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
...iagnosis
Table 1. Diagnostic CriteriaHaving...
...ble 2. Key Definitions for Ménière’s Dise...
...3. Summary of Key Action Statements (KAS)
...osis of Ménière’s DiseaseClinicians should dia...
Assessing for Vestibular MigraineClinicians shoul...
...diometric TestingClinicians should obtain an a...
...magingClinicians may offer magnetic resonance im...
...tibular or Electrophysiologic TestingCl...
...ionClinicians should educate patie...
...omatic Management of VertigoClinicians s...
...ion and PreventionClinicians should educate...
...Pharmacotherapy for MaintenanceClinici...
...tive Pressure TherapyClinicians should not...
...nic Steroid TherapyClinicians may off...
...ntamicin TherapyClinicians should offer, or refe...
...cal Ablative TherapyClinicians may offer, or...
...lar Therapy for Chronic ImbalanceClinician...
Role of Vestibular Therapy for Acute VertigoClinic...
...ing for Amplification and Hearing A...
...omesClinicians should document resolution, impr...
...on Causes of Vertigo/Dizziness and Their Diffe...
.... International Classification of H...
...Barany Diagnostic Criteria for Vest...
...e 7. IT Steroid Therapy Dosing and FrequencyHavi...
...ble 8. The American Academy of Otolaryngology-He...
Treatment
...reatme...
...e 1. CPG: Ménière’s Disease Algorit...
Patient Information
...t Information...
...e 2. Frequently Asked Questions (FAQs) Abou...
...quently Asked Questions (FAQs) About MéniÃ...