03-25-2010, 06:39 AM
what is the treatment of meniere disease?
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meniere disease - successor
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03-25-2010, 08:03 AM
Meniers is chronic with remitting and relapsing episodes.
T/t with salt restriction and diuretics.(MTB 211)
03-25-2010, 01:32 PM
thanq.... but, is that all or we use any steroids/anti histaminics/AchEI ???
i came across somewhere with them...!!!
03-25-2010, 08:25 PM
Treatment options:
(a) vestibulosuppressants: Includes: Meclizine, Prochlorperazine, DIazepam, Lorazepam, Alprazolam. Mechanism: work by dulling the brain's response to signals from the inner ear. (b) Diuretics: Mechanism: decrease fluid pressure in the inner ear. Note: They help prevent attacks but do not help after the attack is triggered © Steroids: Mechanism: They can reverse vertigo, tinnitus, and hearing loss, probably by reducing endolymphatic pressure. Note: can be given orally, intramuscularly, or even transtympanically (d) Aminoglycosides: Mechanism: Destruction of the vestibular end organ renders the brain insensitive to fluctuations in inner ear pressure brought on by Ménière disease. Note: - used to treat extremely severe bilateral Ménière disease - such treatment leaves the patient with little or no balance function. (e)Meniett device: Mechanism: delivers pulses of pressure to the inner ear via the tympanostomy tube Note: Because it is new, long-term results have not been fully evaluated. (f) Surgery: - endolymphatic sac decompression or shunt, - vestibular nerve section, - labyrinthectomy, - transtympanic medication perfusion. |
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