Sažetak
Menierova bolest je bolest unutarnjeg uha koja uzrokuje recidivirajuće napadaje vrtoglavice praćene mučninom, fluktuirajućem gubitkom sluha, tinitusom i osjećajem punoće i pritiska u zahvaćenom uhu. Prema smjernicama Američke akademije za otorinolaringološku kirurgiju glave i vrata (AAOHNS) dijagnoza Meneirove bolesti se postavlja nakon minimalno tri napadaja bolesti s ranije navedenim simptomima. Tijekom napadaja bolesti dominantne su vestibularne tegobe koje onemogućavaju bolesnicima normalno obavljanje svakodnevnih funkcija te izrazito smanjuju kvalitetu života. Ponavljajući napadaji bolesti dovode do trajnog oštećenja sluha odnosno gluhoće. Dosadašnja istraživanja nisu jasno odredila da li postoji i trajno oštećenje vestibularnog osjetila kod pacijenata s Menierovom bolešću. Cilj našega rada je utvrditi da li postoji trajno oštećenje vestibularnog osjetila kod pacijenata s dijagnosticiranom Menierovom bolešću te da li postoji korelacija sa stupnjem oštećenja sluha.
Ključne riječi: Menierova bolest, vrtoglavica, videonistagmografija, tonska audiometrija, nistagmus, audiogram
Abstract
Meniere`s disease is a disease of the inner ear that causes recurrent of vertigo accompanied by nausea, fluctuating hearing loss, tinnitus, and a feeling of fullness and pressure in the affected ear. According to the guidelines of the American Academy of Otorinolaringology, Head and Neck Surgery (AAO-HNS), the diagnosis of Meniere`s disease is made after a minimum of three attacks of the disease with the previously mentioned symptoms. During the attacks of the disease, vestibular problems are dominant, which prevent patients from performing normal daily functions and significantly reduce the quality of life. Recurrent attacks of the disease lead to permanent hearing damage, or deafness. Previous research has not clearly determined wherever there is permanent damage to the vestibular sense in patients with Meniere`s disease. The aim of our study is to determine whether there is permanent damage to the vestibular sense in patients with diagnosed Meniere`s disease and whether there is a correlation with the degree of hearing damage.
Keywords: Meniere’s disease, vertigo, videonystagmography, pure tone audiometry, nystagmus, audiogram