DOENÇA DE MÉNIÈRE: IMPORTÂNCIA DO DIAGNÓSTICO PRECOCE PARA UM BOM PROGNÓSTICO

Autores

  • Leandro Sávio Nunes
  • Rodrigo Araujo Alencar
  • Ingridy Thaís Holanda de Almeida
  • Raíza de Albuquerque Félix
  • Bernard Fernandes Valença de Albuquerque

Palavras-chave:

diagnóstico precoce, doença de ménière, qualidade de vida

Resumo

Introdução: Doença de Ménière (DM) é uma síndrome clínica de etiologia desconhecida muito prevalente em consultórios de otoneurologia, com pico de incidência entre a quarta e sexta década, associada a uma tríade: perda auditiva, zumbido e vertigem episódicas. A patogênese da DM é atribuída à uma hidropsia endolinfática (HE), caracterizada pela dilatação do labirinto membranáceo coclear e geralmente acomete ducto coclear e sáculo. Quando essa tríade é desencadeada por uma causa secundária denominamos apenas de síndrome de Ménière. Nesse contexto, o diagnóstico precoce permite um bom prognóstico, interferindo diretamente na qualidade de vida do indivíduo, haja vista que alguns profissionais, como aqueles que trabalham em grandes alturas ou submersos em água, apresentam maiores riscos. Objetivo: Descrever os métodos diagnósticos da doença de Ménière e relatar o manejo necessário para um bom prognóstico. Material e métodos: Trata-se de uma revisão de literatura, realizada a partir da busca de livros e artigos científicos em bases de dados online, como Scielo e UptoDate, no período compreendido entre Abril e Maio de 2020. Resultados: O diagnóstico da síndrome de Ménière é eminentemente clínico, por isso é imprescindível uma boa anamnese e exame físico para elucidar possíveis etiologias, contribuindo para o tratamento específico da causa e evitando solicitações desnecessárias de determinados exames complementares. Vale ressaltar que existem diversas causas, por exemplo: infecções, doenças autoimunes, metabólicas e hormonais. Com o avanço dos estudos, sabe-se que atualmente a ressonância magnética (RM) pode substituir o exame histopatológico afim de afastar possíveis causas etiológicas e confirmar o diagnóstico da DM. Conclusão: Uma boa investigação de doenças prévias, hábitos de vida e sintomatologia contribuem para o manejo adequado do indivíduo. Logo, é necessário elucidar a importância das orientações adequadas aos indivíduos com essa síndrome, no que se refere aos hábitos de vida, já que a maioria dos sintomas são decorrentes de distúrbios metabólicos. Ademais, é mister instruir acerca das ocupações de trabalho em decorrência de um prognóstico baseado nas medidas de proteção individual, utilizando de ferramentas eruditas.

Publicado

2020-07-01

Como Citar

Nunes, L. S., Araujo Alencar, R., Holanda de Almeida, I. T., de Albuquerque Félix, R. ., & Fernandes Valença de Albuquerque, B. (2020). DOENÇA DE MÉNIÈRE: IMPORTÂNCIA DO DIAGNÓSTICO PRECOCE PARA UM BOM PROGNÓSTICO. Revista Multidisciplinar Em Saúde, 1(2), 79. Recuperado de http://editoraime.com.br/revistas/rems/article/view/282
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   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php
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                                                      SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[4], , null, null, 500, 1) % line  194, file: SubmissionSearch.inc.php
                                                   SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[4], null, null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
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                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line   92, file: RecommendBySimilarityPlugin.inc.php
                                       RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line  107, file: HookRegistry.inc.php
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   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php
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                                                      SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[4], , null, null, 500, 1) % line  194, file: SubmissionSearch.inc.php
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                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line   92, file: RecommendBySimilarityPlugin.inc.php
                                       RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line  107, file: HookRegistry.inc.php
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            PKPTemplateManager.display(frontend/pages/article.tpl) % line  292, file: ArticleHandler.inc.php
         ArticleHandler.view(Array[1], Object:Request) % line  391, file: PKPRouter.inc.php
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line   92, file: RecommendBySimilarityPlugin.inc.php
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                                    HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3]) % line 1267, file: PKPTemplateManager.inc.php
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            PKPTemplateManager.display(frontend/pages/article.tpl) % line  292, file: ArticleHandler.inc.php
         ArticleHandler.view(Array[1], Object:Request) % line  391, file: PKPRouter.inc.php
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php
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                                                         SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[1], , null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                      SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[4], , null, null, 500, 1) % line  194, file: SubmissionSearch.inc.php
                                                   SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[4], null, null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1) % line  132, file: SubmissionSearch.inc.php
                                             SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null) % line  263, file: SubmissionSearch.inc.php
                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line   92, file: RecommendBySimilarityPlugin.inc.php
                                       RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line  107, file: HookRegistry.inc.php
                                    HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3]) % line 1267, file: PKPTemplateManager.inc.php
                                 PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template) % line   43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php
                              content_6781613650b432_13896783(Object:Smarty_Internal_Template) % line  123, file: smarty_template_resource_base.php
                           Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template) % line  114, file: smarty_template_compiled.php
                        Smarty_Template_Compiled.render(Object:Smarty_Internal_Template) % line  216, file: smarty_internal_template.php
                     Smarty_Internal_Template.render(false, 1) % line  232, file: smarty_internal_templatebase.php
                  Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1) % line  134, file: smarty_internal_templatebase.php
               Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null) % line  924, file: PKPTemplateManager.inc.php
            PKPTemplateManager.display(frontend/pages/article.tpl) % line  292, file: ArticleHandler.inc.php
         ArticleHandler.view(Array[1], Object:Request) % line  391, file: PKPRouter.inc.php
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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