Ménière’s Disease
Key Points
Key Points
- Ménière’s disease (MD) is a clinical syndrome affecting approximately 50–200/100,000 adults and is most common between the ages of 40–60.
- The diagnosis of MD is made clinically since the disease typically presents with unilateral ear symptoms that can last for several decades. MD attacks are typically random and episodic (approximately 6–11/year), with periods of remission that may last months to years.
- As such, the diagnosis of MD is typically not made at one point in time; rather it may take months or even years to fully appreciate the clinical manifestations leading to definitive diagnosis.
- The natural course of MD is typically progressive and fluctuates unpredictably.
- It is important to clinically distinguish MD from other independent causes of vertigo such as otosyphilis, vestibular neuritis and acute labyrinthitis that may mimic MD since they also present with hearing loss, tinnitus, and aural fullness.
- The goals of MD treatment are to prevent or at least reduce the severity and frequency of vertigo attacks. In addition, treatment approaches aim to relieve or prevent hearing loss, tinnitus, and aural fullness and to improve overall quality of life.
Diagnosis
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...stic CriteriaHaving trouble viewing table?...
...ey Definitions for Ménière’s Disease...
...y of Key Action Statements (KAS)...
...sis of Ménière’s DiseaseClinicians should...
...estibular MigraineClinicians should determine if...
...TestingClinicians should obtain an...
...f ImagingClinicians may offer magnetic re...
Vestibular or Electrophysiologic TestingCl...
...ucationClinicians should educate p...
...ptomatic Management of VertigoClinicians should...
...n and PreventionClinicians should educate patien...
...armacotherapy for MaintenanceClinici...
...ive Pressure TherapyClinicians sho...
...ympanic Steroid TherapyClinicians may...
...tympanic Gentamicin TherapyClinicians should offe...
...ve TherapyClinicians may offer, or ref...
...tibular Therapy for Chronic ImbalanceClinici...
...tibular Therapy for Acute VertigoClinicians should...
...for Amplification and Hearing Assist...
...tcomesClinicians should document reso...
...Causes of Vertigo/Dizziness and Their Dif...
.... International Classification of H...
...able 6. Barany Diagnostic Criteria...
...Steroid Therapy Dosing and FrequencyHa...
...he American Academy of Otolaryngology-Hea...
Treatment
...eatment...
...CPG: Ménière’s Disease Algorithm...
Patient Information
Patient Informa...
...uently Asked Questions (FAQs) About Méniè...
...Frequently Asked Questions (FAQs) About M...