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Ménière Disease

Sangili Chandran, MD and Jay B. Shah, DO Reviewed 06/2022
 


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

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

  • 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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