Clinical Practice Guideline: Meniere’s Disease

Abstract
Objective. Meniere’s disease (MD) is a clinical condition
defined by spontaneous vertigo attacks (each lasting 20 minutes to 12 hours) with documented low- to midfrequency
sensorineural hearing loss in the affected ear before, during,
or after one of the episodes of vertigo. It also presents with
fluctuating aural symptoms (hearing loss, tinnitus, or ear fullness) in the affected ear. The underlying etiology of MD is
not completely clear, yet it has been associated with inner
ear fluid (endolymph) volume increases, culminating in episodic ear symptoms (vertigo, fluctuating hearing loss, tinnitus, and aural fullness). Physical examination findings are
often unremarkable, and audiometric testing may or may
not show low- to midfrequency sensorineural hearing loss.
Conventional imaging, if performed, is also typically normal.Click here to Read more