Meniere's Disease

Meniere's Disease - 1 SPA 127 Dr. Hahn 22 April 2009...

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SPA 127 Dr. Hahn 22 April 2009 Meniere’s Disease Meniere’s disease is classified as a sudden onset of tinnitus, which is ringing ear noises; vertigo, which is an odd sensation of movement; and the fluctuation of hearing loss (Northern, 106). It mostly affects the inner ear canal and can cause balancing problems as well. It is not certain what outside effects cause Meniere’s disease, but some thoughts are environmental and/or biological (Meniere’s). The physical cause of Meniere’s disease is a rupture in the membranous labyrinth which allows two different inner ear fluids, endolymph and perilymph, to mix and causes a feeling of pressure in the ear(s) (Meniere’s). There are two main types of Meniere’s disease, but each can posses the symptoms of each other so typically, they are classified as one in the same. The first type is called Cochlear Meniere’s disease. This specific type of the disease usually does not include the symptom of vertigo. Cochlear Meniere’s is normally just a fluctuation and progression of sensory deafness in either one or both ears (Northern, 166). The second type of Meniere’s is called vestibular Meniere’s disease. This type is normally associated with spells of vertigo, but not necessarily any hearing loss (Northern, 166). In all of the patients that are diagnosed with either or both types of Meniere’s disease, twenty four percent of them have the disease affect both of their ears (Northern, 166). 1
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It is also said that there are six different levels of the disease, and as you go on in life with it, the levels progress onto higher and more severe stages. The first stage is stage one which is called very early Meniere’s, or Pre-Meniere’s. This is the onset of the disease and is usually virtually impossible to detect (Wilmot, 75). The second stage is early Meniere’s. This stage consists of low hearing loss and beginning to see a consultant (Wilmot, 76). The third stage is intermediate Meniere’s. This has a higher amount of hearing loss that is not able to fluctuate back to a “normal” hearing level (Wilmot, 82). The fourth stage is established Meniere’s, which includes impacted vertigo, tinnitus, and an affect of hearing at all frequencies (Wilmot, 84). The fifth stage is called the late Meniere’s stage. This stage is even more intense, with the hearing basically useless to the patient and tinnitus is sometimes continuous or very often (Wilmot, 85). The last and final stage of this disease is called bilateral Meniere’s. At this point there is virtually nothing clinicians are able to do but surgery in order to reduce spells of vertigo (Wilmot, 87-8). There are many symptoms that pertain to Meniere’s disease.
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This note was uploaded on 06/02/2011 for the course SPA 127 taught by Professor Hahn during the Spring '10 term at Miami University.

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Meniere's Disease - 1 SPA 127 Dr. Hahn 22 April 2009...

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