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Changes in symptom pattern in Meniere's disease by duration: the need for comprehensive management
Ilmari Pyykkö1, Jing Zou1,2, Nora Vetkas3
1Hearing and Balance Research Unit, Field of Otolaryngology, School of Medicine, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Frontiers in Neurology
|November 25, 2024
Summary
Meniere
Area of Science:
- Neurology
- Otolaryngology
- Quality of Life Research
Background:
- Meniere's disease (MD) is a complex inner ear disorder.
- Understanding its longitudinal symptom course and impact on quality of life (QoL) is crucial for patient management.
Purpose of the Study:
- To analyze the symptom profile of Meniere's disease patients.
- To investigate the cessation of episodic vertigo and the disease's progression.
- To assess the impact of major symptoms on patient quality of life (QoL).
Main Methods:
- Retrospective cross-sectional study of 365 Meniere's disease patients.
- Utilized an internet-based questionnaire to collect data on symptoms and QoL.
- Assessed vertigo attacks, vestibular drop attacks (VDA), balance, cognition, hearing loss, and QoL.
Main Results:
- Episodic vertigo remitted spontaneously in 34% of patients.
- Vestibular drop attacks (VDA) and balance issues increased with disease duration.
- Lower QoL was associated with constant dizziness, fatigue, depression, VDA, and hearing loss.
Conclusions:
- Meniere's disease symptoms are complex and evolve over time.
- While vertigo may cease, other symptoms like VDA and balance issues often persist or worsen.
- Comprehensive assessment beyond primary symptoms is vital for effective Meniere's disease management.
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