Related Experiment Video
Updated: Jul 13, 2026

In Vivo Morphometric Analysis of Human Cranial Nerves Using Magnetic Resonance Imaging in Menière's Disease Ears and Normal Hearing Ears
Published on: February 21, 2018
Survey of Ménière's disease in a subspecialty referral practice
Jeffrey T Vrabec1, Lawrence M Simon, Newton J Coker
1Bobby R. Alford Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, TX 77030, USA. jvrabec@bcm.tmc.edu
Objectives:
To define the prevalence of definite Ménière's disease (MD) among patients presenting with characteristic symptoms and examine the utility of published diagnostic guidelines.
Study Design And Setting:
Retrospective review in an academic referral practice.
Results:
The prevalence of definite MD in these 295 individuals was 64%. The next-largest group (23%) consisted of patients with only cochlear symptoms. Those initially classified as probable are usually reclassified as definite with extended follow-up. Of those with definite MD, the mean duration of disease at last follow-up was 7.6 years, 56% were female, 19% had bilateral disease, and 34% required surgical management for vertigo.
Conclusions:
The 1995 AAO-HNS guidelines are useful for classification of MD according to certainty of diagnosis and severity of disease, though some modifications could be considered.
Significance:
Application of consistent diagnostic criteria is essential for epidemiological, genetic, or outcomes studies of Ménière's disease.
Related Concept Videos
Mitral Valve Prolapse II: Assessment and Management
Mitral Stenosis IV: Nursing Management
Nephrotic Syndrome II : Assessment and Medical Management
Myasthenia Gravis: Diagnostic Tests
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
