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Ménière Disease

Jason E. Cohn, DO, MS, Nadir Ahmad, MD, FACS and Thomas C. Spalla, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • An inner ear (labyrinthine) disorder characterized by recurrent attacks of hearing loss, tinnitus, vertigo, and sensations of aural fullness due to an increase in the volume and pres...

DIAGNOSIS

Diagnosis is clinical. 

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 ...

TREATMENT

  • Usually managed in outpatient setting

  • A paucity of evidence-based guidelines exists; therefore, there is no gold standard treatment.

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

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
Lee SU, Kim HJ, Koo JW, et al. Comparison of caloric and head-impulse tests during the attacks of Meniere’s disease. Laryngoscope.  2017;127(3):702–708. [View Abstract on OvidMedline...

SEE ALSO

  • Hearing Loss; Labyrinthitis; Tinnitus

  • Algorithm: Dizziness

CODES

ICD10

  • H81.09 Meniere’s disease, unspecified ear

  • H81.01 Meniere’s disease, right ear

  • H81.02 Meniere’s disease, left ear

  • H81.03 Meniere’s disease, bilateral

ICD9

  • 386.00 Mnire’s disease, unspecified

  • 386.0...

CLINICAL PEARLS

  • Ménière disease is characterized by vertigo, hearing loss, and tinnitus +/− aural fullness.

  • There is a wide differential diagnosis for Ménière disease; therefore, one must fully investi...

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