Meniere's syndrome Meniere's syndrome usually begins around the age of 50 years, but can be seen in young or elderly. It is a condition characterized by recurrent vertigo associated with tinnitus and deafness of perception and evolves with paroxysmal attacks of vertigo Rotary.
Pathology is often unilateral, located in the inner ear through the labyrinthine hydrops. From anatomical point of view, there is a dilatation of the endolymphatic system that leads to a degeneration of the vestibular and cochlear ciliary cells.
Tinnitus, which is the sensation of ringing in the ear without a sound stimulus previously, appears as the disease progresses. During an attack of vertigo, tinnitus and deafness may be absent at first, but over time they invariably occur during attacks. Mild forms of the disease evolves to moderate headache, difficulty concentrating and sensation of instability. The patient is often anxious or depressed.
Treatment
During attacks of vertigo is recommended bed rest. If the attacks keep a long time, we recommend the following medications: Cyclizine, dimenhidrinatul or meclizine, in doses of 25-50 mg three times daily.
In anxious patients may be given mild sedatives.
How the disease is usually unilateral deafness is installed once and sensations of vertigo disappear. Hearing loss occurs later in the disease. If vertigo attacks are very annoying and appear consistently, you can opt for surgical destruction of the labyrinth may be affected or cut through the vestibular portion of the nerve vestibulocohlear.
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