Ménière's disease

• What is Meniere's disease?

  Inner ear disorder with excessive pressure and progressive dilation of endolymphatic system
• What are some risk factors for Meniere's disease?

  Middle age

  Sex

  FHx

  Hypothyroidism

  Sleep disorder
• What are some signs and symptoms of Meniere's?

  Nystagmus

  Recurrent vertigo

  Tinnitus

  Hearing losss

  Pressure in ear

  Positive Romberg test

  Unilateral (usually)

  Can last mins to hours
• What is nystagmus?


  Involuntary eye movements
• What is the Romberg test?


  Standing with eyes open and then closed
• What are some bedside investigations for Meniere's?

  Otoscopy

  ENT assessment

  History
• What scans can be done for Meniere's?

  MRI
• How is Meniere's managed conservatively?

  Hearing aid

  Inform DVLA

  Vestibular rehab
• How is Meniere's managed pharmacologically?

  Betahistine (prevention)

  Buccal/IM prochlorperazine