Ménière disease is a disorder of the inner ear that is also known as idiopathic endolymphatic hydrops.Meniere’s disease symptoms tend to come on as “episodes” or “attacks.” Most individuals with Meniere’s disease do not experience symptoms between episodes. Symptoms of Meniere’s disease include: vertigo,loss of hearing in the affected ear tinnitus in the affected ear.
Endolymphatic hydrops refers to a condition of increased hydraulic pressure within the inner ear endolymphatic system. Excess pressure accumulation in the endolymph can cause a tetrad of symptoms include fluctuating hearing loss, occasional episodic vertigo (usually a spinning sensation, sometimes violent), tinnitus or ringing in the ears (usually low-tone roaring), and aural fullness (eg, pressure, discomfort).
There is a great deal of disagreement regarding the actual incidence of Meniere’s Disease in the population. Estimates range from 0.2 percent to as much as 4 percent. Based on a study conducted by the National Institute of Deafness and Communication Disorders (NIDCD) approximately 45,500 new cases are diagnosed each year" .
An endolymphatic sac procedure is done to help decrease the production of fluid and promote fluid drainage in the inner ear. A vestibular nerve section procedure cuts the nerve that connects the ear to the brain, which reduces vertigo while preserving hearing. A labyrithecotomy is done when there is total hearing loss in the ear. This surgery removes the entire inner ear, which removes the balance and hearing function from that ear.
Major research on disease:
"Intratympanic gentamicin for control of vertigo in Meniere's disease: vestibular signs that specify completion of therapy".Most people with Meniere’s disease do not require surgery, but it is an option for those who have severe attacks and have not had success with other treatment options.