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
...Diagnosis...
...1. Diagnostic Criteria Definite MD:...
...e 2. Key Definitions for Ménière’s...
...Table 3. Su...
...f Ménière’s DiseaseClinicians shou...
...r Vestibular MigraineClinicians should determine...
Audiometric TestingClinicians shou...
...ility of ImagingClinicians may offer magnetic res...
...stibular or Electrophysiologic TestingClini...
...EducationClinicians should educate patients wit...
...gement of VertigoClinicians should offer a l...
...ymptom Reduction and PreventionClinicians shoul...
...macotherapy for MaintenanceClinicia...
...essure TherapyClinicians should not prescribe pos...
...ympanic Steroid TherapyClinicians may offer, or r...
...Gentamicin TherapyClinicians should offer, or refe...
...lative TherapyClinicians may offer, or refer to a...
...e of Vestibular Therapy for Chronic Imbalanc...
...estibular Therapy for Acute VertigoClinicians sho...
...r Amplification and Hearing Assistive TechnologyCl...
...atient OutcomesClinicians should d...
...mmon Causes of Vertigo/Dizziness and Their Dif...
.... International Classification of Headache Disor...
...able 6. Barany Diagnostic Criteria for Ves...
...IT Steroid Therapy Dosing and Frequency...
...erican Academy of Otolaryngology-Hea...
Treatment
...Treatment...
...1. CPG: Ménière’s Disease Al...
Patient Information
...Patient Information...
...Frequently Asked Questions (FAQs) About Méniè...
...re 3. Frequently Asked Questions (FAQs) Abou...