Przecięcie nerwu przedsionkowego u pacjenta z chorobÄ Meniere'a i całkowitÄ głuchotÄ po uprzednim leczeniu gentamycynÄ

Meniere's disease is a clinical syndrome resulting from idiopathic or secondary endolymphatic hydrops. Clinical presentation includes recurrent vertigo attacks, unilateral sensorineural hearing loss, feeling of pressure and tinnitus. The diagnosis of Meniere's disease is made according to AAO-HNS criteria from 1995. Presence of at least two episodes of vertigo, lasting at least 20 minutes and documented hearing loss (and negative brain MRI) allows for diagnosis of clinically defined Meniere's disease. Meniere's disease is a chronic condition with natural periods of exacerbation and remission, but in the long run leads to profound hearing loss. Frequent attacks and no improvement after conservative treatment are indications for surgical treatment. The most effective surgical procedure is vestibular neurectomy.