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Review
. 2022 Feb 1;35(1):90-97.
doi: 10.1097/WCO.0000000000001021.

Ménière's disease: new guidelines, subtypes, imaging, and more

Justin L Hoskin  1
Affiliations
Review

Ménière's disease: new guidelines, subtypes, imaging, and more

Justin L Hoskin. Curr Opin Neurol. .

Abstract

Purpose of review: This article reviews recent developments in Ménière's disease including etiologic, diagnostic, and therapeutic investigations that have changed the landscape for medical providers. These updates shed light onto the complex nature of Ménière's disease and generate additional means to provide optimal care to patients.

Recent findings: Given the multifactorial cause of Ménière's disease, five subtypes of Ménière's disease have recently been proposed. A knowledge of these subtypes will aid in the development of an appropriate treatment algorithm. Although newer treatments have not been developed, stepwise treatment algorithms have been proposed and can improve patient care. New MRI modalities and serum testing hold promise as clinical clues and biomarkers.

Summary: As these updated diagnostic criteria are used, Ménière's disease can be identified and treated more precisely. This will in turn allow for future randomized controlled studies to improve the quality of treatment options available. Future imaging, vestibular testing, and the potential for serum biomarkers may illuminate additional diagnostic criteria, only furthering the improvement in clinical care.

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References

    1. Atkinson M. Ménière's original papers. Acta Otolaryngol Suppl 1961; 162:1–78.
    1. Harcourt J, Barraclough K, Bronstein AM. Ménière's disease. BMJ 2014; 349:g6544.
    1. Lopez-Escamez JA, Carey J, Chung W-H, et al. Classification Committee of the Barany Society, Japan Society for Equilibrium Research, European Academy of Otology and Neurotology (EAONO), Equilibrium Committee of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS), Korean Balance Society. Diagnostic criteria for Menière's disease. J Vestib Res 2015; 25:1–7.
    1. Gibson WPR. Ménière's disease. Adv Otorhinolaryngol 2019; 82:77–86.
    1. Gürkov R, Pyykö I, Zou J, Kentala E. What is Ménière's disease? A contemporary re-evaluation of endolymphatic hydrops. J Neurol 2016; 263 Suppl 1:S71–S81.