Meniere

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Menieres Disease
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Menieres Dis. Case 1 History

• 52 y/o female
• Diagnosed with Menieres disease and plan of
  treatment was through diuretics and diet
• Been experiencing severe monthly episodes
• At this visit intratympanic gentamicin injection
  was performed on the left ear

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Case 2 History

• Diagnosed with Menieres disease 10 years ago in
  the right ear
• Now experiencing trouble that looks like left
  sided Menieres
• Reports dizziness feels like motion sickness.
• Doctor would like to test for Lyme disease

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Case 3 History

• 43 year old female
• Possible menieres disease

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Recommendation

• Options
• Transtympanic steriod/gentamicin injection
• Endolymphatic sac decompression labrynthectomy
• Vestibular nerve section

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Case 4 History

• 55 year old female
• 4 months prior the pt. was awoken by a large
  screech in her right ear, when she opened her
  eyes she noticed intense vertigo causing
  excessive vomiting
• Pt was admitted for four days into the hospital
  MRI and CT were negative for any pathology,
  diagnosed with vestibular neuronitis at that stay

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History Cont

• She notes that she is unable to sleep laying back
  on her bed or turning to the right due to vertigo
• She states that vertigo only occurs when moving
  her head rapidly from side to side
• Non-pulsitile tinnitus is constant in the right
  ear

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Diagnosis

• Differential diagnosis includes idiopathic
  Menieres disease as one of the possibilities
  Dr. requests to see scans to determine diagnosis

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Case 5 History

• 73 year old female
• Diagnosed with Menieres disease
• In the last year she has had 6 vertiginous
  attacks

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Case 6 History

• 54 year old male
• Since 1997 noticed a gradual and fluctuating
  hearing loss
• Reports feeling aural fullness and dizziness
• Constant tinnitus is present

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