Ménière’s Disease
The three symptoms associated with the Ménière’s disease triad.
What is unilateral hearing loss, tinnitus, and aural fullness?
These symptoms may occur prior to, during, after, or totally independent of an event.
What is vestibular symptoms?
The use of this audiological test may be necessary to document MD progression or rule out retrocochlear pathology.
What is an audiogram?
This type of treatment is most common in vestibular migraine patients in coordination with their neurologist.
What are migraine medications?
This is the name of one of Dr. Lewandowski’s cats.
What is Zarro or Yummi?
It was originally thought that this pathological finding was a correlate to Ménière’s disease.
What is endolymphatic hydrops?
History of this is a key marker in the patient’s case history to suspect vestibular migraine.
What is family history or personal history of migraine?
These findings are commonly observed among vestibular migraine patients across the test battery.
What are normal findings?
This type of treatment is often the first option for suspected cases of Ménière’s disease, as it is the most conservative approach.
What is diet control and diuretics?
This is thought to be the cause of varying pediatric presentations of migraine symptoms.
What is an under developed neurological system?
This is the most common pattern of hearing loss among Ménière’s disease patients from the early to late stage.
What is unilateral, fluctuating low frequency to permanent (across frequency) sensorineural hearing loss?
These triggers are commonly associated with a vestibular migraine event.
What is stress/sleep deprivation/hormonal changes?
This is the primary goal for completing vestibular evaluation in vestibular migraine patients.
What is ruling out other vestibular pathology?
This type of management aims to aid in central vestibular compensation and improve quality of life.
What is vestibular rehabilitation?
This pathology is often defined as excess endolymph in the scala media of the cochlea and vestibular labyrinth, distending the membranes and altering function of the various sense organs.
What is endolymphatic hydrops?
These are differential diagnoses for patients presenting with suspected Ménière’s disease symptoms.
What is labyrinthitis/vestibular migraine?
This term refers to visual, sensory, and or speech/language symptoms associated with vestibular migraine events.
What is aura?
This non-invasive vestibular test finding may be an important component of Ménière’s disease evaluation, but not sufficient for diagnosis.
What is VEMP asymmetry?
Vestibular rehabilitation is appropriate when patients are noted to have this on vestibular evaluation.
What is VOR, VSR, or VCR dysfunction?
These symptoms best differentiate Ménière’s disease from vestibular migraine.
What is unilateral weakness and asymmetric hearing loss?
These are reasons that electrocochleography (ECOG) is not often used in our clinic to diagnose Ménière’s disease.
What is low sensitivity/invasive nature/time-consuming/subjective interpretation?
These theories, likely a combination of which, are attributed to cause vestibular migraine.
What are vascular/neurotransmitter/cerebellar/sensory theories?
In Ménière’s disease, this vestibular test may show unilateral weakness, even when VHIT results are normal.
What is caloric testing?
This type of MD treatment is often a last resort, reserved for when more conservative options fail.
What is ablative surgery/shunt placement/labyrinthectomy?
This pathology is often seen in children and may develop into vestibular migraine in the future.
What is benign paroxysmal vertigo of childhood?