Endolymphatic hydrops

Endolymphatic hydrops is also known as Meniere's disease. This condition is due to swelling up of the endolymphatic sac. This causes fluctuating low tone sensori neural hearing loss, tinnitus and episodic vertigo.

Causes:

1. Idiopathic (Most common)

2. Viral infections

3. Allergy

4. Syphilis

5. Cochlear otosclerosis

6. Hormonal imbalances causing water retention

Diagnosis:

Is made by performing Glycerol test. Glycerol in doses of 1 - 2ml /Kg is given to the patient in lemon water. If the patient shows improvement from the symptoms and hearing then the diagnosis is confirmed.

Management:

1. Bed rest

2. Labyrinthine sedatives

3. Diuretics

4. Salt free diet

5. Endolymphatic sac decompression surgery in resistant cases