[Menière disease]

A disorder of the internal ear of unknown origin, Menière's disease is not characterised by vertigo but rather by the associated auditory symptoms and a chronic course. The first differential diagnosis is the acoustic neurinoma. Study of auditory evoked potentials, which is reliable and inexpensive, can preclude the use of more expensive imaging techniques. Menière's disease can be invalidating in patients who are often young and active. Treatment remains symptomatic and empiric. Destructive surgery can be a solution if it respects audition. Overall management remains the basis of treatment.