Meniere’s disease – under this name implies a certain symptom, described in 1861 by French physician Prosper Meniere. Meniere’s disease manifestations are described in exhaustive as that over the centuries that followed only deepened a few details regarding the features of the defeat of the auditory and vestibular function.
According to Jacob Bogatin Meniere’s disease is characterized by a classic triad:
• System attacks of labyrinth vertigo accompanied by nausea and vomiting
• hearing loss in one ear
• Noise in the same ear.
Dizzy spells occur among full health, accompanied by a sick and sometimes vomiting. As a rule, at the time of the attack increases noise in the affected ear, a feeling of fullness and stun. Objective sign of attack is spontaneous nystagmus, which disappeared shortly after the attack. Jacob Bogatin says that at the time of attack, the equilibrium is broken, often significantly, patients are trying to adopt a horizontal position, often with eyes closed. Any attempt to change the posture leads to deterioration and increased nausea and vomiting.
Attacks occur at any time of day, but more often at night or morning. Provocative point can be physical or mental overexertion. Sometimes patients feel the approach of an attack for several hours or even days. It is often a harbinger of increased noise in the ear or a slight imbalance. Seizures may recur with varying frequency.
The majority of patients can clearly be seen Power phase of the disease: alternating with periods of frequent attacks of well-being. In the acute phase for several weeks, attacks may recur repeatedly, in between vestibular disorders is not completely disappear, but just calm down. During the period of remission, lasting for several months and even years, the state is improving, and patients become employable. However, over time, Jacob Bogatin says attacks are becoming harder and even in remission remain general weakness, lung disorders of balance, feeling of heaviness in the head.
There are three degrees of severity of Meniere’s disease according to Jacob Bogatin:
• severe – seizures usually daily or weekly duration of more than 5 hours, occurring with all complex disorders, ability to work is lost
• Medium – fits too frequent, up to 5 hours after the attack, lost ability to work on as far as days, hearing loss constant
• Easy – attacks can be frequent and short-lived, in some cases prolonged, in a few months or years, intermittently, between bouts of working capacity is not reduced.
None of the symptoms of Meniere’s disease is not unique to this pathology.
