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[Ménière's disease]
Hicham Laghmoch1, Casper Grønlund1, Louise Devantier2
1Øre-, Næse- og Halskirurgisk Afdeling, Sjællands Universitetshospital, Køge.
Ugeskrift for Laeger
|June 20, 2025
Summary
Ménière's disease diagnosis relies on Bárány Society criteria, anamnesis, and audiometry. Limited treatment evidence highlights the importance of social support for patients with this inner ear disorder.
Area of Science:
- Neurology
- Otolaryngology
- Audiology
Background:
- Ménière's disease (MD) is an inner ear disorder causing vertigo, hearing loss, tinnitus, and aural fullness.
- Current evidence for diagnostic and treatment options for MD is limited.
- Accurate diagnosis is crucial for effective patient management.
Purpose of the Study:
- To review current diagnostic criteria for Ménière's disease.
- To evaluate the effectiveness of various diagnostic tools.
- To assess available treatment options and their impact.
Main Methods:
- Review of existing literature and diagnostic criteria.
- Analysis of anamnesis and audiometry as primary diagnostic tools.
- Evaluation of supplementary tests like caloric testing, video head impulse test, and MRI.
Main Results:
- Diagnosis of MD should adhere to The Bárány Society criteria.
- Anamnesis and audiometry are foundational for MD assessment.
- Caloric testing, video head impulse test, and MRI can support diagnosis.
- Evidence for specific MD treatments is limited, underscoring psychosocial factors.
Conclusions:
- The Bárány Society criteria provide a framework for MD diagnosis.
- A multimodal approach combining clinical assessment and specific tests is recommended.
- Social interventions are vital for managing the psychosocial impact of Ménière's disease due to limited therapeutic options.
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