This is a very important and much underestimated aspect in the management of Menieres disease. This can help minimize stressors which act as a trigger to acute attacks, and can also help in the management of underlying tinnitus, dizziness and imbalance. A syndrome labeled psychophysiologic dizziness plays a large role in many patients with Meniere’s Disease. This essentially where an insult to the vestibular system leaves a degree of nerve damage. The brain needs to compensate for this loss and anxiety, especially anxiety centred on the fear of further attacks or dizziness can further amplify the symptoms of instability.
hearing loss (may be asymmetric) with or without dizziness, aural fullness or tinnitus. Symptoms often progress over weeks to months although sudden hearing loss has been Occasionally, the patient may have a systemic immune disease such as rheumatoid ,65,66 Hughes65 examined 52 patients suspected of having autoimmune inner ear disease and found 7 to have Cogan's syndrome, 4 with rheumatoid arthritis and 1 having systemic lupus Cogan's syndrome is a rare disease characterized by non-syphilitic interstitial keratitis associated with tinnitus, vertigo and hearing The etiology is uncertain but evidence suggests that immunologic or infectious causes are
SSNHL may be a risk factor for stroke. In a study of patients in Taiwan hospitalized for treatment of a first episode of SSNHL, the risk of stroke over a five-year follow-up period was increased compared with patients of similar age and demographics hospitalized for appendicitis (hazard ratio [HR] , 95% CI -) [ 9 ]. However, in a review of the literature, the committee developing 2012 guidelines for the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) found that the relationship between SSNHL and risk of stroke did not meet their threshold for significance [ 3 ]. SSHNL has also been associated with an increased risk for myocardial infarction later in life [ 10 ].