Meniere's Disease


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This Web site was developed for people who have Meniere's Disease or Meniere's-like-symptoms, and for family members and friends who would like to learn more about this disease. 

I was diagnosed with Meniere's Disease in June 1998 (although I had this for possibly 10 years prior to being diagnosed).  I want to take a moment and thank my very supportive husband and children for their concern, compassion and understanding of my 'bad days' and for their on-going encouragement.  
Written July, 2001.  

What is Meniere's Disease

In 1861, French physician Prosper Meniere described a condition that now bears his name. Meniere's disease is a disorder of the inner ear that causes episodes of vertigo, tinnitus, a feeling of fullness or pressure in the ear, and fluctuating hearing loss.  It is commonly referred to as Morbus Meniere's or MM for short.

Symptoms

Although there are many symptoms of Meniere's disease (too numerous to mention on this page), it is usually characterized by the following four symptoms.  
1)

Periodic episodes of rotatory vertigo or dizziness.

2)

Fluctuating, progressive, low-frequency hearing loss

3)

Tinnitus

4)

A sensation of "fullness" or pressure in the ear.

Cause

Most cases of Meniere's disease have no known cause ("idiopathic"). Very occasionally, an underlying cause such as traumatic injury or immune system disease may play a role.

Incidence and Prevalence of Meniere's Disease

Although statistics vary on this topic, it is said that the incidence of Meniere's disease has been estimated to range from 0.5 to 7.5 per 1000, although this figure depends upon a number of factors, such as the diagnostic criteria used to define the disease. It also varies by ethnic background, showing relatively high incidence in Britain and Sweden. However, it affects not only the white race but also blacks and oriental races.

Natural Time Course of Ménière's Disease

The time course of the disease has been documented in patients who were suitable candidates for surgery, but who declined surgical treatment of their vertigo (Silverstein et al. 1989). Initially, the frequency of vertigo attacks in these patients varied from less than 3 to more than 10 per month. After two years, more than half the patients were vertigo-free and most of the remainder showed less than 3 attacks per month. After 8 years, the vast majority were vertigo-free, although a small number showed less than 3 attacks per month. This decline of symptoms with time was generally comparable to the group of patients who elected to undergo surgery, although the severity of the vertigo was not compared during the two year period following surgery. Also, although vertigo attacks may become less frequent over a number of years, the hearing loss tends to progress and tinnitus often remains a problem. Thus, it should not be concluded that spontaneous "recovery" from the disease occurs. There are also many patients in whom the symptoms do not abate, even after many years. There is tremendous variability in the long-term evolution of the disease.

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Please keep in mind that this site does not replace the necessity of your physician's advice.
 


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Site Last Updated:   05/23/08