Clinical Practice Guideline: Ménière’s Disease

Basura, Gregory J.; Adams, Meredith E.; Monfared, Ashkan; Schwartz, Seth; Antonelli, Patrick J.; Burkard, Robert; Bush, Matthew L.; Bykowski, Julie; Colandrea, Maria; Derebery, Jennifer; Kelly, Elizabeth A.; Kerber, Kevin A.; Koopman, Charles F.; Kuch, Amy Angie; Marcolini, Evie G.; McKinnon, Brian J.; Ruckenstein, Michael J.; Valenzuela, Carla V.; Vosooney, Alexis; Walsh, Sandra A.; Nnacheta, Lorraine C.; Dhepyasuwan, Nui; Buchanan, Erin Michelle

doi:10.1177/0194599820909438

Cited by 204 publications

(265 citation statements)

References 380 publications

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“…As a result, the formerly known vestibular Meniere's disease (1,2) was placed into a category of "possible Meniere's disease" on the AAO-HNS 1995 criteria. Later definitions of Meniere's disease that were proposed by the Barany Society 2015 (4) and AAO-HNS 2000 (5) did not include the subvarieties of Meniere's disease, such as vestibular and cochlear Meniere's disease, whereas the definition by the Japan Society for Equilibrium Research (JSER) in 2017 included the vestibular type of atypical Meniere's disease (6), which is basically the same concept as that of vestibular Meniere's disease (1,2).…”

Section: Introductionmentioning

confidence: 99%

Is Vestibular Meniere's Disease Associated With Endolymphatic Hydrops?

et al. 2020

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Background: Vestibular Meniere's disease (American Academy of Ophthalmology and Otolaryngology, 1972) also known as possible Meniere's disease (American Academy of Otolaryngology Head and Neck Surgery, 1995) or vestibular type of atypical Meniere's disease (V-AMD) (Japan Society for Equilibrium Research, 2017) is characterized by an episodic vertigo without hearing loss. Though named as Meniere's disease (MD), this entity may not be caused solely by endolymphatic hydrops (EH).Objective: To estimate the role of EH in vestibular Meniere's disease in comparison with definite Meniere's disease.Methods: Thirty patients with unilateral definite MD and 16 patients with vestibular Meniere's disease were included. Those who met the criteria for definite or probable vestibular migraine were excluded. All patients underwent vestibular assessments including inner ear MRI 4 h after intravenous gadolinium injection, bithermal caloric testing, directional preponderance of vestibulo-ocular reflex in rotatory chair test, cervical- and ocular-vestibular evoked myogenic potential, stepping test, dizziness handicap inventory (DHI), and hospital anxiety and depression scale (HADS). All above tests and frequency/duration of vertigo spells were compared between vestibular Meniere's disease and MD.Results: Even in unilateral MD, cochlear and vestibular endolymphatic hydrops (c-, v-EH) were demonstrated not only in the affected side but also in the healthy side in more than half of patients. Positive rate of v-EH in vestibular Meniere's disease (68.8%) was as high as that of MD (80%). In vestibular Meniere's disease, the number of bilateral EH was higher in the vestibule (56.3%) than that in the cochlea (25.0%). There were no differences in vestibular tests and DHI between vestibular Meniere's disease and MD; however, the frequency of vertigo spells was lower in vestibular Meniere's disease (p = 0.001). The total HADS score in the MD group was significantly higher than that in the vestibular Meniere's disease group.Conclusions: MD is a systemic disease with bilateral involvement of inner ears. V-EH is a major pathophysiology of vestibular Meniere's disease, which would precede c-EH in the development of vestibular Meniere's disease, a milder subtype of MD. MRI is useful for differentiating MD from other vertigo attacks caused by different pathologies in bringing EH into evidence.

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Section: Introductionmentioning

confidence: 99%

Is Vestibular Meniere's Disease Associated With Endolymphatic Hydrops?

et al. 2020

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“…Moreover, the evidence from existing studies on vestibular diagnostics in MD is insufficient [22]. Additionally, the costs for both diagnostics and therapy can be very high, according to Basura et al [23]. In our opinion, the determination of SVV with the analog bucket test as an additional diagnostic tool can be justified by the presented results.…”

Section: Discussionmentioning

confidence: 74%

Methods for Testing the Subjective Visual Vertical during the Chronic Phase of Menière’s Disease

et al. 2021

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The subjective visual vertical (SVV) evaluates the function of the utricle, which, in patients with Menière’s disease (MD), can be affected by endolymphatic hydrops. This study aimed to determine the SVV in MD patients during the chronic phase of illness compared to healthy participants. The second aim was to compare the SVV measurement tools: the analog bucket test, digital bucket test, and C-SVV© goggles. The SVV scores differed significantly between MD patients and the control group for the analog bucket test (p < 0.001) and the C-SVV® goggles (p = 0.028), but no significance was shown when using the digital bucket test (p = 0.062). When comparing the analog bucket test and the C-SVV® goggles applying the calculated threshold (1.125° in analog bucket test, 2.5° in C-SVV® goggles), the bucket test showed higher accuracy (bucket test 73.84%, C-SVV® goggles 69.23%). When examining the influence of betahistine on SVV scores, there were no statistically significant differences in both the analog bucket test and C-SVV© goggles. We conclude that SVV test can be used as an additional tool to evaluate utricle function during the chronic phase of MD and that the analog bucket test produces the most reliable results. The intake of betahistine does not influence the perception of SVV.

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“…The final diagnosis in VN patients was made by caloric test (irrigation of each ear with water at a temperature of 30 and 44°C) A 20% difference calculated by Jongkees formula between the ears was accepted a pathological response. Meniere's disease (MD) diagnosis was made in accordance with the diagnostic criteria of AAO-HNS Committee on Hearing and Equilibrium Meniere's Disease [8].…”

Section: Methodsmentioning

confidence: 99%

Diagnostic Value of Video Head Impulse Test for Patients with Benign Paroxysmal Positional Vertigo

Coşar¹,

İşlek²,

Aslan³

2020

Preprint

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Objectives: This study aims to investigate the value of Video head impulse test (vHIT) findings in peripheral vertigo diseases, especially in Benign paroxysmal positional vertigo (BPPV) in the acute period. Design: A prospective study was designed. Setting: Otorhinolaryngology and Audiology Clinic of the tertiary university , October 2017-September 2018. Participants:Patients diagnosed with peripheral vertigo included prospectively and consecutively in the study. Main outcome measures: Demographic characteristics of the patients and pathological SCC detected by examination and diagnostic maneuver for BPPV patients were recorded. Vestibulo-ocular reflex (VOR) gain was calculated in all patients and all six SCCs. Two sub-study groups were formed according to age (<50 or >50). Also VOR gain detected for BPPV, Vestibular neuritis (VN), and Meniere's disease (MD). Results: 74 (82.2%) of the patients were Benign paroxysmal positional vertigo (BPPV), eight (8.9%) of patients were vestibular neuritis (VN), and eight (8.9 %) of them were Meniere's disease (MD). Pathological deficiency of VOR for SCCs was detected in 49 of 74 (66.2%) patients with BPPV, all eight patients with VN (100%), and four of eight patients with Meniere's disease (50%). The sensitivity and specificity calculated as 55.4% and 81.2% for BPPV patients. Conclusions: vHIT is a new protocol and provides objective findings for SCC functions in patients with peripheral vertigo. vHIT can be performed faster and easier than the caloric stimulation test for VN diagnosis with comparable results. However, vHIT does not provide sufficient results for BPPV to distinguish from other peripheral vestibular system diseases. Key Points1-vHIT provides objective findings for SCC functions.2-vHIT can be performed faster and easier than the caloric stimulation test.3-The test may help for differential diagnosis of acute vertigo. 4-vHIT is recommended as an important diagnostic test for Vestibular neuritis and Meniere's disease. 5-vHIT does not provide specific information for benign paroxysmal positional vertigo.

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Clinical Practice Guideline: Ménière’s Disease

Cited by 204 publications

References 380 publications

Is Vestibular Meniere's Disease Associated With Endolymphatic Hydrops?

Is Vestibular Meniere's Disease Associated With Endolymphatic Hydrops?

Methods for Testing the Subjective Visual Vertical during the Chronic Phase of Menière’s Disease

Diagnostic Value of Video Head Impulse Test for Patients with Benign Paroxysmal Positional Vertigo

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