 US
Medical Guide
Free Press . . Allopathic and Alternative Health News Originally Published, Dallas Medical Guide 1991 Drunk or Dizzy?
Meniere’s Disease is an illness that has its origin in a disturbance of the inner ear. It is characterized by by the symptoms of vertigo, ringing in the ears and hearing loss. A sensation of fullness in one ear is frequently present. There is no loss of consciousness nor seizures. This syndrome was first described by a French physician in 1861, Dr. Prosper Meniere, hence its name. The vertigo is a spinning or falling sensation. It comes in episodes and it has intervals free from this symptom. There is a fluctuating hearing loss, or distortion of sound which may be progressive. Intolerance to loud sounds is also present. Tinnitus (ringing in the ear) usually becomes permanent. Loss of balance occurs during acute episodes. This illness has been likened to glaucoma, where an increased pressure of the fluids in the eye cause visual disturbances and loss of vision. In Meniere’s Disease, an increased pressure in the inner ear fluids causes the symptoms as described above. A number of factors can contribute to an increase in inner ear pressure. There can be a spasm of the inner ear blood vessels, a localized response to an allergic reaction, or it can be secondary to a general illness. One must be aware that vertigo itself can be present in illnesses other than Meniere’s Disease. The general health of the individual needs to be investigated. Habits such as a high use of salt, caffeine, or smoking need to be curtailed and anxiety controlled. The treatment is, in most cases, with medications. Specific treatment should be addressed, whenever possible, to the cause of the illness rather than treat only the symptom. In cases of frequent and incapacitating vertigo which do respond to medication, an operation may be indicated before the hearing is lost. This may consist of a shunt that drains the inner ear fluids into the mastoid bone. This operation should not be confused with the draining of the middle ear fluids and the insertion of tubes in middle ear infections. In other instances, the section of the balance nerve is performed, in the affected ear, which is interfering with the equilibrium. The hearing then may be preserved. When the hearing has been totally destroyed by the disease, it may be necessary to remove the diseased organ of balance to obtain a cure. The method of treatment, for each case, is decided upon after a complete clinical examination and after performing specific tests to study the hearing and balance function. Editor's Note: Daniel M. Martinez, M.D., Fellow, American College of Surgeons, is an ear specialist at the Presbyterian Medical Center of Dallas ©1991, 2008 US Medical Guide, Susan and Terry Turner |
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