Ian Purcell MD PhD Otoneurology
Providers▾
Our team
Carter Copeland, MPAS PA-C Evan Camarillo, PA-C Jake Perkins, MPAP PA-C Touraj Yari, MSPA PA-C
Specialties▾
Conditions we treat
Spatial Disorientation in Aviation / Aerospace Environments Vestibular Disorders Vertigo (BPPV) Meniere’s Disease Viral Neuronitis / Labyrinthitis Nystagmus Gait Ataxia Tinnitus Hearing Loss Orthostatic Hypotension Neuropathy Trigeminal Neuralgia Parkinson's Disease Neuromuscular Disorders Sleep Disorders Cardiac Arrhythmias
Testing▾
Diagnostics
Computerized Dynamic Posturography (CDP) Electroencephalogram (EEG) Electromyography / Nerve Conduction Velocity (EMG/NCV) Epley Omniax Chair TRV Chair DizzyDoctor Vertigo Recording Goggles Videonystagmography (VNG)
Resources▾
Clinic guides
BPPV Characterization Charts Epley Treatment Maneuvers Migraine Cocktail Tinnitus Cocktail All guides →
Educational topics
Benign Paroxysmal Positional Vertigo (BPPV) Dizziness Nystagmus Cupulolithiasis Meniere's Disease Vestibular Migraine The Inner Ear Vestibulo-Ocular Reflex (VOR) Viral Neuronitis & Labyrinthitis Vestibular Rehabilitation Clinic location All resources →
Dr. Purcell▾
About the practice
Dr. Ian Purcell — The Dizzy Doctor DizzyDoctor Around the World Vestibular Rehabilitation
Dr. Patel
Call 858 223 2172
Educational Resources
Meniere's Disease

Meniere's Disease: Deciphering Inner Ear Disorders

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Meniere’s Disease, or Idiopathic Endolymphatic Hydrops, presents a unique set of challenges and requires specialized care. Our clinic offers expert management for patients suffering from Meniere’s Disease, utilizing the latest in diagnostic and treatment methodologies to offer relief and improve quality of life.

Diagnosis of Meniere’s Disease

Our approach begins with a comprehensive clinical evaluation to accurately diagnose Meniere’s Disease, leveraging:

  • Detailed Audiometry: To track hearing loss variations over time.
  • Infrared Video Oculography: For identifying nystagmus during vertigo attacks, indicative of Meniere’s Disease.
  • Vestibular Testing, Blood Work, and Imaging: Including MRI and CT scans to exclude other causes of symptoms.

Treatment Approaches

Understanding that there is currently no cure for MD, our clinic focuses on:

  • Reducing Attack Frequency and Duration: Through lifestyle modifications and avoidance of dietary triggers.
  • Pharmacologic Therapy: Beginning with diuretics to manage fluid pressure in the inner ear, and Betahistine to act on central nervous system histamine receptors.
  • Migraine and Meniere’s Disease Management: Given the linkage between Meniere’s Disease and migraine, we employ a dual approach that includes migraine preventative and abortive medications, in addition to dietary and lifestyle adjustments.

Our Specialization

  • Concomitant Treatment for Meniere’s and Migraine: Reflecting on the historical and clinical connections between Meniere’s Disease and migraines, our clinic adopts a unique treatment strategy that addresses both conditions simultaneously, aiming to reduce the frequency of Meniere’s attacks and mitigate migraine symptoms.
  • Educating Patients: We believe in empowering our patients with knowledge about their condition, encouraging active participation in the management of their health.

Audiogram Insights

Our clinic utilizes audiograms to monitor the progression of Meniere’s Disease, offering insights into:

  • Normal Hearing vs. Presbyacusis: Age-related hearing loss and its progression.
  • Meniere’s Episode and Late Stage: The impact of Meniere’s Disease on hearing over time.
  • Migraine Variant: Understanding episodic hearing loss associated with migraines.

Living with Meniere’s Disease

We are committed to supporting our patients through every phase of Meniere’s Disease, providing personalized care plans that include dietary recommendations, medication management, and strategies for coping with acute attacks.

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Ian Purcell MD PhD
Otoneurology · Vertigo & balance specialists

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7625 Mesa College Drive
Suite 200A
San Diego, CA 92111

Contact

(858) 223-2172
Fax: (858) 533-8397

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