Meniere's disease in the practice of a neurologist

Meniere's disease (MD) is a chronic characterized by spontaneous recurrent attacks of vestibular vertigo, hearing loss, tinnitus, ear congestion, and other symptoms. Patients with acutely developed vertigo in most cases seek medical help from neurologist. MD the presence endolymphatic hydrops, but there no clear correlation between severity hydrops clinical manifestations. The presentation variable, some patients having progressive auditory symptoms occasional attacks, while others may have frequent minimal Diagnosis based on comprehensive assessment picture, otoneurological examination, audiometry data, electrocochleography, evoked myogenic potentials; complex cases, MRI inner contrast enhancement performed (currently, this method not widely used practice) head to exclude intracranial pathology. Treatment aimed at relieving acute dizziness, informing patient about disease, prescribing low-salt diet, betahistine or Arlevert administration prevent attacks; rare ineffectiveness conservative therapy, intratympanic gentamicin surgical methods treatment are possible. use discussed.