386.0 Ménière disease
386.00 Ménière disease unspecified
386.01 Active Ménière disease cochleovestibular
386.02 Active Ménière disease cochlear
386.03 Active Ménière disease vestibular
386.04 Inactive Ménière disease
H81.01 Ménière disease, right ear
H81.02 Ménière disease, left ear
H81.03 Ménière disease, bilateral
H81.09 Ménière disease, unspecified ear
PREFERRED PRACTICE PATTERNS3
The structure of the ear and its principal diseases. (From Chandrasoma P, Taylor CR. Concise Pathology. 3rd ed. http://www.accessmedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)
“A 38-year-old male clerk saw his doctor because of sudden episodes of nausea and dizziness. These attacks had started 3 weeks earlier and seemed to be getting worse. The abnormal episodes at first lasted only a few minutes, during which “the room seemed to spin.” Lately, they had been lasting for many hours. A severe attack caused the patient to vomit and to hear abnormal sounds (ringing, buzzing, paper-rolling sounds) in the left ear. He thought that he was becoming deaf on that side.
The neurologic examination was within normal limits except for a slight sensorineural hearing loss in the left ear. Computed tomography (CT) examination of the head was unremarkable.”4
Chronic disorder of the peripheral vestibular and auditory systems (inner ear).
Auditory systems description
Complex series of interconnected tubes that are fluid-filled (fluid called endolymph) and form a labyrinth.
Peripheral vestibular sensory organs of each ear detect head position and head motion to provide input for gaze stability, orientation, and balance.
Peripheral auditory sensory organs of each ear convert sound vibration into a neural impulse to provide input for hearing.
Each system sends its respective sensory information, via the vestibulocochlear nerve (cranial nerve VIII), to the central nervous system for processing.
The pathophysiology of Ménière disease is not completely understood, however it is theorized that it is due to aberrant fluid homeostasis, which leads to overproduction of endolymph and distention of the membranous labyrinth.
Results in reports of severe relapsing and remitting episodes of rotary vertigo (illusion of spinning motion of the room or self) that can occur for minutes to hours.
Associated symptoms of fluctuating low-frequency sensory neural hearing loss, ear fullness, and tinnitus (ringing in the ear).
Diagnostic Scale for Ménière Disease of the AAO-HNS a
Log In to View MoreYour institution's subscription does not include access to this resource. If you have an individual subscription to this resource, please sign in below. Otherwise, contact your librarian to request access for your institution or view individual subscription options below.
Want remote access to your institution's subscription?
Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.
Create a Free MyAccess Profile
Note: If you have registered for a MyAccess profile on any of the Access sites, you can use the same MyAccess login credentials across all sites.
Benefits of a MyAccess Profile:
- Remote access to the site off-campus on any device
- Notification of new content via custom alerts
- Bookmark your favorite content such as chapters, figures, tables, videos, cases and more
- Save and download images to PowerPoint
- Self-Assessment quizzes saved for quick review
- Custom Curriculum access for both instructors and learners
AccessPhysiotherapy Full Site: One-Year Subscription
Connect to the full suite of AccessPhysiotherapy content and resources including interactive NPTE review, more than 500 videos, Anatomy & Physiology Revealed, 20+ leading textbooks, and more.
Pay Per View: Timed Access to all of AccessPhysiotherapy
24 Hour Subscription $34.95
48 Hour Subscription $54.95
Pop-up div Successfully Displayed
This div only appears when the trigger link is hovered over.
Otherwise it is hidden from view.