Menière’s disease causes paroxysmal rotatory vertigo, due to endolymphatic hydrops, an accumulation of endolymph in the endolymphatic space of the labyrinth. Its major symptoms are attacks of rotatory vertigo lasting minutes to hours, with unilateral hearing loss, tinnitus and aural fullness. As the disease progresses, attacks happen less often, but hearing loss and tinnitus gradually become permanent. Neuro-otological complications may develop, such as benign paroxysmal positional vertigo, vestibular drop attacks and bilateral vestibulopathy. The diagnosis of Menière’s disease is based on the typical clinical picture and typical findings on the audiogram. Furthermore, it is now possible to diagnose it by MR of the inner ear. Long-term management has several steps, including diet, diuretics, intratympanic injection of corticosteroid or gentamicin and surgery (endolymphatic sac surgery, grommet insertion, surgical labyrinthectomy).

中文翻译：

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梅尼埃病

美尼尔氏病导致阵发性旋转性眩晕，由于内淋巴积水，内淋巴积聚在迷路的内淋巴空间。其主要症状是持续数分钟至数小时的旋转性眩晕发作，伴有单侧听力减退、耳鸣和耳闷胀感。随着疾病的进展，发作次数减少，但听力损失和耳鸣逐渐成为永久性。可能会出现神经耳科并发症，例如良性阵发性位置性眩晕、前庭下垂发作和双侧前庭病。梅尼埃病的诊断基于典型的临床表现和听力图上的典型表现。此外，现在可以通过内耳的 MR 进行诊断。长期管理有几个步骤，包括饮食、利尿剂、