1.
Rev. Hosp. Clin. Univ. Chile
;
19(2): 166-175, 2008. graf, tab
Article
in Spanish
| LILACS
| ID: lil-530292
ABSTRACT
Ménières disease is characterized by spontaneous attacks of vertigo, fluctuating sensorineural hearing loss, aural fullness, and tinnitus. The pathofisiology involves distortion of the membranous labyrinth with the formation of endolymphatic hydrops. Initial management of Ménières diseasecan involve a low-salt diet and a diuretic. Treatment with intratympanic injection of gentamicin can be beneficial when vertigo persists despite optimal medical management. Recent studies have shown that gentamicin reduces vestibular function in the treated ear, and is not always necessary to forgo the remaining hearing of the affected ear to achieve control of vertigo.