Overview on Meniere Disease in a Primary Health Care setting

Shahd Sameer Alrowythy, Amal Ghazi A. Alattas, Amal Abdullah A Alamri, Fatmah Ibrahim Alabdullah, Mashael Mohammed Alfarasani, Shorouq Abdulrahman Alshehri, Basim Hassan K Alshehri, Doaa Ali Alhalal, Yasser Jaman J Alqahtani, Sulaiman Saud E Alsamaan, Shahd Yousef Badr

Abstract

Background: Meniere disease is a disorder, which characteristically affects the inner ear, and may present with tinnitus, hearing loss, and vertigo. The usual course of the disease is slow and progressive and thus a lot of patients present late to primary health care centers. The family physicians need to keep in mind the association between these symptoms in order to identify this disorder and manage it properly. Objectives: We aimed to review the literature reviewing the pathophysiology of Meniere disease, clinical features, risk factors, diagnosis, and management of this disease. Methodology: PubMed database was used for articles selection, papers on were obtained and reviewed. Conclusion: The clinician in a primary health care center needs to be able to take a thorough history and perform a thorough physical examination when the patient presents with vertigo. This is pivotal since the diagnosis is clinical, and early identification of the disease helps in the long-term outcome. Fortunately, there are many effective medical and surgical therapies that can control vertigo and preserve hearing in these patients.             


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