Having hydrops is like walking a tightrope. The ear is very vulnerable, on the edge of losing blood flow. Slight changes, like eating a salty meal (Thanksgiving is notorious for this!) can put you at risk. But hydrops alone doesn’t make the spell happen. That requires a decrease in blood flow in the brain itself. Continue reading “How does vascular disease set off Meniere attacks?”
The first thing a person has to have in order to have a Meniere attack is endolymphatic hydrops, a ballooning of the endolymph-filled labyrinth with a decrease of the cushioning perilymph fluid surrounding it. Normally these compartments have a careful pressure-regulating system that keeps them from ballooning. Since the inner ear is a pressure sensor—soundContinue reading “How does hydrops cause Meniere attacks?”
Some researchers felt that migraine was all that was needed to cause a Meniere attack, and others thought hydrops was the entire cause. While this battle was going on in the literature, I continued to see hundreds of people with Meniere’s disease.