretics. 6. Surgery**: For those who have frequent attacks, conservative attacks**, and vertigo and relocation affecting work and life, surgery can be considered**.

Including: endolymphatomy, balloontomy, labyrinthectomy, transcranial fossa or translabyrinthine vestibular neuroresection, etc.

The main clinical manifestations of Meniere's disease are: vertigo is a sudden onset, mostly rotating or shaking, accompanied by spontaneous nystagmus and autonomic reflex symptoms such as nausea, vomiting, paleness, cold sweats, slow pulse, and decreased blood pressure. Vertigo lasts for a short period of time, usually lasting a few seconds to a few minutes, and rarely exceeds a day.

Tinnitus usually precedes the onset of vertigo, starting with low-pitched windy tinnitus and then turning to high-pitched cicada-like tinnitus. Tinnitus is severe during vertigo episodes and mild during intermittent periods. Hearing loss is mostly fluctuating, with a feeling of fullness in the affected ear before the attack, hearing loss during the attack, and hearing recovery or incomplete recovery after the attack.

The overall trend of hearing loss is worse with the number of seizures, but total deafness is rare. In addition, some patients experience a feeling of fullness, heaviness, or pressure in the affected head or ear during the attack. Otoscopy showed that the tympanic membrane was normal, the Eustachian tube was functioning well, the hearing impairment was cochlear (positive hearing test, negative fatigue test, etc.), and the low vocal range damage was severe, and the deafness was mostly sensoriac.

Vestibular function is tested between episodes and is mostly semicircular canal paralysis on the affected side; Glycerol tests are mostly positive. The combination of the above symptoms and examination data can be of diagnostic value for this disease.