Ménière’s Disease

Publication Date: April 8, 2020

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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...Key Definitions for Ménière’s Disease (MD...


...Summary of Key Action Statements (KAS)...

...of Ménière’s DiseaseClinicians...

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...lar or Electrophysiologic TestingC...

...cationClinicians should educate patients with Mé...

...Management of VertigoClinicians sh...

...om Reduction and PreventionClinicians s...

...macotherapy for MaintenanceClinicians may offer...

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...nic Steroid TherapyClinicians may offer,...

...anic Gentamicin TherapyClinicians should...

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...Vestibular Therapy for Chronic Imbalanc...

...lar Therapy for Acute VertigoClinicians should...

...eling for Amplification and Hearing Assisti...

...comesClinicians should document resolution, i...

...Common Causes of Vertigo/Dizziness and...


...nternational Classification of Headache Disor...


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...ble 7. IT Steroid Therapy Dosing and FrequencyHav...


...The American Academy of Otolaryngology-Head...


Treatment

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...gure 1. CPG: Ménière’s Disease...


Patient Information

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.... Frequently Asked Questions (FAQs) About M...


...ently Asked Questions (FAQs) About Méni...