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Misdiagnosis And Wrong Referral In Chronic Tinnitus Case

Zuraida Zainun, Munzir Zuber

Abstract


Tinnitus is one of common and difficult to diagnosed and treat, especially in case with recurrent episode of  vertigo  . Meniere's disease is one of common diagnosis in tinnitus and vertigo case. Meniere's disease is a chronic inner ear condition primarily affecting individuals between the ages of 30 and 60, characterized by recurring bouts of vertigo, a spinning sensation, accompanied by sensations of fullness or pressure in the ear, hearing loss, and tinnitus, a perception of ringing or buzzing in the ears. While the vertigo episodes can eventually subside, the hearing loss tends to worsen over time, and tinnitus and ear pressure may persist despite various treatments. The disease's progression is typically fluctuating, and clusters of vertigo episodes may occur. Although the exact cause remains uncertain, it is believed to involve fluid buildup in the inner ear, impacting balance and hearing. Treatment strategies are tailored to manage the specific symptoms experienced by each patient and can include dietary changes, medications, or surgical interventions . This case study is about 59 years old lady with underlying DM, hypertension  presented with floating sensation for 3 months associated with nausea.  She also had right ear tinnitus and reduced hearing over left ear . Then , she was misdiagnosed and treated wrongly and treated as tinnitus secondary hearing problem until came to our clinic when Meniere’s disease was diagnosed after full assessment .Her condition improved after treated with high dose betaserct for one month . Tinnitus and vertigo improvement more than 80 % .Tinnitus and imbalance can be cure if proper diagnosis and treatment delivered .

Keywords


Meniere's Disease , Vertigo , Tinnitus ,Chronic Tinnitus Case, Hearing loss.

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References


Sajjadi, H., & Paparella, M. M. (2008). Meniere's disease. Lancet (London, England), 372(9636), 406–414.

Hamid M. A. (2009). Ménière's disease. Practical neurology, 9(3), 157–162.

Hollis, L., & Bottrill, I. (1999). Menière's disease. Hospital medicine (London, England : 1998), 60(8), 574–577.

Semaan, M. T., & Megerian, C. A. (2011). Ménière's disease: a challenging and relentless disorder. Otolaryngologic clinics of North America, 44(2), 383–ix.

Nevoux, J., Barbara, M., Dornhoffer, J., Gibson, W., Kitahara, T., & Darrouzet, V. (2018). International consensus (ICON) on treatment of Ménière's disease. European annals of otorhinolaryngology, head and neck diseases, 135(1), S29-S32.

Coelho, D.H. and Lalwani, A.K., 2008. Medical management of Ménière's disease. The Laryngoscope, 118(6), pp.1099-1108.

Basura, G.J., Adams, M.E., Monfared, A., Schwartz, S.R., Antonelli, P.J., Burkard, R., Bush, M.L., Bykowski, J., Colandrea, M., Derebery, J. and Kelly, E.A., 2020. Clinical practice guideline: Ménière’s disease. Otolaryngology–Head and Neck Surgery, 162, pp.S1-S55.

Hoskin, J. L. (2022). Ménière's disease: new guidelines, subtypes, imaging, and more. Current Opinion in Neurology, 35(1), 90-97.

Rizk HG, Mehta NK, Qureshi U, Yuen E, Zhang K, Nkrumah Y, Lambert PR, Liu YF, McRackan TR, Nguyen SA, Meyer TA. Pathogenesis and etiology of Ménière disease: a scoping review of a century of evidence. JAMA Otolaryngology–Head & Neck Surgery. 2022 Apr 1.

Tassinari M, Mandrioli D, Gaggioli N, Roberti di Sarsina P. Ménière's disease treatment: a patient-centered systematic review. Audiology and Neurotology. 2015 Mar 31;20(3):153-65.

Garcia AP, Ganança MM, Cusin FS, Tomaz A, Ganança FF, Caovilla HH. Vestibular rehabilitation with virtual reality in Ménière's disease. Brazilian journal of otorhinolaryngology. 2013 May 1;79(3):366-74.

van Esch BF, van der Scheer-Horst ES, van der Zaag-Loonen HJ, Bruintjes TD, van Benthem PP. The effect of vestibular rehabilitation in patients with Ménière’s disease: a systematic review. Otolaryngology–Head and Neck Surgery. 2017 Mar;156(3):426-34.

Hansson EE. Vestibular rehabilitation–For whom and how? A systematic review. Advances in Physiotherapy. 2007 Jan 1;9(3):106-16.

Hsu SY, Fang TY, Yeh SC, Su MC, Wang PC, Wang VY. Three-dimensional, virtual reality vestibular rehabilitation for chronic imbalance problem caused by Ménière’s disease: a pilot study. Disability and rehabilitation. 2017 Jul 31;39(16):1601-6.

Liu JL, Liu JG, Chen XB, Liu YH. The benefits of betahistine or vestibular rehabilitation (Tetrax biofeedback) on the quality of life and fall risk in patients with Ménière's disease. The Journal of Laryngology & Otology. 2020 Dec;134(12):1073-6.


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