Journal of Pediatric Neurological Disorders

Meniere's Disease Research Articles

Meniere’s disease (MD) may be a disorder of the internal ear that's characterized by episodes of feeling just like the world is spinning (vertigo), ringing within the ears (tinnitus), deafness, and fullness within the ear. Typically, just one ear is affected initially; however, over time both ears may get entangled. Episodes generally last from 20 minutes to a couple of hours. The time between episodes varies. The deafness and ringing within the ears can become constant over time. The explanation for Meniere's disease is unclear but likely involves both genetic and environmental factors. A number of theories exist for why it occurs including constrictions in blood vessels, viral infections, and autoimmune reactions. About 10% of cases run in families. Symptoms are believed to occur because the results of increased fluid buildup within the labyrinth of the internal ear. Diagnosis is predicated on the symptoms and, frequently, a hearing test.Other conditions which will produce similar symptoms include vestibular migraine and transient ischemic attack. A cure doesn't exist. Attacks are often treated with medications to assist with the nausea and anxiety. Measures to stop attacks are overall poorly supported by the evidence. A low-sodium diet, diuretics, and corticosteroids could also be tried physiotherapy may help with balance and counseling may help with anxiety. Injections into the ear or surgery can also be tried if other measures aren't effective but are related to risks. The use of tympanostomy tubes, while popular, isn't supported.

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