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Menière's disease: pathophysiology and treatment
H Thai-Van1, M J Bounaix, B Fraysse
1Service d'Explorations Fonctionnelles ORL et Audiophonologiques, Hĵpital Edouard Herriot, Lyon, France. hung.thaivan@chu-lyon.fr
Drugs
|July 24, 2001
Summary
Menière
Area of Science:
- Neurology
- Otolaryngology
Background:
- Menière's disease is a rare inner ear disorder.
- It is characterized by a triad of symptoms: vertigo, hearing loss, and tinnitus.
Purpose of the Study:
- To review the current understanding of Menière's disease pathophysiology.
- To outline the existing treatment strategies for Menière's disease.
Main Methods:
- Review of existing literature on Menière's disease.
- Analysis of current treatment guidelines and empirical practices.
Main Results:
- Pathophysiology involves endolymphatic hydrops and potential immune mechanisms.
- Medical management is primary, with symptomatic treatment for acute attacks.
- Long-term management includes dietary changes, diuretics, and specific medications, with surgery reserved for rare cases.
Conclusions:
- There is no international consensus on Menière's disease management.
- Treatment relies on empirical experience and patient follow-up.
- Preservation of hearing is a key consideration in surgical interventions.