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Rare cases of Ménière's disease in children

Y H Choung1, K Park, C H Kim

  • 1Department of Otolaryngology, Ajou University School of Medicine, Suwon, Republic of Korea. yhc@ajou.ac.kr

The Journal of Laryngology and Otology
|April 21, 2006
PubMed

Insights

Ménière

Area of Science:

  • Otolaryngology
  • Pediatric Neurology
  • Audiology

Background:

  • Ménière's disease is uncommon in children, with limited literature available.
  • Pediatric Ménière's disease accounts for a small fraction of adult cases (0.4-7.0%).
  • The progression of Ménière's disease in pediatric populations is not well understood.

Observation:

  • Three pediatric cases (ages 9-14) of Ménière's disease were treated over nine years.
  • Two patients initially presented solely with recurrent vertigo.
  • Early audiograms revealed high-tone frequency loss, with hearing decline appearing 1-8 years after vertigo onset.

Findings:

  • Pediatric Ménière's disease accounted for 2.6% of all cases and 2.0% of pediatric vertigo cases in the study cohort.
  • High-tone hearing loss was an initial audiometric finding, preceding significant subjective hearing impairment.
  • Diuretic therapy effectively controlled vertigo and, in some cases, improved hearing.

Implications:

  • Highlights the distinct presentation of Ménière's disease in children, often starting with vertigo.
  • Suggests early audiometric screening for high-tone loss in children with unexplained vertigo.
  • Emphasizes the potential efficacy of diuretics in managing pediatric Ménière's disease symptoms.

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