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Ménière Disease

Sangili Chandran, MD, Katherine Metropulos, DO and Alqasem Alsaqri, Medical Degree Reviewed 05/2023
 


BASICS

  • An inner ear (labyrinthine) disorder characterized by recurrent attacks of hearing loss, tinnitus, vertigo, and sensations of aural fullness

  • The international diagnostic criteria define Ménière ...

DIAGNOSIS

HISTORY

  • Symptomatic episodes are typically spontaneous but may be preceded by an aura of increasing fullness in the ear and tinnitus. These may occur in clusters, with long periods of symptom...

TREATMENT

  • A paucity of evidence-based guidelines exists.

  • Medications are primarily for symptomatic relief of vertigo and nausea.

  • During attacks, bed rest with eyes closed prevents falls. Attacks rarely ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Due to the possibility of progressive hearing loss despite decrease in vertiginous attacks, it is important to monitor changes in hearing and to...

REFERENCES

1
Borowiec E, Crossley J, Hoa M. Understanding Fluctuating Hearing Loss. The Hearing Journal. June 2020;73(6):12-13.
2
Perez-Carpena P, Lopez-Escamez JA. Current Understanding and Clinical Man...

SEE ALSO

  • Hearing Loss; Labyrinthitis; Tinnitus 

  • Algorithm: Dizziness

CODES

ICD10

  • H81.03 Ménière's disease, bilateral

  • H81.09 Ménière's disease, unspecified ear

  • H81.0 Ménière's disease

  • H81.01 Ménière's disease, right ear

  • H81.02 Ménière's disease, left ear

SNOMED

  • 194351009 Inact...

CLINICAL PEARLS

  • Ménière disease is characterized by vertigo (lasting 20 minutes to 12 hours), with associated hearing loss, tinnitus +/− aural fullness.

  • There is a wide differential diagnosis for Méniè...

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