Abstract

MENIERES DISEASE: PATHOPHYSIOLOGY, DIAGNOSIS, AND MANAGEMENT: A MINI-REVIEW

Chavneet Kaur*, Sourabh Kosey and Kusheshwar Singh

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Abstract

Tinnitus, sensorineural hearing loss, spontaneous episodic vertigo, and an auditory fullness sensation are among the painful symptoms of Meniere's disease (MD), an inner ear condition. Research indicates that endolymphatic hydrops (EH), characterized by an enlarged endolymphatic space in the inner ear (IE), are linked to MD. Although the exact etiology of MD is still unknown, it is thought to be a complex condition caused by a confluence of environmental, autoimmune, genetic, and anatomical variables. An internal auditory canal MRI, both with as well as without contrast, is crucial in addition to electrocochleography. Serial audiograms are quite beneficial in the diagnostic procedure. The remedy for this ailment remains undiscovered; nevertheless, it may involve genetic engineering, maybe requiring a working labyrinth to get a favorable result. Excessive use of coffee, chocolate, alcohol, and salt might adversely affect those afflicted with MD. Numerous more researches have identified this correlation and shown the efficacy of diuretics in mitigating similar symptoms. Both the chronic and acute symptoms of MD have been studied in relation to oral steroids or intratympanic steroid injections. A multitude of physicians have observed that psychological factors significantly influence MD, since individuals with the condition often encounter anxiety and stress. Migraine occurs more often in MD patients than in the general population, with persons suffering from MD exhibiting a lifetime prevalence of migraine that is twice as high, as reported by Radtke et al.

Keywords: MD, Endolymphatic Hydrops, Vertig o, Tinnitus, Intratympanic.