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MedPix® Medical Image DatabaseDisease Topic 78
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Contributor: James George Smirniotopoulos, M.D. - Uniformed Services University
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More Like This ? Meniere disease
Factoid 78 - Created: 1988-01-01 00:00:00-05 - Modified: 2003-05-06 01:14:05-04
ACR Codes: 1.1
labyrinthine lesion, recurrent attacks of veritgo w/tinnitus and deafness, last for minutes to hours, whirling/rotational vertigo, N&V tinnitus, fullness in ear are usually present, rotatory/horizontal nystagmus, the hearing loss usally precedes the first attack, but can come later, hearing decrements w/each attack, 90% unilateral, sensorineural hearing loss, M=F, 40's, dilatation (hydrops) of endolymphatic system => degeneration of hair cells, treatment is symptomatic (antihistamines, etc.) intentional destruction of labyrinth to relieve Sx

Newer Tx includes chemical ablation with intratympanic gentamicin therapy:
http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11821762&dopt=Abstract
Location:
Head and Neck (ex. orbit) 		Sublocation:
Temporal Bone		Category:
Differential Diagnosis
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Prepared by: James George Smirniotopoulos, M.D.
Affiliation: Uniformed Services University - || - Author Profile
Approved by: James G. Smirniotopoulos, M.D.
Affiliation: Uniformed Services University - || - Editor Profile
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