Sauvage J P, Enaux M, Bories P
Service ORL, CHU Dupuytren, Limoges.
Rev Prat. 1994 Feb 1;44(3):319-23.
A disorder of the internal ear of unknown origin, Menière's disease is not characterised by vertigo but rather by the associated auditory symptoms and a chronic course. The first differential diagnosis is the acoustic neurinoma. Study of auditory evoked potentials, which is reliable and inexpensive, can preclude the use of more expensive imaging techniques. Menière's disease can be invalidating in patients who are often young and active. Treatment remains symptomatic and empiric. Destructive surgery can be a solution if it respects audition. Overall management remains the basis of treatment.
梅尼埃病是一种病因不明的内耳疾病，其特征并非眩晕，而是相关的听觉症状和慢性病程。首要鉴别诊断是听神经瘤。听觉诱发电位检查可靠且成本低廉，可避免使用更昂贵的成像技术。梅尼埃病会使通常年轻且活跃的患者丧失能力。治疗仍以对症和经验性治疗为主。如果能保留听力，破坏性手术可以作为一种解决方案。整体管理仍是治疗的基础。
