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
...gnosis
...stic CriteriaHaving trouble viewing table...
...efinitions for Ménière’s Disease (MD)...
Table 3. Summary of Key Action Statement...
...nosis of Ménière’s DiseaseClinici...
Assessing for Vestibular MigraineClinicians sho...
...metric TestingClinicians should obtain an...
...ngClinicians may offer magnetic resonance...
...bular or Electrophysiologic TestingC...
...atient EducationClinicians should educa...
...mptomatic Management of VertigoClinicia...
...om Reduction and PreventionClinicians should educ...
...erapy for MaintenanceClinicians may offer diuretic...
...Pressure TherapyClinicians should not pres...
...panic Steroid TherapyClinicians may...
...ic Gentamicin TherapyClinicians should off...
...gical Ablative TherapyClinicians m...
...of Vestibular Therapy for Chronic...
...ibular Therapy for Acute VertigoClinician...
...for Amplification and Hearing Assistive Techn...
...OutcomesClinicians should document resoluti...
...n Causes of Vertigo/Dizziness and Their Diff...
Table 5. International Classification of...
...Barany Diagnostic Criteria for Vestibula...
...IT Steroid Therapy Dosing and FrequencyHaving tro...
...ble 8. The American Academy of Otola...
Treatment
...eatmen...
...CPG: Ménière’s Disease Algorithm...
Patient Information
Patient Informati...
...gure 2. Frequently Asked Questions (FAQs)...
...ure 3. Frequently Asked Questions...