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Vestibular Meniere's disease.

M M Paparella, F Mancini

    Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
    |April 1, 1985
    PubMed
    Summary
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    Vestibular Meniere's disease (VMD) can precede typical Meniere's disease or persist alone for decades. It is characterized by vertigo, positional vertigo, and aural pressure, with normal hearing but possible tinnitus.

    Area of Science:

    • Neurology
    • Otolaryngology
    • Vestibular System Disorders

    Background:

    • Vestibular Meniere's disease (VMD) is a clinical entity.
    • VMD can be an initial presentation or a long-term condition.
    • It often affects one side of the body.

    Purpose of the Study:

    • To assess and describe the clinical features of Vestibular Meniere's disease (VMD).
    • To understand the relationship between VMD and typical Meniere's disease.
    • To explore the long-term characteristics and symptoms of VMD.

    Main Methods:

    • Clinical assessment and description of patients with VMD.
    • Analysis of disease progression and symptom patterns.
    • Review of patient histories detailing symptom onset and duration.

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    Main Results:

    • Twenty percent of typical Meniere's disease cases initially presented as VMD.
    • VMD alone persisted in some patients for over 30 years.
    • Recurrent vertigo is the primary symptom, followed by aural pressure; electronystagmography findings are third.
    • Positional vertigo can occur independently or during episodes.
    • Hearing remains normal, though tinnitus or loudness intolerance may be present.

    Conclusions:

    • VMD is a distinct clinical entity with a variable course.
    • It can precede or exist independently of typical Meniere's disease.
    • Understanding VMD's characteristics is crucial for diagnosis and management.