Ménières sykdom
Sist revidert:
Sist revidert av:Ingard Løge
Definisjon:
En sykdom karakterisert ved gjentatte episoder med symptomene vertigo, hørselstap, tinnitus og trykkfølelse i øret
Forekomst:
Prevalens er i Norge antatt å være ca. 5.000 personer
Symptomer:
Ensidige, fluktuerende øresymptomer (hørselstap, trykkfølelse, tinnitus) og vertigoanfall som varer fra 20 minutter til 12 timer
Funn:
Karakteristisk audiogram (basstap). Under anfall ses nystagmus, horisontal ev. med rotatorisk komponent
Diagnostikk:
Audiogram er et nødvendig diagnostikum. MR må tas for å utelukke akustikusnevrinom
Behandling:
Informasjon, egne tiltak under anfallet, anfallsforebyggende tiltak
- Nasjonal kompetansetjeneste for vestibulære sykdommer - nettsted
- Helsedirektoratet. Nasjonale retningslinjer for utredning, behandling og oppfølging av pasienter med Menierès sykdom. Helsedirektoratet 2016.
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- Patel M, Agarwal K, Arshad Q, et al. Intratympanic methylprednisolone versus gentamicin in patients with unilateral Meniere`s disease: a randomised, double-blind, comparative effectiveness trial. Lancet. 2016. PMID: 27865535 PubMed
- van Sonsbeek S, Pullens B, van Benthem PP. Positive pressure therapy for Ménière's disease or syndrome. Cochrane Database of Systematic Reviews 2015, Issue 3. Art. No.: CD008419. DOI: 10.1002/14651858.CD008419.pub2 DOI
- Pullens B, Verschuur HP, van Benthem PP. Surgery for Ménière's disease. Cochrane Database of Systematic Reviews 2013, Issue 2. Art. No.: CD005395. DOI: 10.1002/14651858.CD005395.pub3 DOI
- Schlegel M, Vibert D, Ott SR, Häusler R, Caversaccio MD. Functional results and quality of life after retrosigmoid vestibular neurectomy in patients with Meniere's disease. Otol Neurotol 2012;33(8):1380-5. PMID: 22931868 PubMed
- Fife TA, Lewis MP, May JS, Oliver ER. Cochlear Implantation in Ménière's Disease. JAMA Otolaryngol Head Neck Surg 2014; 140: 535-9. PubMed
- Minor LB, Schessel DA, Carey JP. Ménière's disease. Curr Opin Neurol. 2004; 17):9-16. PMID: 15090872 PubMed
- Ingard Løge, spesialist allmennmedisin, redaktør NEL
Tidligere fagmedarbeidere
- Per Møller, spesialist i øre/nese/hals, Haukeland Universitetssykehus, professor ved Universitetet i Bergen