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Ménière Disease

Sangili Chandran, MD, Damini Patel, DO and Shalini Kumar, MD Reviewed 04/2024
 


BASICS

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

  • Ménière disease is a condition with at least two spon...

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

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

  • During attacks, bed rest with eyes closed prevents falls. Attacks rarely last >4 hours.

GENERAL MEASURES

Salt restrict...

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. Hearing J. 2020;73(6):12-13.
2
Perez-Carpena P, Lopez-Escamez JA. Current Understanding and Clinical Management of Méni...

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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