Notes On Meniere's Disease

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Meniere's discose

Also called Endolymphatic hydrops


-

disorder of inner where endolymphatic


ear
system is distended with endolymph
-characterised
by VSTA
-

Vertigo
-Sensorineural
-

Tinnitus
heaving loss

Aural fullness
-

Etiology :
May be due to either increased production of endolymph/decreased absorption of endolymph

① Defective absorption by Endolymphatic saa

.
where it is absorbed
Endolymph is normally taken by Endolymphatic duct to Endolymphatic sac
-

Obstruction
of Endolymphatic sac (Maybe due to small size obstruction Ischaemia & Inner
=

, ,
ear

traumal increas
can the volume of
Endolymph
Distention endolymphatic duct stretch & it to tear
of Reissner ' membrane
-

cause .
may
&
mixing of Endolymph Peilymph which
This lead
can to cause Vertigo can .

⑪ Increased sympathetic activity/Vasomotor disturbances

Spasm of Internal auditory Anoxia


of of Vascularis
Capillaries
Stria

artery
function of &
Increased
Capillary Permeability
Affects Cochlea
Vestibule Transudation of fluid
, I

Deafness & Vertigo Increase in


Endolymph


Allergy inhalant
-

Allergen may be foodstuff or an

Immune Reaction to allergens -


inner ear ad as 'shock organ' -

excess
endolymph
production .

⑪ Sodium and Water Retention


retained to
Excessive amount of fluids
leading endolymphatic hydrops
-

are

⑧ Hypothyroidism ??
-

⑪ Autoimmune & Viral Actiologies


-HSU , Cytomegaloviws & Hz

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