A 60-year-old woman is experiencing vertigo. She ignores the symptoms initially, but now her attacks are accompanied by severe nausea and vomiting. Following an attack, she hears a crackling in her ears that causes temporary deafness for some time after. What do you think her problem is, and what is its suspected cause?
What will be an ideal response?
She most likely has a condition known as Ménière's syndrome. It affects both the semicircular canals and the cochlea. The cause of the syndrome is uncertain, but it may result from distortion of the membranous labyrinth by excessive endolymph accumulation. Less severe cases can usually be managed by antimotion drugs. For more debilitating attacks, salt restriction and diuretics are used to decrease overall extracellular fluid volumes.
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