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Medical Management of Meniere’s Disease

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Diagnosis and Treatment of Vestibular Disorders

Abstract

There are no definitive curative or preventative therapies available for Meniere’s disease. Treatment modalities are based on several theories surrounding the possible causes of the disease, and treatment aims to reduce symptoms of vertigo and preserve hearing and balance function. Here, we describe medical management strategies of Meniere’s disease.

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References

  1. Lopez-Escamez JA, Carey J, Chung WH, Goebel JA, Magnusson M, Mandalà M, Newman-Toker DE, Strupp M, Suzuki M, Trabalzini F, Bisdorff A. Diagnostic criteria for Menière’s disease. J Vestib Res. 2015;25(1):1–7.

    PubMed  Google Scholar 

  2. Palaskas C, Dobie R, Snyder J. Progression of hearing loss in bilateral Meniere’s disease. Laryngoscope. 1988;98:287–90.

    Article  CAS  Google Scholar 

  3. Foster CA, Breeze RE. Endolymphatic hydrops in Ménière’s disease: cause, consequence, or epiphenomenon? Otol Neurotol. 2013;34(7):1210–4.

    Article  Google Scholar 

  4. Nevoux J, Franco-Vidal V, Bouccara D, Parietti-Winkler C, Uziel A, Chays A, Dubernard X, Couloigner V, Darrouzet V, Mom T, Groupe de Travail de la SFORL. Diagnostic and therapeutic strategy in Menière’s disease. Guidelines of the French Otorhinolaryngology-Head and Neck Surgery Society (SFORL). Eur Ann Otorhinolaryngol Head Neck Dis. 2017;134(6):441–4.

    Article  CAS  Google Scholar 

  5. Furstenberg A, Lashmet F, Lathrop F. Meniere’s symptom complex: medical treatment. Ann Otol Rhinol Laryngol. 1934;43:1035–46.

    Article  Google Scholar 

  6. Fustenberg A, Richardson G, Lathrop F. Meniere’s disease. Arch Otolaryngol Head Neck Surg. 1941;34:1083–92.

    Article  Google Scholar 

  7. Boles R, Rice D, Hybels R, Work W. Conservative management of Meniere’s disease: Furstenberg regimen revisited. Ann Otol Rhinol Laryngol. 1975;84:513–7.

    Article  CAS  Google Scholar 

  8. Klockhoff I, Lindblom U. Meniere’s disease and hydrochlorothiazide- a critical analysis of symptoms and therapeutic effects. Acta Otolaryngol. 1967;63:347–65.

    Article  CAS  Google Scholar 

  9. Corvera J, Corvera G. Long-term effect of acetazolamide and chlorthalidone on the hearing loss of Meniere’s disease. Am J Otol. 1989;10:142–5.

    CAS  PubMed  Google Scholar 

  10. Crowson MG, Patki A, Tucci DL. A systematic review of diuretics in the medical management of Meniere’s disease. Otolaryngol Head Neck Surg. 2016;154(5):824–34.

    Article  Google Scholar 

  11. Thirlwall AS, Kundu S. Diuretics for Ménière’s disease or syndrome. Cochrane Database Syst Rev. 2006;3:CD003599.

    Google Scholar 

  12. James A, Burton MJ. Betahistine for Ménière’s disease or syndrome. Cochrane Database Syst Rev. 2001;1:CD001873.

    Google Scholar 

  13. Adrion C, Fischer CS, Wagner J, Gürkov R, Mansmann U, Strupp M, BEMED Study Group. Efficacy and safety of betahistine treatment in patients with Meniere’s disease: primary results of a long term, multicentre, double blind, randomised, placebo controlled, dose defining trial (BEMED trial). BMJ. 2016;21:352.

    Google Scholar 

  14. Neff BA, Staab JP, Eggers SD, Carlson ML, Schmitt WR, Van Abel KM, Worthington DK, Beatty CW, Driscoll CL, Shepard NT. Auditory and vestibular symptoms and chronic subjective dizziness in patients with Ménière’s disease, vestibular migraine, and Ménière’s disease with concomitant vestibular migraine. Otol Neurotol. 2012;33(7):1235–44.

    Article  Google Scholar 

  15. Radtke A, Lempert T, Gresty MA, Brookes GB, Bronstein AM, Neuhauser H. Migraine and Ménière’s disease: is there a link? Neurology. 2002;59(11):1700–4.

    Article  CAS  Google Scholar 

  16. Loder E, Burch R, Rizzoli P. The 2012 AHS/AAN guidelines for prevention of episodic migraine: a summary and comparison with other recent clinical practice guidelines. Headache. 2012;52(6):930–45.

    Article  Google Scholar 

  17. Duke WW. Meniere’s syndrome caused by allergy. JAMA. 1923;81(26):2179–81.

    Article  Google Scholar 

  18. Viscomi GJ, Bojrab DI. Use of electrocochleography to monitor antigenic challenge in Meniere’s disease. Otolaryngol Head Neck Surg. 1992;107(6):733–7.

    Article  CAS  Google Scholar 

  19. Powers WH. Allergic factors in Meniere’s disease. Trans Am Acad Opthalmol Otolaryngol. 1973;77:22–9.

    Google Scholar 

  20. Shaver EF Jr. Allergic management of Meniere’s disease. Arch Otolaryngol. 1975;101(2):96–9.

    Article  Google Scholar 

  21. Derebery MJ. Allergic management of Meniere’s disease: an outcome study. Otolaryngol Head Neck Surg. 2000;122(2):174–82.

    Article  CAS  Google Scholar 

  22. Dereberry MJ, Berliner KI. Prevalence of allergy in Meniere’s disease. Otolaryngol Head Neck Surg. 2000;123:69–75.

    Article  Google Scholar 

  23. Keles E, Godekmerdan A, Kalidag T, Kaygusuz I, Yalcin S, Cengiz AH, Aral M. Meniere’s disease and allergy: allergens and cytokines. J Laryngol Otol. 2004;118(9):688–93.

    Article  Google Scholar 

  24. Hillier SL, McDonnell M. Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Cochrane Database Syst Rev. 2011;2:CD005397.

    Google Scholar 

  25. van Esch BF, van der Scheer-Horst ES, van der Zaag-Loonen HJ, Bruintjes TD, van Benthem PP. The effect of vestibular rehabilitation in patients with Ménière’s disease. Otolaryngol Head Neck Surg. 2017 Mar;156(3):426–34.

    Article  Google Scholar 

  26. Hall CD, Herdman SJ, Whitney SL, Cass SP, Clendaniel RA, Fife T, Furman JM, Goebel J, Shepard NA, Woodhouse S. Vestibular rehabilitation for peripheral vestibular hypofunction: clinical practice guidelines. J Neurol Phys Ther. 2016;40:124.

    Article  Google Scholar 

  27. Arif M, Sadlier M, Rajenderkumar D, James J, Tahir T. A randomised controlled study of mindfulness meditation versus relaxation therapy in the management of tinnitus. J Laryngol Otol. 2017;131(6):501–7.

    Article  CAS  Google Scholar 

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Correspondence to Stephen P. Cass .

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Cass, S.P., Machala, M.C., Ambrose, E.C. (2019). Medical Management of Meniere’s Disease. In: Babu, S., Schutt, C., Bojrab, D. (eds) Diagnosis and Treatment of Vestibular Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-97858-1_14

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  • DOI: https://doi.org/10.1007/978-3-319-97858-1_14

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  • Online ISBN: 978-3-319-97858-1

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