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
...Diagnos...
...gnostic CriteriaHaving trouble viewing...
.... Key Definitions for Ménière’...
...Table...
...is of Ménière’s DiseaseClinicians shoul...
...ssessing for Vestibular MigraineClinicians sho...
...ric TestingClinicians should obtain an audiogra...
...lity of ImagingClinicians may offer...
...lectrophysiologic TestingClinicians s...
...atient EducationClinicians should educate pati...
...Management of VertigoClinicians should offer a...
Symptom Reduction and PreventionCl...
...al Pharmacotherapy for MaintenanceClinicians...
...Pressure TherapyClinicians should...
...nic Steroid TherapyClinicians may offer, o...
Intratympanic Gentamicin TherapyClin...
...tive TherapyClinicians may offer, or refer...
...tibular Therapy for Chronic ImbalanceClinician...
...le of Vestibular Therapy for Acute VertigoCl...
...r Amplification and Hearing Assistive Tec...
...tient OutcomesClinicians should document resoluti...
Table 4. Common Causes of Vertigo/Dizzin...
...5. International Classification of Headache Diso...
...Diagnostic Criteria for Vestibular M...
...Steroid Therapy Dosing and FrequencyHaving tr...
...he American Academy of Otolaryngology-Head an...
Treatment
...Treatmen...
...gure 1. CPG: Ménière’s Diseas...
Patient Information
...Patient Information...
...equently Asked Questions (FAQs) Abo...
...quently Asked Questions (FAQs) Abo...