Meniere’s Disease Information Center — Cause of Meniere’s Disease

Meniere’s disease is a balance disorder of the inner ear. The MRI of a separate group of patients was undertaken in a tertiary referral centre in Japan. The symptom of dizziness may vary widely from person to person and be caused by many different diseases. Hearing level was evaluated using pure-tone average (PTA) and speech discrimination score (SDS). My musical abilities are circumscribed: I am a good sight-reader and enjoy the interpretative aspects of reproducing music, but I am poor at memorising, improvising, or creating music. The patients in both groups had a statistically significant reduction in dizzy spells, measured 6 and 12 months postoperatively, and there was no difference between the groups. A diagnosis of Meniere’s Disease or “idiopathic endolymphatic hydrops” means that, by definition (“idiopathic”), no one knows the cause.

[11] reported surgical acquisition of the utricular macula and horizontal canal cristae from 11 patients with Meniere’s disease; although, it is not clear how many canal cristae ampullares were successfully harvested and analyzed. There were 12 (48%) males and 13 (52%) females. For the family this kind Meniere’s disease attack is very frightening. For example, a recent study in multiple sclerosis suggested that social participation was significantly associated with health-related quality of life []. Click here to search PubMed for post-traumatic and Meniere’s or endolymphatic hydrops. For ruptures to be the cause of the periodic auditory and vestibular symptoms of Meniere’s disease, one would have to accept the idea that there are multiple ruptures of thin membranes that are repaired over and over. The bottom line is that we believe (even if we can’t prove it) that fluid retention and Meniere’s attacks are connected.

The mastoid oscillation was performed for 20 minutes using a handheld Brookstone massager (Brookstone, Nashua, New Hampshire, USA) which consists of an “off-center” rotating motor rotating at approximately 5000 revolutions per minute, resulting in vibration. With an increase in the number of attacks gradually increased hearing loss, can be converted to permanent irreversible sexy deafness. The goal of the present review is to provide an updated general overview of inner ear drug delivery. Medications may be used to control vertigo, dizziness, nausea and vomiting. Simply because tinnitus is the first sign of Meniere’s disease. Idiopathic endolymphatic hydrops (IEH). Treatment of Meniere’s Disease, Meniere’s Disease Information Center, USA.

If the cause of your symptoms is known, your condition cannot be “idiopathic endolymphatic hydrops,” by definition. If Meniere’s Disease is the same as “idiopathic endolymphatic hydrops,” and the cause of your symptoms is known, then you cannot have Meniere’s Disease, by definition. The goal of the present investigation is to study the progression of Meniere’s disease in patients with clinical diagnosis established and confirmed by transtympanic electrocochleography, in relation to vertigo spells time of progression and other symptoms (tinnitus, ear fullness, hearing loss) and to age range. (The other fluid is perilymph.) “Hydrops” means excessive fluid build-up (dilatation). Think:  swelling. Thus, 39 patients with established clinical diagnosis of unilateral or bilateral Meniere’s disease, proven by transtympanic electrocochleography (SP/AP ratio ≥ 35%) were included in the study. Call your doctor for medical advice about side effects.

Serious hypersensitivity reactions were not observed in the 523 patients who received NeutroSpecTM in the clinical studies. have introduced a new wireless headset resonate area directly to price-sensitive buyers. This is Meniere’s Disease, according to most, but not all, authorities. See above. Symptoms may be present together or in isolation, especially in the initial disease stages, delaying diagnosis and proper treatment. There are several forms of endolymphatic hydrops that are not idiopathic because the cause is known and, since the cause is known, these forms of non-idiopathic endolymphatic hydrops are *not* Meniere’s Disease. The PTA mean value in the higher frequencies (3, 4, 6 kHz) were 46 dB HL ± 23 SD for men and 55 dB HL ± 21 SD for women, but the differences were not statistically significant.

Practical attribution. In the absence of observable physical damage, or an obvious explanation in one’s medical history, one’s endolymphatic hydrops is likely to be attributed to Meniere’s Disease, meaning idiopathic endolymphatic hydrops. It is usually difficult to ignore an attack of Ménière’s disease. “Triggers” are not causes. To the extent that patients can identify and avoid or treat triggers, they can reduce, but not eliminate, their discomfort from symptoms. Some patients cannot identify any triggers. 2008).

Herpes simplex virus (HSV). Of 132 patients thus counseled, 3 opted for IT gentamicin immediately, and 129 opted to try IT dexamethasone before proceeding to IT gentamicin. In: Flint PW, Haughey BH, Lund VJ, Niparko JK, Richardson MA, Robbins KT, et al., editors. Either type can cause infections in either location, but so far most oral herpes are caused by Type 1 and most genital herpes are caused by Type 2. Both types are contagious and can be transmitted to either location. Cochlear (hearing) hair cells are the most sensitive. A very few studies have found a vaguely possible link between HSV and Meniere’s Disease, but these studies merely conclude that yet more study is needed.

HSV has NOT been established as “the cause” or even “a cause” of Meniere’s Disease. According to the U.S. They won’t go bad. There are people who have no antibodies to HSV but who have developed Meniere’s Disease. A pair of lightweight, tightly fitting goggles was worn. Nonetheless, we are hearing anecdotal reports from patients that a few doctors are offering antiviral drugs that are usually used to treat herpes simplex virus (and other viruses) to treat some Meniere’s Disease. Read more in the antiviral drug section of our Treatment Page.

Most commonly, the symptoms started with vertigo, with or without tinnitus and pressure in the ear. The brain, receiving these confused impulses (from the eyes indicating rotation, from the ears and muscle-joint systems indicating forward motion) sends out equally confusing orders to various muscles and glands that may result in sweating, nausea and vomiting. Archives of Otolaryngology/Head and Neck Surgery. Patients With Meniere’s Disease Possess IgE Reacting With Herpes Family Viruses. Click here to search PubMed for Meniere’s Disease and herpes. Autoimmune etiology (cause). Post hoc ergo propter hoc.

Although the cause of Meniere’s Disease is unknown, many patients spend considerable time trying to guess at what “gave” them Meniere’s Disease. If there were a known cause for one’s symptoms, one wouldn’t have Meniere’s Disease, because Meniere’s Disease has no known cause and no known origin. Dizziness and vertigo were evaluated using the 8 questions about vertigo and dizziness [,], with an internal consistency ranging from 0.75 to 0.82. People seek “reasons” for their diseases. There are clearly cases of post-traumatic Meniere’s syndrome. Without a attributed reason for their Meniere’s Disease, they lack “closure.”  Patients often try to find some event to which they can attribute their Meniere’s Disease. Suspects include:  automobile accidents, military service (even three or more decades earlier), ear infections during youth, travel to foreign countries, prescription or illegal drugs, and more.

The practical reality is that, in the absence of observable physical damage (for example, a crushed skull or a gunshot wound), there is unlikely to be any provable association, and one’s endolymphatic hydrops is likely to be dubbed “Meniere’s Disease.”  While patients may convince themselves of a cause of their Meniere’s Disease, the reality is that no one knows the cause of anyone’s Meniere’s Disease. There is a logical fallacy, post hoc ergo propter hoc (after this, therefore because of this), to which Meniere’s Disease patients often fall victim. That is to say that patients, having settled upon some event that preceded their Meniere’s Disease symptoms, become convinced merely because of the timing that the event is the “cause” of their Meniere’s Disease. This is quite understandable, but scientists will likely conclude that while causation is possible (in the sense that alien abductions are possible), there is no proof of causation. Click here for a Google search on the fallacy of post hoc ergo propter hoc. The reality is that most of us will never know what caused our endolymphatic hydrops. Discussions:  cause (etiology) of Meniere’s Disease.

The Winter 2005 (.pdf) issue of the newsletter of the National Temporal Bone Registry features an article entitled, “Meniere’s Syndrome:  Are Symptoms Caused by Endolymphatic Hydrops?” Dr. Timothy Hain. Origins and Causes. Washington University. Nashville Ear, Nose, and Throat Clinic, “Controversies in the Management of Meniere’s Disease,” Mitchell K. Schwaber, M.D. Planar imaging should be performed using a large field of view camera fitted with a low-energy, parallel-hole, high-resolution collimator.

Our lay and inexpert speculation: perhaps there are ten (or more or fewer) currently unknown diseases that each have the same symptoms as what we now call “Meniere’s Disease,” and we each have one (or perhaps two or three) of the ten (or more or fewer) of the currently unknown diseases. *IF* this is true, then ten patients could be diagnosed with “Meniere’s Disease,” yet each one could have a different disease, and each one could respond differently to various treatments. Anatomy. Here are some sites that will help you to understand the anatomy of the inner ear and of Meniere’s Disease. Article, Los Angeles Times, May 16, 2005, health section. The print edition has the best graphic illustrating the location and relationship of endolymph and perilymph that we’ve ever seen (kudos to the L.A. Times artist, Paul Rodriguez).

(Disclosure:  the MDIC was a source.)  Unfortunately, the graphic is not available online. Michigan Ear Institute, P.L.L.C American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS). Washington University. The opening graphic demonstrates the relationship between endolymph and perilymph (inner ear fluids). Endolymph is the operative fluid in  Meniere’s Disease. Torsional and horizontal eVOR rotated away from cathode towards anode with a vertical divergence. Virtual Tour of the Ear, Augustana College.

For those who did not fail IT dexamethasone treatment, censoring time was defined to be the time from the first injection of IT dexamethasone to the time of data analysis. Hanavan, MA, FAAA. Google search for ear anatomy images. Google search for Meniere’s Disease images. The purpose of treatment between attacks is to prevent or reduce the number of episodes, and to decrease the chances of further hearing loss. All rights are reserved. All copying, including (but not limited to) websites, bulletin boards, forums, and blogs, is prohibited.

Click here for more copyright information.