MEDICAL SURGICAL NURSING - II

1. MENIER’S DISEASE
Mr. Manikandan.T,
RN., RM., M.Sc(N)., D.C.A .,(Ph.D)
Assistant Professor,
Dept. of Medical Surgical Nursing,
VMCON, Puducherry.

2. DEFINITION
• Abnormality in inner ear fluid balance

3. CAUSES
• Malabsorption in endolymphatic sac or
blockage in endolymphatic duct
• Endolymphatic hydrops (dilation of
endolymphatic space)
• Otitis media
• Head injury
• Virus

4. CLINICAL FEATURES- TRIAD
Episodic vertigo
Tinnitus
Fluctuating sensori
neural hearing loss

5. OTHER SYMPTOMS
• Headache
• Nausea / vomiting
• Nystamus

6. DIANOSIS
• H.C
• P/E
• CT/MRI
• Electronystamography : showing normal or
reduced vestibular response on affected side

7. MANAGEMENT
• Antihistamine
• Diuretic
• Antiemetic
• Anti viral
• Diet : low sodium diet
• Quite alcohol and smoke

8. Surgical management
• Endolymphatic sac decompression:
shunt or drain is inserted in endolymphatic
sac through post auricular incision.
• Vestibular nerve sectioning: cutting the nerve
prevents the brain from receiving input from
semicircular canal.