Meniere’s Disease

Meniere’s Dis. Case 1 History

52 y/o female Diagnosed with Meniere’s 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

Case 2 History

Diagnosed with Meniere’s disease 10 years ago in the right ear

Now experiencing trouble that looks like left sided Meniere’s

Reports dizziness feels like motion sickness.

Doctor would like to test for Lyme disease

Case 3 History

43 year old female Possible meniere’s disease

Recommendation

Options:– Transtympanic steriod/gentamicin injection– Endolymphatic sac decompression &

labrynthectomy– Vestibular nerve section

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

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

Diagnosis

Differential diagnosis includes idiopathic Meniere’s disease as one of the possibilities – Dr. requests to see scans to determine diagnosis

Case 5 History

73 year old female Diagnosed with Meniere’s disease In the last year she has had 6

vertiginous attacks

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